为重症监护病房患者实施压力伤害预防协议,这些患者经历了倾斜定位
Kelly McFee1, Julie M Murdoch2, Mandy Spitzer3
1Kelly McFee is Director of Wound Care, Mosaic Wound Care and Hyperbaric Medicine, St. Joseph, Missouri.
Critical care nurse
|September 30, 2023
概括
实施新的协议显著减少了在COVID-19患者接受倾斜定位的医院获得的压力损伤. 这项质量改进计划使伤害率降低了76.7%,突显了有针对性的预防策略的重要性.
科学领域:
- 改善医疗保健质量 改善医疗保健质量
- 感染控制的方法是感染控制.
- 患者的安全性 患者安全性
背景情况:
- 医院获得的压力损伤是一个常见的医疗保健问题,特别是在COVID-19患者身上.
- 由于长时间的输管治疗和容易的定位等因素,COVID-19患者面临较高的风险.
- 一个特定的医院确定了在疫情期间需要进行干预措施以减轻压力损伤风险.
研究的目的:
- 为了减少COVID-19的重症监护室患者在医院获得的压力损伤的发生率.
- 评估新方案的有效性,以预防高风险人群的压力伤害.
主要方法:
- 在一家350张床位的医院进行了一项质量改进项目.
- 一个涉及连衣包的协议被实施,用于易于躺卧的COVID-19患者.
- 压力损伤发生率在议定书实施前和之后进行了比较.
主要成果:
- 在实施协议后,医院获得的压力损伤的发生率从11.6%降至2.7%.
- 这代表了统计学上显著的减少76.7% (P = .008).
- 这项研究涉及155名干预前患者和111名干预后患者.
结论:
- 有针对性的教育和特定的产品/协议可以有效地降低压力损伤风险.
- 压力伤害预防方案,包括包装包,可能有利于所有需要躺卧的患者.
- 这些发现支持该协议在COVID-19患者之外的更广泛应用.
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