在社区医疗环境中提供伤口护理和管理:一项探索性研究
Louise Skerritt1, Martin Gooney2, Linda Sheahan2
1Health Service Executive, Dublin South and Wicklow, Nursing and Health Care, School of Health Sciences, South East Technological University, Waterford City, Ireland.
Journal of wound care
|January 11, 2025
概括
社区护士处理许多慢性伤口,最常见的是腿部. 文档不足导致过度使用抗生素,突出需要更好的伤口护理协议在爱尔兰.
科学领域:
- 社区卫生护理
- 伤口护理管理管理
- 伤口流行病学 伤口流行病学
背景情况:
- 伤口管理是医疗保健服务的资源密集型.
- 了解伤口患病率和原因对于改善患者护理至关重要.
- 本研究的重点是爱尔兰社区护理环境.
研究的目的:
- 确定爱尔兰社区护理机构中伤害的发生率和原因.
- 评估当前的伤口护理交付,文档和转诊途径.
- 为改善伤病患者的护理护理和服务提供见解.
主要方法:
- 追溯审查受伤护理的客户图表.
- 对公共卫生护理服务一年的数据进行分析.
- 确定伤口类型,持续时间,并发症和治疗方法.
主要成果:
- 伤口的发病率为0.46% (331个人中有632个伤口).
- 腿部 (56%),压力 (18%) 和糖尿病足 (15%) 是最常见的.
- 99%的客户患有并发症,52%接受抗生素治疗,通常没有明确的感染记录.
结论:
- 慢性伤口通常与多种并发症有关,影响愈合时间.
- 伤口评估文件不足导致抗生素使用增加.
- 将护理与国家临床计划相结合,可以提高慢性伤口管理的效率和质量.
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