目的 探讨伤口造口专科护士主导的院内压力性损伤管理的效果。方法 对院内需求进行分析,开展伤口造口专科护士主导的院内压力性损伤的管理,主要包括人才队伍建设,成立伤口造口管理小组,发挥伤口造口专科护士职能,规范压力性损伤的管理流程,建立压力性损伤监控系统等。结果 2016年—2018年,伤口造口专科护士的压力性损伤理论与操作考核优秀率逐年提高（P<0.01）,院内压力性损伤发生率逐年下降（P<0.01）。结论 伤口造口专科护士主导的院内压力性损伤管理,充分发挥了专科护士在专业领域中的骨干作用,有效提升临床护理人员的专科水平,降低院内压力性损伤的发生,减轻了病人痛苦,提升了医院的社会效益。

Objective To explore the effects of a pressure injury management strategy by the wound ostomy specialty nurses. Methods We firstly analyzed the pressure injury management needs in our hospital. Then the management strategy of pressure injury which was led by the wound ostomy specialty nurses was developed and constructed. These strategies included personnel selection，team construction，making good use of the functions of specialty nurses，management process standardization，and establishing the monitoring system of pressure injury. Results There was a significant difference in qualification rate of the theory and skill assessments regarding the pressure injury management（P<0.01）. The incidence of stress injury in our hospital decreased year by year from 2016 to 2018（P<0.01）. Conclusion The pressure injury management model can make the wound ostomy specialty nurses play their roles completely. The model can improve the abilities of wound ostomy specialty nurses，decrease the incidence of pressure injury，relieve the sufferings of patients，and increase the social benefits of the hospital.