- 期刊
運用組合式照護提升壓傷預防性照護之完整率
Applying Care Bundle and Innovation of Turning Blet to Improve Prevention Pressure Injury Care
摘要
內科病房2019年第二季壓傷發生率攀升至0.28%，經專案小組調查預防壓傷照護完整率僅79.8%，預防壓傷認知正確率僅80.0%，現況分析後確立護理師預防壓傷認知不足、照顧者翻身技巧不足、輔具不足與缺乏適當翻身單。專案目的為提升預防壓傷照護完整率、預防壓傷認知正確率與降低壓傷發生率。解決辦法為運用組合式照護，舉辦教育訓練、製作翻身海報與QR code、發明翻身口訣、創新翻身輔助墊與汰舊氣墊床，採購減壓床墊，建立翻身時間紀錄表。改善後壓傷預防性照護完整率提升至92%；護理師認知正確率提升至94%；壓傷發生率降低至0.17%，已達專案目的，有效提升護理師對病人壓傷預防性之照護能力，維持病人生活品質。
並列摘要
In the second quarter 2019, the incidence rate of pressure injury of patients in a medical ward increase to 0.28%. The Nursing investigation revealed that the completeness care on pressure injury prevention was 79.8%, and the accuracy rate of staff cognition was only 80.0%. Problem identified were nurses have insufficient knowledge on pressure injury prevention, caregiver turning skills, lack of assistive devices, and lack of proper turning sheets. The purpose of this project was improved completeness of prevent pressure injury care, the rate of cognition in the caretakers, and lower the incidence of pressure injury. The project team designed the bundle care, including development of a staff education program, make poster and QR codes in the ward, designed the care slogan, innovation of turning belt, replaced air crushed beds, purchase decompression mattresses, and establish a patient turning record. Post implementation results included 91% complete care for pressure injury prevention, 94% in the accuracy rate of nurses' cognition and the incidence of pressure injury decreased to 0.17%. This exercise effectively improve nursing care in pressure injury prevention and increase the patients' quality of life.
參考文獻
延伸閱讀
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