Application of target management on pressure ulcer prevention in surgical patients

Abstract

Objective To explore the effects of target management on pressure ulcer prevention in surgical patients. Method The patients with selective operation were selected as study objects from January 2013 to December 2015. The traditional nursing for pressure ulcer prevention was carried out for operation patients from January 2013 to December 2013. The target management for pressure ulcer prevention was carried out for operation patients from January 2014 to December 2015. And then, we compared the incidence of pressure ulcer, that of patients with high risk of pressure ulcer, annual incidence rate of pressure ulcer of patients with lying position for surgery, distribution of ulcer stage and so on before and after target management. Results The annual incidence rate of pressure ulcer of 2013, 2014, 2015 was 0.23%, 0.11%, 0.07%. The incidence rate of pressure ulcer of 2014 and 2015 was lower than that of 2013 with significant differences (χ2=24.23, 43.32 ; P 0.05). The incidence rate of pressure ulcer of patients with high risk of pressure ulcer in 2013 and 2014 was also higher than that in 2015 with significant differences (χ2=13.00, 4.88; P<0.05). At the same time, the incidence rate of pressure ulcer of patients with lying position for surgery in 2013, 2014, 2015 was 6.00%, 3.53%, 1.06%. The incidence rate of pressure ulcer of patients with lying position for surgery in 2014 and 2015 was lower than that in 2013 with significant differences (χ2=7.63, 47.05; P<0.05). Conclusions The implementation of target management can reduce the incidence of pressure ulcer, that of patients with high risk of pressure ulcer, that of patients with lying position for surgery, guarantee the safety of patient and improve the quality of nursing care in operating room. Key words: Pressure unclear; Operating room; Target managements