摘要
目的探究压疮不良事件报告的相关情况,期望从系统层面上改善压疮事件的报告,规范护理人员的报告流程。方法采用回顾性研究,基于结构化方法审查2015年1月1日至2018年9月30日的207例儿童压疮报告事件。结果207例儿童压疮事件中34例(16.43%)为院前发生,173例(83.57%)为院内发生。易发生压疮的儿童特征为男性、心脏重症监护室住院、枕骨处、I期。111例院内压疮事件属延迟上报,迟报率64.16%,迟报时间38(143)d,报告系统中缺失填报项目多。与院内压疮事件缺报相关因素为发生科室,迟报相关因素包括枕部和I期压疮。结论儿童压疮发生有其自身特点,需针对压疮发生的薄弱环节、高风险人群做好预防。压疮不良事件报告数据缺失、迟报较多,应简化、标准化不良事件报告流程,改进医院不良事件管理系统。
Objective This study was summarized and analyzed the reporting data of pressure ulcer events in children for nearly 4 years.We expected this study can provide a recommendation for design of the subsequent reporting system,especially the pressure ulcer.Methods A total of 207 children with pressure ulcers from January 2015 to September 2018 were exported from the adverse event reporting system that made a retrospective analysis based on structured method.Results Among the 207 pressure ulcer cases,173(83.57%)cases were hospital acquired,65(31.40%)were female,104(50.24%)were male,and 38(18.36%)were missing data.The factors that are prone to pressure ulcers in children are in CICU(74/173),the occipital(83/207),and with stage I(112/207).111(64.16%)cases were delayed reporting,and the median delayed reporting time was 38(143)days.There are many missing records in the description of the event,the medical treatment,the analysis of the possible causes and other items.In univariate analysis,the setting was associated with missing records in system;the occipital and stage I pressure ulcers were associated with a delayed reporting of hospital acquired pressure ulcers.Conclusions For the prevention of pressure ulcers in children,different high-risk populations should have corresponding strategies.The adverse event of pressure ulcers were reported to be missed and delayed that was attributed to the cumbersome process.The reporting process and system should be standardized.
作者
春晓
林艳
马敬香
殷彩欣
Chun Xiao;Lin Yan;Ma Jingxiang;Yin Caixin(PICU of Guangzhou Women and Children Medical Center,Guangzhou 510623,China;Nursing Department of Guangzhou Women and Children Medical Center,Guangzhou 510623,China)
出处
《中国实用护理杂志》
2020年第5期372-376,共5页
Chinese Journal of Practical Nursing
基金
广州市妇女儿童医疗中心/儿科研究所内部科研基金(Pre-NSFC-2018-018)。
关键词
压力性溃疡
儿童
不良事件
结构化方法
报告
Pressure ulcer
Child
Adverse events
Structured method
Reporting
