查詢結果分析
相關文獻
- 運用組合式照護降低外科加護病房病人失禁性皮膚炎發生率
- 降低加護病房病人失禁性皮膚炎之發生率
- 導入跨領域團隊組合式照護降低呼吸器相關肺炎發生率
- 降低加護病房失禁性皮膚炎發生率之專案
- 運用跨領域團隊組合式照護改善內科加護病房中心導管相關血流感染率
- 北部某醫學中心外科加護病房呼吸器相關肺炎組合式照護推動經驗
- 應用組合式照護模式降低泌尿道感染
- 降低內科加護病房導尿管相關泌尿道感染密度專案
- 運用組合式照護措施降低神經內科加護病房導尿管相關泌尿道感染
- Retrospective Analysis of Toxic Epidermal Necrolysis Over a Period of 20 Years from a Single Institution
頁籤選單縮合
| 題 名 | 運用組合式照護降低外科加護病房病人失禁性皮膚炎發生率=Applying the Bundle Care to Reduce the Incidence of Incontinence Associated Dermatitis among Surgical Intensive Care Unit Patients |
|---|---|
| 作 者 | 吳俊賢; 李雅倫; 吳昭燕; 蔡佩臻; | 書刊名 | 臺灣醫學 |
| 卷 期 | 29:3 2025.05[民114.05] |
| 頁 次 | 頁257-266 |
| 分類號 | 419.821 |
| 關鍵詞 | 失禁性皮膚炎; 加護病房; 組合式照護; 實證護理; Incontinence-associated dermatitis; Intensive care unit; Bundle care; Evidence-based nursing; |
| 語 文 | 中文(Chinese) |
| DOI | 10.6320/FJM.202505_29(3).0001 |
| 中文摘要 | 加護病房病人發生失禁性皮膚炎會造成病人感染,引發敗血性休克的風險,本單位失禁性皮膚炎發生率為19.6%,問題為護理人員認知及技能正確性不足、照護方式不一、缺乏輔助評估工具、無稽核機制,引發動機專案,改善外科加護病房失禁性皮膚炎發生率。藉由舉辦「失禁性皮膚炎照護工作坊」情境模擬操作,製作「柔嫩肌膚,ABCD」教學影片,使用、「潔屁保膚-黏來配」評估圖卡作為交班工具,制定「失禁性皮膚炎照護標準及查核機制」等方案,改善後失禁性皮膚炎發生率由19.6%降至3.6%,護理人員認知正確率由65.3%提升至94.7%,預防與照護正確率由66.2%提升至100%。本專案依據文獻擬定失禁性皮膚炎之組合式照護標準,經提供多元教學後,提升護理師照護能力,降低失禁性皮膚炎發生。 |
| 英文摘要 | Intensive care unit (ICU) patients suffering from incontinence-associated dermatitis (IAD) may lead to patient infection, resulting in septic shock. The incidence of IAD in our ward was 19.6%. We identified problem included inadequate knowledge and skills among nursing staff, inconsistent care process, lack of assessment tools, and absence of internal clinical auditing. These finding led to development of a quality improvement project designed to reduce the incidence rate of IAD in our surgical ICU. Through conducting the IAD care workshop with scenario-based simulations, creating the instructional video "Care Skin, ABCD", utilizing the "Clean Perineum, Skin Protection - Sticky Pay" assessment card as a handover tool, and establishing "IAD care standards and internal clinical auditing", the incidence of IAD decreased from 19.6% to 3.6%, while the accuracy rate of nurses' knowledge improved from 65.3% to 94.7%. Furthermore, the accuracy rate of prevention and care increased from 66.2% to 100%. This project develops bundle care for each grade of IAD skin based on the evidence studies. Implementation of a multifaceted educational intervention targeting the nursing staff resulted in enhanced competencies in managing incontinence-associated dermatitis (IAD), which subsequently led to a notable decline in the incidence of IAD among patients in the surgical intensive care unit. |
本系統中英文摘要資訊取自各篇刊載內容。