摘要
目的通过建立失禁护理质量指标,并实施过程管控,提高失禁性皮炎(IAD)预防管理效果。方法分别把护理措施落实率(处理失禁原因落实率、有效收集粪便落实率、皮肤保护落实率)和IAD发生率作为失禁患者皮肤护理质量的过程指标和结果指标,将实施过程管控前2016年7-12月符合入组的2 747例失禁患者作为对照组,监测护理措施落实率及IAD发生率;以实施过程管控后2017年7-12月符合入组的3 069例失禁患者作为观察组,比较2组过程指标和结果指标的差异。结果对照组处理失禁原因落实率、有效收集粪便落实率、皮肤保护落实率分别为54.2%(45/83)、63.8%(43/83)、27.7%(23/83),观察组分别为91.8%(90/98)、94.8%(93/98)、92.8%(91/98),2组比较差异均有统计学意义(χ^2=5.032、6.574、20.038,均P<0.05);对照组IAD发生率为28.9%(794/2 747),观察组发生率为11.2%(344/3 069),2组比较差异有统计学意义(χ^2=288.402,P=0.000)。结论建立失禁护理质量指标,并实施过程管控,有利于提高失禁护理水平,降低IAD发生率。
Objective To improve the effectiveness of incontinence-associated dermatitis (IAD) prevention and management by establishment skin care quality indicators and controlling the implementation process of incontinence care. Methods The implementation rate of nursing measures (the treatment rate of incontinence, the effective collection of fecal implementation rate, and the rate of skin protection implementation) were used as the process indicators, and the incidence of IAD was used as the outcome indicators. 2747 incontinence patients from July to December 2016 before the implementation of the process control were used as the control group, and 3, 069 incontinence patients from July to December 2017 after the implementation of the process control were used as observation groups. Comparing the difference between the two groups of process indicators and outcome indicators. Results The control group's implementation rate of incontinence, effective collection of fecal implementation rate, and skin protection implementation rate were 54.2%, 63.8%, and 27.7%, respectively. The observation group was 91.8%, 94.8%, and 92.8%, respectively. The difference between the two groups was statistically significant.(χ^2=5.032, P=0.025;χ^2=6.574, P=0.010;χ^2=20.038, P=0.000;). The incidence of IAD in the control group was 28.9%, and the incidence in the observation group was 11.2%. The difference between the two groups was statistically significant (χ^2=288.402, P=0.000). Conclusion The establishment of incontinence nursing quality indicators and the implementation of process control will help improve the level of incontinence care and reduce the incidence of IAD.
作者
赵翠松
崔妙龄
应燕萍
杨丽
陆秋芳
Zhao Cuisong;Cui Miaoling;Ying Yanping;Yang Li;Lu Qiufang(Neurology Department of the First Affiliated Hospital of Guangxi Medical University, Nanning 530021, China;Nursing Department of the First Affiliated Hospital of Guangxi Medical University, Nanning 530021, China)
出处
《中国实用护理杂志》
2019年第14期1099-1103,共5页
Chinese Journal of Practical Nursing
基金
广西壮族自治区卫生和计划生育委员会自筹经费科研课题(Z2016350).
关键词
失禁性皮炎
指标
护理管理
Incontinence-associated dermatitis
Quality indicator
Nursing management
