Sebastián-Viana T, Losa-Iglesias M, González-Ruiz J M, Lema-Lorenzo I, Núñez-Crespo F J, Salvadores Fuentes P
Department of Innovation and Improvement, Hospital Universitario de Fuenlabrada, Fuenlabrada, Madrid, Spain.
Department of Nursing, Universidad Rey Juan Carlos, Alcorcón, Madrid, Spain.
Appl Nurs Res. 2016 Feb;29:107-12. doi: 10.1016/j.apnr.2015.05.018. Epub 2015 Jun 3.
To measure the clinical impact of the introduction of a reminder system for healthcare professionals to alert patients who are at risk for pressure ulcers (PU).
This was a pre- and post-test study of patients who were discharged from 6 medical-surgical units of the University Hospital of Fuenlabrada in 2009 and 2010. Beginning in January 2010, implementation of an on-screen list of reminders was automatically updated daily on the units' computers including patient arrival date, last assessment of ulceration risk and location of any PU. The cumulative incidence of PU was measured for patients discharged in 2009 (group A: healthcare professionals were not exposed to on-screen reminder) and 2010 (group B: healthcare professionals were exposed to on-screen reminder list). The relative risk (RR) was estimated. The study was completed with a stratified analysis and binary logistic regression.
In group A, there were 84 cases of PU among 9263 patients discharged (0.9%); whereas in group B, there were 59 cases among 9220 patients discharged (0.6%). The RR of PU for group B/group A was 0.706 (p=0.038). In the logistic regression analysis, after adjusting for study variables, the odds ratio of PU B/A was 0.558.
A list of on-screen reminders at the beginning of a healthcare professional's shift to inform them of patients at risk for developing a PU was effective at reducing the incidence of these clinical burdens.
评估引入针对医护人员的提醒系统以警示有压疮（PU）风险患者所产生的临床影响。
这是一项针对2009年和2010年从富恩拉夫拉达大学医院6个内科 - 外科病房出院患者的前后测研究。从2010年1月开始，在各病房电脑上每日自动更新的屏幕提醒列表，内容包括患者入院日期、溃疡风险的最后评估以及任何压疮的位置。对2009年出院患者（A组：医护人员未接触屏幕提醒）和2010年出院患者（B组：医护人员接触屏幕提醒列表）的压疮累积发生率进行测量。估计相对风险（RR）。通过分层分析和二元逻辑回归完成研究。
A组9263例出院患者中有84例发生压疮（0.9%）；而B组9220例出院患者中有59例发生压疮（0.6%）。B组/A组压疮的RR为0.706（p = 0.038）。在逻辑回归分析中，在对研究变量进行调整后，B组/A组压疮的比值比为0.558。
在医护人员轮班开始时的屏幕提醒列表，用于告知他们有发生压疮风险的患者，在降低这些临床负担的发生率方面是有效的。
