在患有深色皮肤的患者中检测早期压力损伤,使用增强的物理评估技术和素照明
Monica Waidley1,2,3, Nikki Taylor1,2,3, Leah L Shever-Doletzky1,2,3
1Monica Waidley, BSN, BA, RN, University of Michigan Health System, Ann Arbor, Michigan.
概括
使用素照明进行增强的皮肤评估,改善了在皮肤色调较深的患者中识别第一阶段压力损伤 (PI) 的情况. 这种方法很容易教导,可以整合到常规的床边评估中.
科学领域:
- 护理 护理 护理
- 提高质量 提高质量
- 皮肤病学 皮肤病学
背景情况:
- 准确识别早期压力损伤 (PI) 对于有效的患者护理至关重要.
- 传统的皮肤评估方法在皮肤色调较深的患者中可能具有挑战性,因为黑色素会掩盖像白化这样的视觉线索.
- 需要改进评估工具,以确保为所有患者提供公平的护理.
研究的目的:
- 为了评估一个增强的皮肤评估技术,皮肤评估黑皮肤 (SADS) 方法,结合素照明.
- 为了改善1阶段压力损伤的识别,在患有较深色肤色的患者.
- 评估SADS方法在临床环境中的可行性和有效性.
主要方法:
- 由爱荷华州基于证据的实践模式指导的质量改进项目在三个医院单位实施.
- 护士们被训练使用SADS方法,结合素照明来增强皮肤变化的可视化.
- 从电子病历和参与护士的调查中收集数据,以比较实施前后的结果.
主要成果:
- 使用素照明进行增强物理评估的实施导致参与单位在设施中获得的压力损伤减少了6%.
- SADS 方法有助于在皮肤色较深的患者中识别第 1 期 PIs.
结论:
- 使用素照明的SADS方法显著提高了黑色皮肤个体的第一阶段压力损伤的识别.
- 这种评估技术是实用的,很容易教给护理人员,可以纳入常规的床边班次评估.
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