患者参与在手术部位感染减少中的作用:一个流程改进项目
Jill Cox1, Lisa Douglas, Valerie Wemmer
1Jill Cox, PhD, RN, APN-C, CWOCN, FAAN, is Wound/Ostomy/Continence Advanced Practice Nurse, Englewood Health, Englewood, NJ, USA, and Clinical Professor, Rutgers University School of Nursing, New Jersey. Also at Englewood Health, Lisa Douglas, MSN, RN-BC, is Nurse Manager, Surgical Unit; Valerie Wemmer, BSN, RN, is Staff Nurse, Surgical Unit; and Kathleen Kaminsky, MS, RN, NE-BC, is Senior Vice President for Patient Care Services/Chief Nursing Officer. The authors have disclosed no financial relationships related to this article. Submitted November 15, 2022; accepted in revised form December 15, 2022.
实施标准化的患者教育退院计划显著减少了结直肠,整形和整形外科专业的手术部位感染 (SSI). 这种患者参与策略改善了护理和结果.
科学领域:
- 与医疗保健相关的感染
- 手术患者护理手术患者护理
背景情况:
- 手术部位感染 (SSI) 是一个重要的医疗相关感染.
- 患者参与是SSI预防的潜在干预措施.
研究的目的:
- 评估标准化的患者教育退院计划是否能降低结肠直肠,整形和整形外科患者的SSI率.
- 评估患者教育对手术场所和排水管理的影响.
主要方法:
- 预干预/后干预研究设计.
- 调查患者和外科医生关于出院的做法.
- 实施标准化出院计划,并配备患者教育套件.
主要成果:
- 降低了SSI的发生率:结肠直肠 (3.2%至2.7%),塑料 (1.2%至0.5%),整体手术 (0.86%至0.33%).
- 改善了患者关于手术部位/排水管护理的调查反应.
结论:
- 患者参与是基于证据的SSI预防包的一个有价值的补充.
- 术后患者参与可以增强患者的体验和改善医疗保健结果.
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