[1]顾梦倩,曹松梅,赵燕燕,等.成人医疗器械相关压力性损伤预防管理的循证实践[J].军事护理,2022,39(08):7-11.[doi:10.3969/j.issn.2097-1826.2022.08.003]
　GU Mengqian,CAO Songmei,ZHAO Yanyan,et al.Evidence-based Implementation on Preventing Medical Device-related Pressure Injury in Intensive Care Unit[J].Nursing Journal Of Chinese People's Laberation Army,2022,39(08):7-11.[doi:10.3969/j.issn.2097-1826.2022.08.003]
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成人医疗器械相关压力性损伤预防管理的循证实践
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《军事护理》[ISSN:2097-1826/CN:31-3186/R]

卷:
39
期数:
2022年08期
页码:
7-11
栏目:
循证护理实践专栏
出版日期:
2022-08-15

文章信息/Info

Title:
Evidence-based Implementation on Preventing Medical Device-related Pressure Injury in Intensive Care Unit
文章编号:
2097-1826(2022)08-0007-05
作者:
顾梦倩1; 曹松梅2; 赵燕燕2; 陈圣枝3; 米元元4; 封蔓5; 赵家琪5; 朱丽群6; 柏素萍7; 解红锋3
(1.常熟市第一人民医院 重症医学科,江苏 常熟 215500; 2.江苏大学附属医院 护理部,江苏 镇江 212000; 3.江苏大学附属医院 普外科; 4.华中科技大学同济医学院附属协和医院 重症医学科,湖北 武汉 430022; 5.江苏大学 医学院,江苏 镇江212000; 6.江苏大学附属医院 老年科; 7.江苏大学附属医院 烧伤科)
Author(s):
GU Mengqian1; CAO Songmei2; ZHAO Yanyan2; CHEN Shengzhi3; MI Yuanyuan4; FENG Man5; ZHAO Jiaqi5; ZHU Liqun6; BO Suping7; Xie Hongfeng3
(1.Department of Critical Care Medicine,Changshu NO.1 People's Hospital,Changshu 215500,Jiangsu Province,China; 2.Department of Nursing,Affiliated Hospital of Jiangsu University,Zhenjiang 212000,Jiangsu Province,China; 3.General Surgery Department,Affiliated Hospital of Jiangsu University; 4.Department of Critical Care Medicine,Union Hospital,Tongji Medical College,Huazhong University of Science and Technology,Wuhan 430022,Hubei Province,China; 5.Medical College of Jiangsu University......)
关键词:
医疗器械;  压力性损伤;  循证护理;  危重症
Keywords:
medical device;  pressure injury;  evidence-based nursing;  critical illness
分类号:
R47; R82
DOI:
10.3969/j.issn.2097-1826.2022.08.003
文献标志码:
A
摘要:
目的 探讨基于最佳证据的成人医疗器械相关压力性损伤预防方法并评价其在ICU的应用效果。方法 汇总成人医疗器械相关压力性损伤预防证据并结合临床情境评估证据,进行基线审查、障碍因素分析,拟订并实施相应对策。共进行1轮基线审查和4轮证据应用,比较证据应用前后成人医疗器械相关压力性损伤发生率、ICU护士医疗器械相关压力性损伤预防知识得分情况及对审查指标的依从率。结果 共应用22条最佳证据,与证据应用前相比,ICU成人医疗器械相关压力性损伤发生率降低,ICU护士医疗器械相关压力性损伤预防知识总分有所提高,差异均有统计学意义(均P<0.001)。共构建14条审查指标,经过4轮证据应用,依从率>80%的审查指标分别有1、3、8、10、14条。结论 开展基于最佳证据的循证实践,能够有效降低ICU患者医疗器械相关压力性损伤发生率,提高ICU护士对相关预防知识的掌握程度,减少证据与临床实践的差距,从而提高护理质量。
Abstract:
Objective To explore the means of prevention of medical device-related pressure injury(MDRPI)based on the best evidence and assess its application effects.Methods The preventive evidence of MDRPI was collected by the evidence-based nursing and combined with the evidence of clinical situation assessment.the baseline review and obstacle factor analysis were conducted,and corresponding countermeasures were formulated and implemented.In this study,one round of baseline review and four rounds of evidence application were conducted to compare the incidence of MDRPI in patients before and after evidence application,as well as the score of Intensive Care Units(ICU)nurses' knowledge of MDRPI prevention and their compliance rate to the review indicators.Results A total of 22 best evidences were used in this study.Compared with before-evidence application,the incidence of MDRPI in ICU patients was reduced,and the total score of knowledge of MDRPI prevention in ICU nurses was improved,with statistically significant differences(all P<0.001).A total of 14 audit indicators were constructed in this study,and there were 1,3,8,10 and 14 audit indicators with compliance rate > 80% after 4 rounds of application.Conclusions Clinical practice based on the best evidence reduce the MDRPI incidence,enhance the cognition ability of nurses of MDRPI,narrow the gap between evidence and reality,and promote management.

参考文献/References:

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备注/Memo

备注/Memo:
【 收稿日期 】 2021-06-06 【 修回日期 】 2022-06-25
【 基金项目 】 江苏省研究生实践创新计划项目(SJCX19-1178); 苏州市护理学会科研项目(SZHL-A-202201); 复旦循证护理中心证据转化与临床应用项目(Fudanebn201918); 江苏大学大学生科研立项重点项目(2019Z14)
【 作者简介 】 顾梦倩,硕士,护士,从事临床护理工作
【 通信作者 】 解红锋,电话:0511-85026953
更新日期/Last Update: 2022-08-15