优化住院腹腔透析患者的退场现场护理,每周使用赫西丁浸的敷料
Htay Htay1,2, Wei Wang1, Mathini Jayaballa1,2
1Department of Renal Medicine, Singapore General Hospital, Singapore, Singapore.
概括
为腹腔透析患者每周进行赫西丁包裹,大大减少了护理时间和成本. 这种方法减少了70%的退出现场护理时间,没有任何感染或不良事件.
科学领域:
- 腎臟病學 (nephrology) 是一種醫學專業.
- 感染控制 感染控制
- 提高质量 提高质量
背景情况:
- 腹腔透析 (PD) 导管出口现场护理对于预防感染至关重要.
- 住院PD患者的每日退场现场护理对护理人员来说是资源密集的.
- 需要更少频繁,高效的PD导管退出现场护理协议.
研究的目的:
- 为了评估每周用赫西丁浸的海绵敷料的有效性.
- 为了减少在住院患者的PD导管退出场地护理所花费的护理时间.
- 评估替代包装协议的安全性和成本效益.
主要方法:
- 一个质量改善的倡议实施了每周的赫西丁浸敷料.
- 这项研究于2021年8月至2022年2月在新加坡的一个中心进行.
- 与以前的日常常规带进行了照料时间,成本和感染率的比较.
主要成果:
- 减少了70%的退场护理护理时间 (从每月104.9分钟/患者到每月31.3分钟/患者).
- 实现了53,400新西兰元和503个护理小时的显著成本节约.
- 在倡议期间,没有报告出口部位感染或不良事件.
结论:
- 每周用赫西丁浸的敷料有效地减少PD患者的护理工作负担.
- 该协议提供了一种安全且潜在的节省成本的替代方案,可以替代每天的连衣.
- 对长期结果和更广泛的实施进行进一步调查是有必要的.
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