Powers J
Wishard Memorial Hospital, Indianapolis, Indiana, USA.
J Nurs Care Qual. 1997 Oct;12(1):46-52. doi: 10.1097/00001786-199710000-00008.
Pressure ulcers related to cervical collars are a common difficult-to-manage complication of cervical immobilization in the trauma patient. After many cases of occipital pressure ulcers occurred at our institution, a multidisciplinary task force was formed to look at this issue. The group was to identify causes for this problem and develop a plan to decrease the occurrence of pressure ulcers related to cervical immobilization. The problem involved three areas that needed improvement. These were: nursing care, the type of collar used, and the lengthy process of clearing C-spines. The group developed objectives, goals, and interventions to resolve these concerns. The task force developed a protocol for nursing care, changed to a different type of cervical collar, and developed a protocol for clearing cervical spine films. Through the use of a multidisciplinary approach, the development of protocols and a new product, pressure ulcers related to cervical collars have been eliminated in our institution. In addition, patients are staying in cervical collars half the time as before the protocol was implemented.
与颈托相关的压疮是创伤患者颈椎固定时常见且难以处理的并发症。在我们机构发生多例枕部压疮后，成立了一个多学科特别工作组来研究这个问题。该小组旨在确定此问题的原因，并制定一项计划以减少与颈椎固定相关的压疮发生率。该问题涉及三个需要改进的方面。它们是：护理、所使用颈托的类型以及颈椎检查的冗长流程。该小组制定了目标、目的和干预措施来解决这些问题。特别工作组制定了护理方案，更换为不同类型的颈托，并制定了颈椎影像学检查方案。通过采用多学科方法、制定方案以及推出新产品，我们机构已消除了与颈托相关的压疮。此外，患者佩戴颈托的时间比实施该方案前减少了一半。
