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頁籤選單縮合
| 題 名 | 提升外科加護病房失禁性皮膚炎照護正確率=Improving the Accuracy of Incontinence-Associated Dermatitis in the Surgical Intensive Care Unit |
|---|---|
| 作 者 | 鐘珮真; 張秀麗; 陳玫君; 陳陶霈瑜; | 書刊名 | 領導護理 |
| 卷 期 | 26:4 2025.12[民114.12] |
| 頁 次 | 頁128-146 |
| 分類號 | 419.821 |
| 關鍵詞 | 失禁性皮膚炎; 外科加護病房; 皮膚照護; Incontinence-associated dermatitis; Surgical intensive care unit; Skin care; |
| 語 文 | 中文(Chinese) |
| DOI | 10.29494/LN.202512_26(4).0010 |
| 中文摘要 | 重症病人因活動受限、藥物及消化改變等因素易患失禁性皮膚炎(incontinence-associated dermatitis, IAD),若照護不當易致壓力性損傷。本單位2022年度壓力性損傷發生密度為1.5%,高於台灣臨床成效指標的0.81%,其中IAD演變為薦骨壓傷件數佔55.5%,且IAD發生率高達20.5%,故引發動機。分析單位現況,IAD照護正確率49.3%,照護認知正確率51.7%,歸納出問題導因為護理人員照護認知技能不足、組合式照護產品不足、未納入品質指標、無符合照護流程規範。經改善措施舉辦體驗式在職教育、推動IAD-CPR照護流程圖及IAD照護時間表、納入品管指標監測、增設IAD組合式照護產品庫存量及置放空間後,護理人員IAD照護認知正確率51.7%提升96.5%、照護正確率49.3%提升98.1%,IAD發生率由20.5%降至0.53%,達改善目的。期望藉此專案,提升臨床護理人員IAD照護完整性。 |
| 英文摘要 | Critically ill patients are prone to incontinence-associated dermatitis (IAD) due to limited mobility, medication, and digestion changes. If not properly managed, may suffer from pressure injury. In 2022, the frequency of incidence for pressure injuries in our unit was 1.5%, exceeding the 0.81% of Taiwanese clinical effectiveness index. Among them, the number of IADs that evolved into sacral pressure injuries accounted for 55.5%, and the IAD incidence rate was as high as 20.5%, which triggered the motivation for this project. After analyzing the current situation, identified that the correct IAD care rate was 49.3%, and the accuracy care awareness rate was 51.7%. The problems were summarized include the insufficient care cognition skills of nursing staff, insufficient combination of care products, failure to include quality indicators, and failure to comply with care process standards. After implementing improvement measures such as experiential on-the-job education, promoting IAD-CPR care flowcharts and IAD care schedules, including monitoring in quality control indicators, and increasing the stock and storage space of IAD combination care product. The accuracy rate of IAD care recognition of nursing staff increased to 51.7%, with 96.5% of promotion, the accuracy rate of care increased to 49.3% with 98.1% of elevation, and the incidence rate of IAD decreased from 20.5% to 0.53%, reaching the goal of this project. We hope that this project will improve the integrity of IAD care for clinical nursing staff. |
本系統中英文摘要資訊取自各篇刊載內容。