土耳其 ICU 中压力性损伤预防护理包的评价。
Evaluation of a Pressure Injury Prevention Care Bundle in an ICU in Turkey.
机构信息
Gülnaz Altaş, MSc, RN, is Nurse, Haydarpaşa Numune Education and Training Hospital, Istanbul, Turkey. Selda Çelik, PhD, RN, is Associate Professor, University of Health Sciences Turkey, Hamidiye Faculty of Nursing, Istanbul. Acknowledgments: The authors thank the nurses of the Anesthesia and Reanimation ICU of Haydarpasa Numune Training and Research Hospital for their voluntary participation in the study. The authors have disclosed no financial relationships related to this article. Submitted September 19, 2022; accepted in revised form January 9, 2023.
出版信息
Adv Skin Wound Care. 2023 Dec 1;36(12):658-665. doi: 10.1097/ASW.0000000000000070.
OBJECTIVE
To evaluate a pressure injury (PI) prevention care bundle in ICU patients diagnosed with internal diseases.
METHODS
The study had a quasi-experimental design and included 98 patients who were diagnosed with internal diseases and hospitalized in the ICU. Patients in the control group (n = 49) received routine clinical care, whereas those in the intervention group (n = 49) received the PI prevention care bundle. Data were collected using a patient information form and the Braden Scale.
RESULTS
All patients in the control group and 61.2% of the patients in the intervention group developed PIs. Those in the intervention group who developed PIs did so later on average in comparison with the control group. Patient risk of PI development increased with advanced age, low oxygen saturation, low prealbumin values, and low Braden Scale scores. Fewer PIs developed in the patients in the intervention group despite their longer duration of hospitalization and high glucose levels.
CONCLUSIONS
The PI prevention care bundle may help prevent the development of PI.
目的
评估针对内科疾病 ICU 患者的压疮（PI）预防护理包。
方法
本研究采用准实验设计，纳入 98 例被诊断为内科疾病并住院于 ICU 的患者。对照组（n=49）患者接受常规临床护理，而干预组（n=49）患者则接受 PI 预防护理包。使用患者信息表和 Braden 量表收集数据。
结果
对照组所有患者和干预组 61.2%的患者均发生 PI。与对照组相比，干预组发生 PI 的患者平均出现时间较晚。患者发生 PI 的风险随着年龄的增长、低氧饱和度、低前白蛋白值和低 Braden 量表评分而增加。尽管干预组患者的住院时间更长且血糖水平更高，但发生的 PI 却更少。
结论
PI 预防护理包可能有助于预防 PI 的发生。
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