Moody B L, Fanale J E, Thompson M, Vaillancourt D, Symonds G, Bonasoro C
Department of Internal Medicine, Worcester Memorial Hospital, MA 01605.
Arch Intern Med. 1988 Oct;148(10):2241-3.
To test the hypothesis that an educational program alone without the introduction of new technology could result in both higher quality care and cost savings, the incidence of development of pressure sores among patients over the age of 65 years was concurrently reviewed before and after an education program developed and disseminated by a skin care team composed of physicians and nurses. Before the education program, 18 (14.6%) of 123 patients with no pressure sores developed pressure sores during their hospital admission. After the education program, only six (5.4%) of 105 patients who entered the hospital with intact skin developed a pressure sore during their hospital stay. The data show that an educational program was effective in decreasing by 63% the development of pressure sores in an elderly hospitalized population. Furthermore, a cost savings of $74,372 in the use of special care beds was realized.
为了验证仅通过教育项目(不引入新技术)就能实现更高质量护理和成本节约这一假设,由医生和护士组成的皮肤护理团队制定并推广了一项教育项目,同时回顾了65岁以上患者中压疮发生的情况。在教育项目实施前,123名无压疮患者中有18名(14.6%)在住院期间发生了压疮。教育项目实施后,105名入院时皮肤完好的患者中只有6名(5.4%)在住院期间发生了压疮。数据表明,教育项目在降低老年住院患者压疮发生率方面有效,降幅达63%。此外,在使用特殊护理床方面节省了74,372美元的成本。