【摘要】 目的探讨伤口造口失禁皮肤护理管理系统建立与运行后皮肤护理管理的效果。方法成立造口伤口失禁皮肤护理小组,确定三级管理体制的运行模式,明确各级人员职责,制定工作制度和流程,对相关人员进行培训,实行护理会诊制度,高度重视造口并发症预防工作,利用网络技术对全院皮肤护理情况进行及时监控。结果系统建立前后护理人员对造口伤口失禁评估记录处理得分及伤口相关知识掌握情况比较,差异有统计学意义(均P<0.01)。结论系统的建立与运行显著提升了小组成员正确处理造口伤口的能力,是可行、有效的临床专科护理及管理系统。更多还原

【Abstract】 Objective To establish a skin care management system for wound,ostomy,and incontinence(WOI),and to explore the effectiveness after implement of the system.Methods We set up a skin care team of WOI,confirmed tertiary management model,clarified responsibilities for all levels,established regulations and processes,trained relevant staff,implemented nursing consultation system,paid important attention to stoma complications,and used network technology for monitoring skin care in whole hospital.Results The scores of assessment,documentation,and management of WOI,and nurses′proficiency of wound-related knowledge showed significant differences before and after 1 year implement of the system(P<0.01 for all).Conclusion Skin care management system for WOI is a practical and efficient management model,which improves management of wound and ostomy in members of skin care team.更多还原