降低外科加護病房病人壓瘡發生率之專案

背景　本單位自2009年1月至2009年6月，發生壓瘡有8人，發生率佔0.42%，與去年同期壓瘡發生率0.28%比較，增加0.14%，壓瘡發生率明顯上升。目的　降低外科加護病房病人壓瘡發生率由0.42%下降至0.05%。解決方案　實施介入措施中含括有：「舉辦預防壓瘡在職教育訓練」、「設定適當翻身工具，提供人員翻身使用、製作「正確翻身擺位姿勢參閱本」」，作為翻身擺位參考依據、「製作「病人皮膚完整性查檢表」，做為一致性交班工具」、「成立壓瘡照護品質稽核小組，作持續性監測」。結果　壓瘡發生率由0.42%降至0.04%。結論　顯示專案介入措施後能確實降低壓瘡發生率，提升照護品質。

關鍵字

降低；壓瘡；發生率；外科加護病房

並列摘要

Background: Pressure ulcers were an increasingly significant problem among patients in the authors' ward. The eight patients diagnosed with pressure ulcers (0.42% of all inpatients) during the first half of 2009 represented a 140% increase over the first half of 2008 (0.28% of all inpatients). Purpose: This project was designed to reduce pressure ulcer incidence in the surgical intensive care unit (ICU) to 0.05%. Methods: Intervention measures included: 1) holding professional training on preventing pressure ulcers; 2) specifying appropriate patient turnover tools; 3) creating and distributing to nurses a proper turnover technique and positioning manual; 4) creating and distributing to nurses a comprehensive patient skin inspection checklist; and 5) organizing a permanent pressure ulcer care quality and audit committee. Results: Pressure ulcer incidence fell from 0.42% to 0.04% following implementation of the methods. Conclusion: Results demonstrate the effectiveness of using the proposed methods to reduce pressure ulcer incidence and enhance nursing care quality.

並列關鍵字

reduction ； pressure sores ； occurrence rate ； surgical intensive care unit

被引用紀錄

徐琬茵、李佳頵、謝坤諺、陳幼梅（2018）。降低加護病房壓瘡發生率之改善專案。高雄護理雜誌，35(1)，29-41。https://doi.org/10.6692/KJN.201804_35(1).0003

黃微真、張秀如、唐琦敏（2014）。降底兒童外科加護病房壓瘡發生密度。護理雜誌，61(2)，60-67。https://doi.org/10.6224/JN.61.2S.60

吳秀玲、莊秋萍、林麗華、鄒怡真、熊道芬、桑潁潁、洪世欣、黃子珍、周幸生（2017）。探討壓瘡防治多元教學策略對護理人員認知及病人壓瘡發生率之影響。榮總護理，34(2)，118-129。https://doi.org/10.6142/VGHN.34.2.118

王文珊（2017）。壓瘡發生原因探討-以某地區醫院內科病房為例〔碩士論文，義守大學〕。華藝線上圖書館。https://www.airitilibrary.com/Article/Detail?DocID=U0074-1406201718444900

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降低外科加護病房病人壓瘡發生率之專案

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