Nelson L, Boyle M, Taggart I, Watson S
Glasgow Royal Infirmary Burns Unit, 84 Castle Street, Glasgow G4 0SF, United Kingdom.
Burns. 2006 Nov;32(7):876-9. doi: 10.1016/j.burns.2006.02.004. Epub 2006 Sep 25.
Routine photography of all patients admitted to the West of Scotland Regional Burns Unit was introduced in 2003. To date, there are few burns units to evaluate the usefulness of photographs taken.
To assess the usefulness of photographs of patients admitted to the burns unit to various members of the multidisciplinary team.
A questionnaire was completed by hospital staff involved in the management of burns patients over a 3-month period. A total of 43 questionnaires were completed.
The majority of questionnaires were completed by nursing staff (55%) followed by medical staff (23%); physiotherapy (5%); anaesthetists (7%); theatre staff (5%); students (2%); dietician (2%). About 98% of respondents agreed that photographs were useful overall, particularly for teaching purposes. About 9% disagreed that photographs were useful for assessment due to difficulty in assessing depth of burn. About 72% agreed that the photographs were useful for patient management and improve patient care. About 88% agreed that all patients should have photographs available in future. Advantages of photographs include; moving and handling of patients; patient positioning in theatre; reviewing wound healing and complications. They are useful for assessing site, size and type of burn. Disadvantages include difficulty in assessing depth of burn, technical factors, and unavailability out of hours.
Photographs of burns patients are useful overall to all members of the multidisciplinary team.
2003年开始对所有入住苏格兰西部区域烧伤科的患者进行常规拍照。迄今为止,很少有烧伤科评估所拍照片的实用性。
评估烧伤科患者照片对多学科团队各成员的实用性。
参与烧伤患者管理的医院工作人员在3个月内完成了一份问卷。共完成43份问卷。
大部分问卷由护理人员(55%)完成,其次是医务人员(23%);物理治疗师(5%);麻醉师(7%);手术室工作人员(5%);学生(2%);营养师(2%)。约98%的受访者认为照片总体上有用,尤其用于教学目的。约9%的人不同意照片对评估有用,原因是难以评估烧伤深度。约72%的人认为照片对患者管理有用且能改善患者护理。约88%的人同意未来所有患者都应拍照留存。照片的优点包括:患者的搬运和处理;患者在手术室的体位摆放;伤口愈合及并发症的复查。它们有助于评估烧伤的部位、大小和类型。缺点包括难以评估烧伤深度、技术因素以及非工作时间无法获取。
烧伤患者的照片对多学科团队的所有成员总体上是有用的。