{"title":"一家急诊医院的皮肤撕裂流行率:质量改进项目。","authors":"Sherry Lynn Werth, Rachel Justice","doi":"10.1097/WON.0000000000001103","DOIUrl":null,"url":null,"abstract":"<p><strong>Purpose: </strong>The purpose of this quality improvement project was to determine the prevalence of skin tears (STs) within an acute care hospital.</p><p><strong>Participants and setting: </strong>The setting was a 676-bed Midwestern urban teaching hospital with Magnet designation in the United States. All adult, children, and neonatal patients were assessed during the data collection period with the exclusion of the mother/baby unit and patients who were unsafe to move, actively dying, off the unit during the survey assessment, or those who declined participation.</p><p><strong>Approach: </strong>ST prevalence data were collected concurrently with the quarterly Pressure Injury Prevalence Survey over a period of 12-months (beginning the third quarter of 2017 through the second quarter of 2018) by the Pressure Injury Prevalence Survey Skin Care Champions using the revised Payne-Martin classification system for STs. A data collection form developed by the Wound, Ostomy, and Continence nurse was also completed for the patients with ST(s).</p><p><strong>Outcomes: </strong>The prevalence of STs was 2.92% (46/1576 patients). Twenty-one patients were women and 25 were men, with a mean age of 69.90 years (age range: 8 days-96 years). The majority of STs were found on the extremities (60 STs, 86.96%) and hospital-acquired (30 patients, 65.22%). Thirty STs (43.48%) were category III according to the revised Payne-Martin classification system for STs with major risk factors identified as frail skin (n = 34), advanced age (n = 30), and impaired mobility (n = 24).</p><p><strong>Implications for practice: </strong>STs are a common finding in the acute care setting spanning all age groups and are frequently overlooked by health care providers. This project provides a strategy to determine ST prevalence in a health care setting. Additional studies should focus on risk factor assessment and prevention strategies as these may decrease the incidence of this painful wound.</p>","PeriodicalId":49950,"journal":{"name":"Journal of Wound Ostomy and Continence Nursing","volume":" ","pages":"377-381"},"PeriodicalIF":1.7000,"publicationDate":"2024-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":"{\"title\":\"The Prevalence of Skin Tears in an Acute Care Hospital: A Quality Improvement Project.\",\"authors\":\"Sherry Lynn Werth, Rachel Justice\",\"doi\":\"10.1097/WON.0000000000001103\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"<p><strong>Purpose: </strong>The purpose of this quality improvement project was to determine the prevalence of skin tears (STs) within an acute care hospital.</p><p><strong>Participants and setting: </strong>The setting was a 676-bed Midwestern urban teaching hospital with Magnet designation in the United States. All adult, children, and neonatal patients were assessed during the data collection period with the exclusion of the mother/baby unit and patients who were unsafe to move, actively dying, off the unit during the survey assessment, or those who declined participation.</p><p><strong>Approach: </strong>ST prevalence data were collected concurrently with the quarterly Pressure Injury Prevalence Survey over a period of 12-months (beginning the third quarter of 2017 through the second quarter of 2018) by the Pressure Injury Prevalence Survey Skin Care Champions using the revised Payne-Martin classification system for STs. A data collection form developed by the Wound, Ostomy, and Continence nurse was also completed for the patients with ST(s).</p><p><strong>Outcomes: </strong>The prevalence of STs was 2.92% (46/1576 patients). Twenty-one patients were women and 25 were men, with a mean age of 69.90 years (age range: 8 days-96 years). The majority of STs were found on the extremities (60 STs, 86.96%) and hospital-acquired (30 patients, 65.22%). Thirty STs (43.48%) were category III according to the revised Payne-Martin classification system for STs with major risk factors identified as frail skin (n = 34), advanced age (n = 30), and impaired mobility (n = 24).</p><p><strong>Implications for practice: </strong>STs are a common finding in the acute care setting spanning all age groups and are frequently overlooked by health care providers. This project provides a strategy to determine ST prevalence in a health care setting. Additional studies should focus on risk factor assessment and prevention strategies as these may decrease the incidence of this painful wound.</p>\",\"PeriodicalId\":49950,\"journal\":{\"name\":\"Journal of Wound Ostomy and Continence Nursing\",\"volume\":\" \",\"pages\":\"377-381\"},\"PeriodicalIF\":1.7000,\"publicationDate\":\"2024-09-01\",\"publicationTypes\":\"Journal Article\",\"fieldsOfStudy\":null,\"isOpenAccess\":false,\"openAccessPdf\":\"\",\"citationCount\":\"0\",\"resultStr\":null,\"platform\":\"Semanticscholar\",\"paperid\":null,\"PeriodicalName\":\"Journal of Wound Ostomy and Continence Nursing\",\"FirstCategoryId\":\"3\",\"ListUrlMain\":\"https://doi.org/10.1097/WON.0000000000001103\",\"RegionNum\":3,\"RegionCategory\":\"医学\",\"ArticlePicture\":[],\"TitleCN\":null,\"AbstractTextCN\":null,\"PMCID\":null,\"EPubDate\":\"2024/9/21 0:00:00\",\"PubModel\":\"Epub\",\"JCR\":\"Q2\",\"JCRName\":\"NURSING\",\"Score\":null,\"Total\":0}","platform":"Semanticscholar","paperid":null,"PeriodicalName":"Journal of Wound Ostomy and Continence Nursing","FirstCategoryId":"3","ListUrlMain":"https://doi.org/10.1097/WON.0000000000001103","RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"2024/9/21 0:00:00","PubModel":"Epub","JCR":"Q2","JCRName":"NURSING","Score":null,"Total":0}
引用次数: 0
摘要
目的:本质量改进项目旨在确定一家急症护理医院中皮肤裂伤(ST)的发生率:该医院是一家拥有 676 张床位的美国中西部城市教学医院,获得了美国磁性医院称号。在数据收集期间,对所有成人、儿童和新生儿患者进行了评估,但不包括母婴病房以及在调查评估期间无法安全移动、濒临死亡、离开病房或拒绝参与的患者:压伤流行率调查皮肤护理冠军使用修订后的佩恩-马丁压伤分类系统,在为期 12 个月(从 2017 年第三季度开始到 2018 年第二季度)的季度压伤流行率调查期间同时收集压伤流行率数据。伤口、造口和失禁科护士还为 ST 患者填写了一份由伤口、造口和失禁科护士开发的数据收集表:STs发病率为2.92%(46/1576例患者)。21名患者为女性,25名患者为男性,平均年龄为69.90岁(年龄范围:8天-96岁)。大多数 ST 病例发生在四肢(60 例,占 86.96%),并且是在医院获得的(30 例,占 65.22%)。根据修订后的佩恩-马丁 ST 分类系统,30 例 ST(43.48%)属于 III 类,主要风险因素包括皮肤脆弱(34 例)、高龄(30 例)和行动不便(24 例):ST是急症护理环境中各年龄段的常见病,经常被医护人员忽视。该项目提供了一种在医疗机构中确定 ST 患病率的策略。其他研究应侧重于风险因素评估和预防策略,因为这些可能会降低这种疼痛性伤口的发病率。
The Prevalence of Skin Tears in an Acute Care Hospital: A Quality Improvement Project.
Purpose: The purpose of this quality improvement project was to determine the prevalence of skin tears (STs) within an acute care hospital.
Participants and setting: The setting was a 676-bed Midwestern urban teaching hospital with Magnet designation in the United States. All adult, children, and neonatal patients were assessed during the data collection period with the exclusion of the mother/baby unit and patients who were unsafe to move, actively dying, off the unit during the survey assessment, or those who declined participation.
Approach: ST prevalence data were collected concurrently with the quarterly Pressure Injury Prevalence Survey over a period of 12-months (beginning the third quarter of 2017 through the second quarter of 2018) by the Pressure Injury Prevalence Survey Skin Care Champions using the revised Payne-Martin classification system for STs. A data collection form developed by the Wound, Ostomy, and Continence nurse was also completed for the patients with ST(s).
Outcomes: The prevalence of STs was 2.92% (46/1576 patients). Twenty-one patients were women and 25 were men, with a mean age of 69.90 years (age range: 8 days-96 years). The majority of STs were found on the extremities (60 STs, 86.96%) and hospital-acquired (30 patients, 65.22%). Thirty STs (43.48%) were category III according to the revised Payne-Martin classification system for STs with major risk factors identified as frail skin (n = 34), advanced age (n = 30), and impaired mobility (n = 24).
Implications for practice: STs are a common finding in the acute care setting spanning all age groups and are frequently overlooked by health care providers. This project provides a strategy to determine ST prevalence in a health care setting. Additional studies should focus on risk factor assessment and prevention strategies as these may decrease the incidence of this painful wound.
期刊介绍:
The Journal of Wound, Ostomy and Continence Nursing (JWOCN), the official journal of the Wound, Ostomy and Continence Nurses Society™ (WOCN®), is the premier publication for wound, ostomy and continence practice and research. The Journal’s mission is to publish current best evidence and original research to guide the delivery of expert health care.
The WOCN Society is a professional nursing society which supports its members by promoting educational, clinical and research opportunities to advance the practice and guide the delivery of expert health care to individuals with wounds, ostomies and continence care needs.