在急性住院护理中预防压力损伤的护理干预:一项跨部门国家研究
Tarja Tervo-Heikkinen1, Anniina Heikkilä2, Marita Koivunen3
1Wellbeing Services County of North Savo, Kuopio University Hospital, PO Box 1711, Kuopio, FI70211, Finland. tarja.tervo-heikkinen@pshyvinvointialue.fi.
BMC nursing
|June 11, 2023
概括
芬兰医院不一致地进行了压力损伤风险和皮肤评估. 护士们不一致地使用评估结果来指导预防性干预,突出了基于证据的实践中的差距.
科学领域:
- 护理科学 护理科学
- 患者安全 患者安全
- 改善医疗保健质量 改善医疗保健质量
背景情况:
- 压力损伤是急性住院护理的一个重要问题.
- 有效的护理干预措施,包括风险评估和皮肤状况评估,对于预防至关重要.
- 这项研究研究了芬兰急性护理机构的压力伤害预防策略.
研究的目的:
- 探索芬兰急性住院护理中压力伤害预防措施的实施.
- 评估风险评估,皮肤状况评估和相关护理干预措施的现有做法.
- 识别基于证据的护理实践中的差距,以预防压力伤害.
主要方法:
- 这是一项在16家急性护理医院进行的多中心,横截面研究.
- 在2018年和2019年的国际止压日,涉及503个单位的6,160名成年患者.
- 根据STROBE的指导方针,利用描述性统计和推断测试 (奇平方,费舍尔精确).
主要成果:
- 只有30%的参与者在护理期间评估了压力损伤风险,而19%的人在入院8小时内进行了评估.
- 在入院8小时内对所有参与者的30%进行了皮肤状况评估.
- 预防性干预往往针对现有的压力损伤而不是高风险患者,评估结果并未始终用于指导护理.
结论:
- 压力损伤风险和皮肤状况评估在芬兰急性护理中不规则地进行.
- 在压力伤害预防方面,基于证据的指导方针和实际的护理实践之间存在重大差距.
- 加强国家重点和改进评估的使用对于有效预防压力损伤至关重要.
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