- 期刊
降低腎臟內科病房住院病人壓傷發生率
Reduce the incidence of pressure injuries in hospitalized nephrology patients
摘要
壓力性損傷是全球經常發生且重視的健康問題，住院中發生壓力性損傷會增加感染機率、照護困難、醫療費用支出及延長住院天數。統計2021年單位壓傷發生率達0.12%。經現況分析問題:護理師壓傷照護執行不完整、缺乏查核機制、主要照顧者壓傷照護執行不確實、缺乏合適衛教單張及未曾舉辦氧氣治療照護相關教育訓練。擬定改善方案為：建立稽核機制、製作多元衛教影片、情境模擬翻身教育訓練、翻轉教學指導、提供「翻身提醒工具」套組、運用手機鬧鐘提醒、舉辦氧氣治療照護在職教育。經介入方案後，壓傷發生率由0.12%下降至0.06%，有顯著成效。藉此專案促使團隊重視預防壓傷概念，更提升醫療照護品質。
並列摘要
Pressure injuries are a common and significant health problem around the world. Pressure injuries occurring in hospitals increase the probability of infection, difficulty in care, medical expenses, and extend the number of days of hospitalization. According to statistics, the unit pressure injury incidence rate in 2021 was 0.12%. Situation analysis problems: 1. Incomplete implementation of pressure injury care by nurses, 2. Lack of review mechanism, 3. Inaccurate implementation of pressure injury care by primary caregivers, 4. Lack of appropriate health education leaflets, 5. No oxygen therapy care education and training conducted. Improvement plan: 1. Establish an audit mechanism, 2. Produce multiple health education videos, 3. Context simulation education and training, 4. Turnover teaching guidance, 5. Provide "turnover reminder tool" set, 6. Use mobile phone alarm clock reminders, 7. Conduct oxygen therapy care in-service education. After the intervention, the pressure injury incidence rate dropped from 0.12% to 0.06%, showing significant results. This project prompts the team to pay attention to the concept of pressure injury prevention and improve the quality of medical care.