提升壓力性損傷傷口照護正確率

Improving the Accuracy of Pressure Injury Management

張祐菊(Yu-Chu Chang)；黃心沛(Hsin-Pei Huang)；施佳君(Chia-Chun Shih)；簡伶育(Ling-Yu Chien)；許瀚仁(Han-Jen Hsu)；李怡濃(Yi-Nung Lee)

壓力性損傷傷口 ； PUSH量表 ； 傷口癒合 ； pressure Injury ； wound ； wound healing

志為護理-慈濟護理雜誌

21卷3期（2022 / 06 / 01）

87 - 98

繁體中文

本專案旨在提升護理師對於壓力性損傷（簡稱：壓傷）傷口照護正確率。根據統計，本單位2016年10月至12月壓傷傷口點盛行率達22～32%，臨床照護上，常見家屬在照護上提出質疑，專案小組經現況分析，發現其問題有：1.護理師缺乏壓傷傷口照護之教育訓練；2.缺乏壓傷傷口評估工具；3.缺乏傷口照護換藥流程；4.交班缺乏標準化。經文獻搜尋及討論後，施行以下策略：建置壓傷傷口圖像系統、製作測量工具及以PUSH量表作為壓傷傷口評估工具，制定壓傷傷口換藥流程，並規畫護理師再教育課程。專案實施後，壓傷傷口照護正確率由68.4%提升至97.3%，達到專案目的，值得將本專案推廣及應用。

The incidence rate of pressure injury in our department was low; however, when a pressure injury occurred, it seems that wound healing was prolonged. Promoting wound healing requires a multi-pronged approach for pressure injury care form an essential part. We did a research and identified the following problems: 1. Lack of adequate training in pressure injury care, and 2. Inadequacy of protocol for managing pressure injury. After setting up a project team and discussing about the improvement plans, we designed an image illustrated decision-making system, revised guidance and wound care tools, established nursing wound care guideline, and held pressure injury on-the-job training class. After implementation of the project, the accuracy of pressure injury management improved from 68.4% to 97.3%. This project effectively improved accuracy of pressure injury care and may be considered and referenced by relevant medical organizations.

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