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Evaluation of a Pressure Injury Risk Assessment Module Based on a Nursing Information System in an Intensive Care
Background:
Patients in intensive care units easily develop pressure injuries. Therefore, the prevention of and care for pressure injuries in intensive care units is an important focus of medical care.
Objective:
To compare the use of a pressure injury risk assessment module of a nursing information system with a paper management system to aid nursing management of high-risk pressure injuries in intensive care units.
Design:
This was a retrospective study.
Setting:
This study was performed in the Intensive Care Unit Department, North China Medical Health Group Xingtai General Hospital.
Participants:
We selected 120 patients who were treated in the intensive care unit of Xingtai General Hospital from January 2020 through December 2022 as the observation objects. Among the 120 enrolled patients, the 60 patients enrolled from January 2020 through June 2021 were allocated to the control group, and the 60 patients enrolled from July 2021 through December 2022 were allocated to the observation group.
Interventions:
Patients in the control group were nursed using a paper management system to assess pressure injury risk. Patients in the observation group were nursed using a pressure injury risk assessment module based on a nursing information system that was created by the North China Medical Health Group Xingtai General Hospital in accordance with the nursing requirements of patients with high-risk pressure injury.
Primary Outcome Measures:
The groups were compared for the risk assessment time of pressure injury, warning time of pressure injury reaction, incidence of pressure injury, comfort level, quality of life, and nursing satisfaction rate.
Results:
The risk assessment time of pressure injury and warning time of pressure injury reaction were shorter in the observation group than in the control group (P < .001, 95% CI: -4.633~-4.047 and P < .001, 95% CI: -10.72~-9.203). The total incidence of pressure injury was lower in the observation group than in the control group (P = .03, χ2=4.6). The comfort level scores, quality of life scores, and patient satisfaction scores were higher in the observation group than in the control group (P < .001, 95% CI: 14.99~19.51, P < .001, 95% CI: 6.050~10.23 and P < .001, 95% CI: 20.92~26.68).
Conclusion:
The pressure injury risk assessment module based on a nursing information system can effectively standardize the risk management of pressure injury in patients in the intensive care unit, shorten the early warning time of pressure injury reaction, reduce the incidence of pressure injury in patients, promote the quality of life of patients, and improve patient nursing satisfaction.
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