使用基于风险的干预包来规定和实施预防压力损伤的干预措施:一项观察性研究
Paul Fulbrook1,2,3, Josephine Lovegrove2,4,5, Saroeun Ven1,2
1School of Nursing, Midwifery and Paramedicine, Faculty of Health Sciences, Australian Catholic University, Brisbane, Queensland, Australia.
压力伤害预防干预措施大多是正确规定,但执行不善. 改进的文档对于准确反映患者护理和加强预防策略至关重要.
科学领域:
- 改善医疗保健质量 改善医疗保健质量
- 患者安全研究的研究.
- 临床干预的有效性临床干预的有效性
背景情况:
- 压力损伤 (PIs) 是一个重要的医疗保健问题,需要有效的预防策略.
- 风险评估是PI预防的基石,指导选择适当的干预措施.
研究的目的:
- 检查规定和实施的压力损伤预防干预措施之间的对齐.
- 确定在提供住院患者风险分层预防护理方面的差距.
主要方法:
- 一个单一中心的前性观察性研究,涉及341名成年住院患者.
- 通过图表审查和床边观察收集的数据,评估PI风险,规定的干预措施和实施证据.
主要成果:
- 大多数患者 (68.6%) 被确定为患PI的风险,干预措施通常被适当规定.
- 处方干预措施的实施率较低,特别是针对患者/护理人员的干预措施和营养查干预措施.
- 观察到实施干预措施的文件不足,可能掩盖了实际的护理服务.
结论:
- 虽然处方与风险一致,但PI预防性干预措施的实际实施不足于最佳水平.
- 加强对干预措施的准确文档的关注对于准确反映护理和改善PI预防实践至关重要.
- 研究结果突出了护理提供方面的缺陷,并为PI预防策略的未来改进提供了信息.
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