Turner J G, Larson E L, Korniewicz D, Wible J M, Baigis-Smith J, Butz A, Sennett L
University of Alabama, Birmingham School of Nursing 35294.
Public Health Nurs. 1994 Oct;11(5):337-42. doi: 10.1111/j.1525-1446.1994.tb00196.x.
The purposes of this descriptive study were to determine the consistency of wound care provided by home health care nurses with the physician's order and the agency's written wound protocol; and the type and cost of wound-management products and nursing services associated with home care. Eleven registered nurses were observed providing wound care in 117 home visits to 31 patients. In addition to the observational component, data were also collected by chart review to facilitate comparison of observed vs. documented care. There were statistically significant differences between observed care given and that which was documented in patients' records. Consistency of care for individual patients was high when care was delivered by the same nurse, but lower when different nurses were involved. The mean dollar value of supplies used for all visits was $9.40, and the average nursing charge per visit was $89.
这项描述性研究的目的是确定家庭保健护士提供的伤口护理与医生的医嘱以及机构书面伤口护理方案的一致性；以及与家庭护理相关的伤口管理产品的类型和成本以及护理服务。观察了11名注册护士在对31名患者进行的117次家访中提供伤口护理的情况。除了观察部分，还通过病历审查收集数据，以便于比较观察到的护理与记录在案的护理。观察到的护理与患者记录中记录的护理之间存在统计学上的显著差异。当由同一名护士提供护理时，个体患者护理的一致性较高，但当涉及不同护士时，一致性较低。所有家访使用的用品平均美元价值为9.40美元，每次家访的平均护理费用为89美元。
