Monsonís-Filella Benjamí, Gea-Sánchez Montserrat, García-Martínez Ester, Folguera-Arnau Mercè, Gutiérrez Vilaplana Josep Maria, Blanco-Blanco Joan
Hospital Universitario Santa María, Lleida, España.
Departamento de Enfermería y Fisioterapia, Universitat de Lleida, Lleida, España; Grupo de Investigación de Curas en Salud (GRECS), Instituto de Investigación Biomédica de Lleida-IRB Lleida, Lleida, España; Grupo de Estudios Sociedad, Salud, Educación y Cultura (GESEC), Universitat de Lleida, Lleida, España.
Enferm Clin (Engl Ed). 2021 Mar-Apr;31(2):114-119. doi: 10.1016/j.enfcli.2020.10.027. Epub 2020 Dec 15.
To evaluate the indicators of quality of care in pressure injuries (PI) before and after 6 months of the implementation of the Good Clinical Practice Guideline of the Registered Nurses' Association of Ontario in the geriatric unit of the Hospital Universitari Santa Maria de Lleida.
Longitudinal descriptive observational study throughout the implementation of the Good Clinical Practice Guideline (GCP) "Risk Assessment and Pressure Injury Prevention" carried out by the Ontario Nurses' Professional Association. The main variables - incidence and category of nosocomial pressure injuries, risk assessment of PI during the first 24hours of admission and risk level according to the EMINA scale, continuous assessment according to the risk of PI and special surface for pressure management recorded in the care plan - were extracted from the electronic medical records for subsequent descriptive analysis and hypothesis contrasting for comparison of proportions.
A total of 154 subjects were included, most of them being women (57%), average age of 86 years and an average stay of admission of 8 days. With the implementation of the guide it was possible to improve, not always with statistical significance, the quality indicators: the incidence of PI decreased by 14.54%, risk assessments of PI 24hours after admission increased by 2.90%, while periodic risk assessments increased by 280.35%, recording 48.19% compared to 12.67% for the baseline situation. In addition, the recording of special surfaces in patients at risk of PI also increased by 13.33%.
The implementation of the RNAO GCP improved the results related to the assessment and prevention of PI, with a positive impact on the quality of care indicators.
评估在莱里达大学圣玛丽亚医院老年科实施安大略省注册护士协会《良好临床实践指南》6个月前后的压疮（PI）护理质量指标。
对安大略护士专业协会实施的《良好临床实践指南》（GCP）“风险评估与压疮预防”进行纵向描述性观察研究。主要变量——医院获得性压疮的发生率和类别、入院后最初24小时内的压疮风险评估以及根据EMINA量表得出的风险水平、根据压疮风险进行的持续评估以及护理计划中记录的压力管理特殊表面——从电子病历中提取，用于后续的描述性分析和比例比较的假设对比。
共纳入154名受试者，其中大多数为女性（57%），平均年龄86岁，平均住院时间8天。随着指南的实施，质量指标得以改善，虽并非总是具有统计学意义：压疮发生率下降了14.54%，入院后24小时的压疮风险评估增加了2.90%，而定期风险评估增加了280.35%，记录为48.19%，而基线情况为12.67%。此外，有压疮风险患者的特殊表面记录也增加了13.33%。
RNAO GCP的实施改善了与压疮评估和预防相关的结果，对护理质量指标产生了积极影响。
