頁籤選單縮合
| 題 名 | 老年慢性病房執行壓瘡品管後之心得報告 |
|---|---|
| 作 者 | 張靜安; | 書刊名 | 榮總護理 |
| 卷 期 | 11:3 1994.09[民83.09] |
| 頁 次 | 頁290-294 |
| 分類號 | 419.76 |
| 關鍵詞 | 壓瘡; 皮膚受損; 壓瘡品質監測模式; Pressure sore; Skin defect; Quality assurance model; |
| 語 文 | 中文(Chinese) |
| 中文摘要 | 本病房為長期慢性老年病房,臥床率佔病人總人數95%以上,於民國81年2月至 11月間的調查,本病房病患壓瘡發生率為0.82%,或因年齡、營養、慢性疾病,甚至於照顧 上的問題而造成皮膚完整性受損,而壓瘡之形成是常見的問題,因此,壓瘡的預防和護理是 首當其衝。為減少護理人員對壓瘡護理的無力感,及因應轉變為慢行病房護理人力的改變, 故沿用本院神經外科壓瘡品質監測模式並稍做修改以配合病房的實際需要。 於82年9月到83年5月在本病房進行持續性監測,結果顯示:每月壓瘡發生率平均為 0.44%最高為0.76%,最低為0.3%,而只83年4月高出閾值,其原因為病人病情加重,更換 服務員所致。依原因訂定解決辦法,對新到服務員加強衛教,希望將病人的傷害降到最低。 再繼續追蹤時已有減少的趨勢,現仍持續的監測,以達品質不斷改善及提升之目標。 |
| 英文摘要 | Our ward is mainly for chronic, bed-ridden, senile patients. More than 95% of our patients are bed-ridden. Considering a survey from February to November 1992, the incidence of pressure sore in our ward was 0.82% Due to age, nutrition, chronic disease, and even problems of nursing care, skin defects which cause pressure sores is therefore very important. In order to enable the nursing faculty to handle pressure sores, we have used and modified the pressure sore quality assurance model developed by our Neuro-Surgery department. A continuous monitor from September 1993 to May 1994 showed an average incidence of 0.44% in occurrence of pressure sores, with the highest of 0.76% and the lowest of 0.3%. April's incidence was higher than the threshold value due to aggravation of patients' symptoms and changing of the nursing assistant. We have provided solutions to the recurrent problems, and recent follow-up showed a decrease in the incidence as compared with the previous month. We will continue to monitor in order to improve our quality and achieve our goals. |
本系統中英文摘要資訊取自各篇刊載內容。