"这不仅仅是我们的护士的责任"-急性皮肤衰竭的ICU护士的评估困境:一种定性研究
Hang Wei1, Lijun Jiang1, Jiali Xu1
1School of Nursing, Nanjing University of Chinese Medicine, Nanjing, Jiangsu Province, China.
Medicine
|September 17, 2025
概括
由于训练和资源有限,重症监护室 (ICU) 护士在评估急性皮肤衰竭 (ASF) 时面临重大挑战. 解决这些问题对于改善重症监护机构的患者护理和皮肤完整性至关重要.
科学领域:
- 临界护理医学 临界护理医学
- 皮肤病学 皮肤病学
- 护理研究 护理研究
背景情况:
- 急性皮肤衰竭 (ASF) 是重症监护室 (ICU) 护士的一个关键问题,需要准确的评估来防止皮肤损伤.
- 对ASF的研究有限,这给ICU护士在评估和管理方面带来了障碍.
研究的目的:
- 探索ICU护士在评估ASF患者时遇到的挑战.
- 为改善ASF管理协议和评估工具提供基础.
主要方法:
- 使用了一种描述性定性研究方法.
- 与南京一家三级医院的12名ICU护士进行了半结构化采访.
- 数据使用Colaizzi 7 步方法进行分析.
主要成果:
- 出现了三个主要主题:对ASF的知识和经验不足,资源分配困境以及ASF管理系统的缺陷.
- 部分主题包括缺乏培训,评估工具和设备不足以及记录和协作中的系统性问题.
- 护士报告说,在动态评估方面存在挑战,工作量很大,责任不清楚.
结论:
- 在评估ASF时,ICU护士面临着多方面的挑战,影响患者的护理.
- 加强ASF评估流程,开发特定工具和改进管理系统是未来研究的重要方向.
- 解决知识缺口和资源限制可以改善ICU中的ASF管理.
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