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使用远程重症监护病房护士实施双护士皮肤评估协议,改善了重症患者的压力损伤识别和预防. 这一举措提高了合规性,并导致更早地检测压力损伤.

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科学领域:

  • 关键护理医学 关键护理医学
  • 护理 护理 护理
  • 提高质量 提高质量

背景情况:

  • 重症患者在入院时经常出现压力损伤,增加了护理需求.
  • 由于COVID-19大流行加剧了压力损伤的发生率,因此需要加强识别和预防策略.

研究的目的:

  • 评估两名护士皮肤评估协议对重症监护病房压力损伤识别和预防的影响.
  • 评估将远程重症监护病房 (远程重症监护病房) 护士与病床护士,伤口护士,骨干护士和控制护士整合在一起的有效性.

主要方法:

  • 从2021年到2023年,在三个重症监护病房进行了一项质量改善计划.
  • 该协议涉及远程ICU护士进行第二皮肤评估,协同审查预防措施,并使用摄像头技术记录压力损伤.
  • 数据分析包括原始描述性统计数据和细分回归分析.

主要成果:

  • 实施后,双护士皮肤评估的合规性从46.9%增加到80.8%,改善了72.3%.
  • 在入院时发现的压力损伤的数量在实施后显著增加 (P = .02).
  • 平均每月确定的压力损伤从20.6上升到64.1.1.

结论:

  • 采用远程ICU,床边ICU和带有摄像头技术的伤口护理护士的综合方法显著改善了对两名护士评估的合规性.
  • 这导致了当前在入院时增加压力损伤的识别,使得及时治疗和预防干预成为可能.
  • 该研究强调了协作式,技术辅助的护理干预措施在重症监护机构管理压力损伤方面的成功.