2022年9月14日至17日澳大利亚伤口会议摘要

IF 0.6 Q4 DERMATOLOGY Wound Practice and Research Pub Date : 2022-12-01 DOI:10.33235/wpr.30.4.228-245
Tabatha Rosler Leslie Ann Leek Marian Bolzon Angely Adhika Rando
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引用次数: 0

摘要

目的:本研究旨在通过测量干预前后重症监护室(ICU)护理人员的知识和患者伤口发生率,探讨健康皮肤和伤口预防计划的影响。第二个目的是确定教育和实施计划对ICU中压力损伤(PI)、皮肤撕裂(ST)和失禁相关皮炎(IAD)患病率和发病率的影响。方法:基于计划-研究-行动方法的前瞻性质量改进项目包括三个阶段:1。干预前数据收集(2020年12月)-伤口患病率调查(全身皮肤检查)和员工知识测验2。干预阶段——第3单元提供的员工教育、循证方案实施和循证产品。干预后数据收集-伤口患病率调查(全身皮肤检查)和员工知识测验结果:干预前数据显示,三分之二的ICU患者有一个或多个伤口。ICU压力损伤发生率为37.5%,IAD发生率为12.5%,ST段发生率为4%。ICU PI发生率为11%。与设备相关的PI发生率为所识别的所有PI的56%。员工对伤口预防的了解平均为50%。结论:由于新冠肺炎疫情激增,将于2022年5月收集实施后数据,并将数据作为比较结果呈现。
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Abstracts from the Wounds Australia Conference 14-17 September 2022
Objectives: The aim of the study was to explore the impact of a healthy skin and wound prevention programme by measuring nursing staff knowledge and patient wound prevalence in the Intensive Care Unit (ICU) pre and post intervention. A secondary aim was to identify the impact of the education and implementation program on pressure injury (PI), skin tear (ST) and incontinence associated dermatitis (IAD) prevalence and incidence rates in the ICU. Methods: A prospective quality improvement project based on the plan-study-do-act methodology included three phases: 1. Pre-Intervention Data Collection (December 2020) - Wound Prevalence Survey (full body skin inspection) & Staff Knowledge Quiz 2. Intervention Phase -- Staff Education, Evidence Based Protocol Implementation & Evidence based products available in units 3. Post-Intervention Data Collection - Wound Prevalence Survey (full body skin inspection) & Staff Knowledge Quiz Results: Pre-intervention data demonstrated two thirds of ICU patients had one or more wound. ICU Pressure Injury prevalence was 37.5%, IAD prevalence 12.5% and ST prevalence was 4%. ICU PI incidence reporting rate was 11%. Device Related PI rate was 56% of all PIs identified. Staff knowledge about wound prevention averaged 50%. Conclusions: As a result of the Covid-19 surge, post implementation data will be collected in May 2022 and the data will be presented as comparative outcomes.
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