Noonan Catherine, Quigley Sandy, Curley Martha A Q
Division of Plastic Surgery, Children's Hospital Boston, MA 02115, USA.
J Pediatr Nurs. 2006 Dec;21(6):445-53. doi: 10.1016/j.pedn.2006.07.002.
The purpose of this paper was to describe the spectrum of alterations in skin integrity and skin care needs of hospitalized infants and children. A 1-day skin prevalence audit was conducted in the spring of 2005 in a tertiary care university-affiliated children's hospital. Patient skin was assessed for any alterations. The Braden Q Scale was used to assess patient risk for pressure ulcer development. Alterations in skin integrity included diaper dermatitis, pressure ulcers, intravenous infiltrations, device-related injuries, and epidermal injuries. Many patients required additional skin care, including wound/incision care, ostomy care, and care related to invasive devices. Alterations in skin integrity represent a serious problem in the pediatric inpatient setting. The data presented identify skin integrity challenges in the hospitalized patient and can help guide staff education and resource allocation, encourage evidenced-based management protocols, and serve as a benchmark for similar pediatric facilities.
本文旨在描述住院婴幼儿及儿童皮肤完整性改变的范围以及皮肤护理需求。2005年春季，在一所大学附属医院的三级护理儿童医院进行了为期1天的皮肤患病率审计。对患者的皮肤进行了任何改变的评估。使用布拉登Q量表评估患者发生压疮的风险。皮肤完整性改变包括尿布皮炎、压疮、静脉输液外渗、器械相关损伤和表皮损伤。许多患者需要额外的皮肤护理，包括伤口/切口护理、造口护理以及与侵入性器械相关的护理。皮肤完整性改变在儿科住院患者中是一个严重问题。所呈现的数据确定了住院患者的皮肤完整性挑战，有助于指导员工教育和资源分配，鼓励基于证据的管理方案，并作为类似儿科机构的基准。
