Yilmazer Tuba, Tuzer Hilal
Tuba Yilmazer, PhD, RN , Department of Nursing, Faculty of Health Sciences, Ankara Yildirim Beyazit University, Ankara, Turkey.
Hilal Tuzer, PhD, RN, Department of Nursing, Faculty of Health Sciences, Ankara Yildirim Beyazit University, Ankara, Turkey.
J Wound Ostomy Continence Nurs. 2022;49(3):226-232. doi: 10.1097/WON.0000000000000875.
The purpose of this study was to assess the effectiveness of a pressure injury prevention care bundle.
Prospective interventional study.
Participants were 13 nurses and 104 patients cared for in the intensive care unit for at least 24 hours in a university hospital in Ankara, Turkey.
The study was conducted in 2 stages: the pre-care and post-care bundle stages. In the pre-care bundle stage, the pressure injury incidence of the patients was followed by the nurses. At the end of the third month, the researcher held a 1-day training program for the nurses about the care bundle use to promote correct implementation. In the post-care bundle stage, the nurses provided care according to the bundle. Compliance with the care bundle was assessed. Pressure injury incidence rates in the pre- and post-care bundle stages were compared.
The incidence of stage 1 pressure injury was 15.11 (1000 patient-days) in the pre-care bundle stage and 6.79 (1000 patient-days) in the post-care bundle stage; this reduction was not statistically significant.
A pressure injury prevention bundle was implemented in an intensive care unit, resulting in a decline in stage 1 pressure injuries.
本研究旨在评估压力性损伤预防护理组合的有效性。
前瞻性干预研究。
参与者包括13名护士和104名患者，这些患者在土耳其安卡拉一家大学医院的重症监护病房接受至少24小时的护理。
研究分两个阶段进行：护理组合实施前和实施后阶段。在护理组合实施前阶段，护士跟踪患者的压力性损伤发生率。第三个月末，研究人员为护士举办了为期1天的关于护理组合使用的培训课程，以促进正确实施。在护理组合实施后阶段，护士根据护理组合提供护理。评估对护理组合的依从性。比较护理组合实施前和实施后阶段的压力性损伤发生率。
护理组合实施前阶段1期压力性损伤发生率为15.11（每1000患者日），护理组合实施后阶段为6.79（每1000患者日）；这种降低无统计学意义。
在重症监护病房实施了压力性损伤预防护理组合，导致1期压力性损伤有所下降。
