实施医疗器械相关的压力损伤算法的可行性,可接受性和可用性,用于使用非侵入性通风的重症患者
Jennifer N Miller1, Susan A Barnason1, Kaitlin A Rogge1
1University of Nebraska Medical Center, College of Nursing, Lincoln, NE 68588, United States.
Intensive & critical care nursing
|November 5, 2023
概括
护士主导的干预,以防止医疗器械相关的压力损伤在使用非侵入性通风的重症监护患者是可行的和可用的. 需要进一步的研究来开发可扩展的跨学科算法来减少这些伤害.
科学领域:
- 护理科学 护理科学
- 关键护理医学 关键护理医学
- 患者安全 患者安全
背景情况:
- 医疗器械相关的压力损伤 (MDRPI) 是重症监护中的一个问题.
- 非侵入性通风 (NIV) 经常用于重症监护,增加MDRPI风险.
- 对于NIV患者,需要标准化的预防策略.
研究的目的:
- 描述护士主导的干预措施的可行性,可接受性和可用性,以预防NIV接受重症监护患者的MDRPI.
- 在现实世界的临床环境中评估护士领导的算法的有效性.
主要方法:
- 一个质量改进项目,具有描述性的,单臂研究设计.
- 在两个重症监护病房中实施护士主导的MDRPI预防算法.
- 测量可行性,可接受性和可用性通过床边圆和系统可用性尺度 (SUS).
主要成果:
- 实施了护士主导的算法,82%的护士使用它.
- 系统可用性尺度得分表明,在实施前 (83.3) 和实施后 (85.63) 均具有良好的临床可用性.
- 虽然在统计学上显著,但调查得分的增加在临床上没有意义,这表明有改进的余地.
结论:
- 护士主导的干预证明了在NIV的重症监护患者中预防MDRPI的可行性,可接受性和可用性.
- 该研究建立了护理评估的跨学科框架,以指导护理.
- 建议进行进一步的研究,以开发可扩展的跨学科算法,以减少NIV患者的MDRPI.
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