Bux M, Malhi J S
J Wound Care. 1996 Jul;5(7):305-8.
An audit was carried out in an NHS trust to identify the degree to which wound management products were being selected and used appropriately. Fifty patients with various types of wounds were involved; observers noted the condition of wounds at dressing changes and the procedures used, then studied each patient's hospital documentation (medical notes, nursing care plan and drug chart). Nursing staff were interviewed to ascertain the input of various disciplines in dressing choice. The 'correct' choice of dressing was made in only 48% of wounds, and correct choice and use were identified in just 20%, with wide variations between different products. A quarter of patients reported pain associated with their wounds, but none received analgesia before dressing changes. As a result of the audit, new guidelines on dressing choice and use have been produced, with others in preparation, and the hospital formulary has been amended.
在一家国民保健服务信托机构进行了一次审核，以确定伤口处理产品的选择和使用是否恰当。五十名患有各种伤口的患者参与其中；观察人员在换药时记录伤口状况和所采用的操作步骤，然后研究每位患者的医院文档（病历、护理计划和药物图表）。对护理人员进行了访谈，以确定各学科在敷料选择方面的参与情况。只有48%的伤口敷料选择正确，而正确选择并正确使用的仅占20%，不同产品之间差异很大。四分之一的患者报告伤口疼痛，但换药前均未接受镇痛治疗。审核结果是制定了关于敷料选择和使用的新指南，其他指南正在制定中，医院处方集也已修订。
