减少下肢在医院获得的压力损伤:一个多学科的临床团队方法
Tamir Pinhasov1, Shelby Isaacs1, Miriam Donis-Garcia1
1Department of Surgery, Comprehensive Wound Care Healing and Hyperbarics, Northwell Health, Lake Success, NY 11042, US.
Journal of wound care
|July 5, 2023
概括
多学科干预显著减少了下肢在医院获得的压力损伤 (HAPI). 这一举措涉及外科手术团队,加强护理教育和改进数据报告,大大降低了HAPI发生率.
科学领域:
- 医疗保健管理的管理
- 患者安全 患者安全
- 手术创新 在外科创新.
背景情况:
- 医院获得的压力损伤 (HAPI) 在患者护理中构成了重大挑战.
- 降低HAPI发病率的最佳策略,特别是在下肢,需要进一步研究.
- 目前用于HAPI预防的方法需要持续评估和改进.
研究的目的:
- 评估综合干预对下肢HAPI每年发病率的影响.
- 确定多学科方法在降低HAPI率方面的有效性.
- 评估HAPI发病率在新协议实施之前和之后的变化.
主要方法:
- 2012年实施了三项干预措施,包括一个多学科的外科小组,加强护理教育和改进质量数据报告.
- 多年来,下肢HAPI的年度发病率被仔细跟踪.
- 数据分析的重点是比较干预前的HAPI率与干预后的HAPI率.
主要成果:
- 干预前的HAPI发病率在2009年至2011年间从0.742%到0.751%不等.
- 干预后,HAPI发病率急剧下降,随后几年 (2013-2017年) 的发病率低至0.000%.
- HAPI的平均发病率从0.746%降至0.022% (p<0.001),表明了统计学上显著的下降.
结论:
- 一个协调的干预涉及一个多学科的外科团队,先进的护理教育,和强大的数据报告有效地减少了下肢HAPI发病率.
- 该研究表明,全面战略在显著缓解HAPI方面取得了成功.
- 这些发现强调了综合护理方法在提高患者安全和预防压力伤害方面的重要性.
相关概念视频
01:26Peripheral Artery Disease IV: Nursing Management
12
The nursing management of a patient with peripheral artery disease (PAD) begins with a thorough assessment of the patient’s health history and clinical manifestations.AssessmentHealth History: Evaluate the patient’s history of hypertension, hyperlipidemia, family history of cardiovascular issues, and lifestyle factors such as dietary patterns, smoking, and physical activity.Physical Examination:Assess the affected extremity for decreased or absent peripheral pulses,...
12
01:23Peripheral Artery Disease V: Postoperative Nursing Management
12
During the postoperative period, it is crucial to focus on maintaining circulation, identifying and managing potential complications, and planning for discharge.Nursing AssessmentVital signs monitoring: Regularly monitor vital signs, including blood pressure, heart rate, respiratory rate, and temperature, to detect early signs of complications such as bleeding and infection.Circulation assessment: Monitor pulses, perform Doppler assessments, and check capillary refill, color, temperature, and...
12
01:27Peripheral Artery Disease III: Interprofessional Care
11
Peripheral Artery Disease (PAD) is characterized by narrowed arteries that diminish blood flow to the extremities. Effective management of PAD requires an interprofessional approach involving various healthcare professionals. The critical aspects of interprofessional care for PAD patients focus on risk factor modification, drug therapy, exercise therapy, nutrition therapy, critical limb ischemia care, and interventional radiology and surgical procedures.The primary treatment goal for PAD...
11
01:30Venous Thrombosis IV: Nursing Management
14
Nursing management begins with a thorough assessment of the patient's health history. Key factors include trauma to veins, peripherally inserted central catheters, varicose veins, recent pregnancy or childbirth, surgery, bacteremia, prolonged bed rest, atrial fibrillation, COPD, heart failure, cancer, coagulation disorders, myocardial infarction, spinal cord injury, stroke, prolonged travel, recent bone fractures, and dehydration. Review medication intake, particularly oral contraceptives,...
14
01:22Healthcare Associated Infections II: Preventive Measures
2.7K
Essential infection prevention measures are based on the knowledge of the infection chain, the modes of transmission in healthcare settings, and the use of the best practices in all healthcare settings. Compulsory public reporting of healthcare-associated infection rates is needed to allow individuals and the community to make informed choices regarding selecting a healthcare facility.
The best practices for preventing healthcare-associated infections include hand hygiene, patient risk...
The best practices for preventing healthcare-associated infections include hand hygiene, patient risk...
2.7K
01:29Venous Thrombosis III: Interprofessional Care
10
Venous thrombosis requires effective prevention and treatment strategies to improve patient outcomes and reduce potential complications.Prevention StrategiesHealthcare providers must prioritize preventing venous thromboembolism (VTE) for all adult patients upon admission. Interventions depend on bleeding and thrombosis risk, medical history, current medications, diagnoses, planned procedures, and patient preferences. Patients on bed rest should change positions every two hours and, if not...
10