Preventing skin tears in a nursing and rehabilitation center: an interdisciplinary effort.
Preventing skin tears in a nursing and rehabilitation center: an interdisciplinary effort.
复制标题
预防护理和康复中心的皮肤撕裂：跨学科的努力。
DOI：
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发表时间：
2006
期刊：
影响因子：
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通讯作者：
D. Nix
中科院分区：
文献类型：
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作者：
D. Bank;D. Nix
皮肤撕裂是由于表皮和真皮分离而造成的痛苦的创伤性伤口。为了评估预防性皮肤护理方案的临床有效性，在一个有209张床位的城市护理和康复中心，对所有患者进行了为期13个月的前瞻性干预前数据收集和15个月干预后皮肤撕裂发生率数据收集。实施的预防性皮肤护理策略-员工教育、高风险患者的皮肤袖子和软垫侧栏、温和的皮肤清洁剂和乳液-是由设施工作人员和多学科皮肤团队选择的。医院皮肤撕裂的数据是通过查阅事件报告获得的。在实施预防方案后，皮肤撕裂的数量从平均每月18.7次变为平均每月8.73次(P<；0.001)。医院皮肤撕裂的平均每月减少预计将减少处理这些伤口的敷料和劳动力成本，平均每月1698美元(每年18168.60美元)。这项研究的结果证实了之前报道的研究，该研究表明，实施全面皮肤护理方案的效果可以持续下去，减少医院皮肤撕裂的发生率及其相关的风险和成本。需要进行前瞻性的成本效益研究来证实这些发现。
Skin tears are painful, traumatic wounds that result from the separation of the epidermis from the dermis. To assess the clinical effectiveness of a preventive skin care protocol, 13-month retrospective pre-intervention data collection followed by 15-month post-intervention skin tear incidence data collection was conducted among all patients in a 209-bed urban nursing and rehabilitation center. The preventive skin care strategies implemented - staff education, skin sleeves and padded side rails for high-risk patients, gentle skin cleansers, and lotion - were selected by facility staff members and the multidisciplinary skin team. Nosocomial skin tear data were obtained by reviewing incident reports. Following implementation of the prevention protocols, the number of skin tears changed from a mean of 18.7 to a mean of 8.73 per month (P <0.001). The average monthly reduction in nosocomial skin tears was projected to reduce the dressing and labor costs of managing these wounds an average of 1,698 dollars per month (18,168.60 dollars annually). The results of this study confirm previously reported research suggesting that the effects of implementing a comprehensive skin care protocol can persist, reducing the incidence of nosocomial skin tears and their associated risks and costs. Prospective cost-effectiveness studies to confirm these findings are needed.