医院获得的压力损伤:在实际实践中应用预防和反应措施
Gloria Lorente-Granados1, Ángel Arias-Arias2, Sonia Villajos-García3
1Healthcare and Quality Area, Hospital Universitario Mancha Centro, Alcázar de San Juan, Spain.
Journal of advanced nursing
|August 16, 2025
概括
在大约一半患有在医院获得的压力损伤 (HAPI) 的患者中,反床和重新定位等预防措施被反应性地应用. 需要增加医疗保健专业人员的培训,以持续预防HAPI.
科学领域:
- 护理 护理 护理
- 临床医学 临床医学
- 患者安全 患者安全
背景情况:
- 医院获得的压力损伤 (HAPI) 是医疗保健机构的一个重大问题.
- 有效的预防策略对于降低患者发病率和医疗保健成本至关重要.
研究的目的:
- 评估应用率和时间 (预防性与反应性) 的抗床和姿势变化在患者中开发HAPI.
- 确定与实施这些预防措施相关的因素.
主要方法:
- 从2022年8月到2023年3月,西班牙曼查中心医院进行了一项雄心勃勃的观察性研究.
- 包括在住院期间至少发生了一种HAPI的成年患者.
- 收集的数据包括预防措施的实施和时间,患者的并发症和临床变量.
主要成果:
- 180名患者发展了276个HAPI; 73.3%接受了抗床,76.1%的姿势变化.
- 预防措施在约一半的风险患者中被反应性地应用.
- 预防性应用与ICU入院,机械通风和运动障碍等因素有关.
结论:
- 只有大约一半的患者接受了预防措施,通常是反应性的.
- 虽然临床情况较差的患者更有可能接受措施,但一致的实施需要提高医疗保健专业人员的意识和培训.
- 需要制定战略,以促进基于证据的HAPI预防实践.
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