Pilot study on effect of preventing skin tears with prevention protocol based on guideline
10.3760/cma.j.issn.1674-2907.2016.24.004
- VernacularTitle:基于指南的皮肤撕裂伤预防方案实施效果初步研究
- Author:
Qixia JIANG
1
;
Xiaoqin HAN
;
Ying LI
;
Jihong ZHONG
;
Yahong LIU
;
Juan LI
;
Chengcheng FU
;
Lili GAO
;
Jingbo HUANG
;
Xiufang YANG
;
Aomei LI
Author Information
1. 210002 南京军区南京总医院门诊伤口护理中心
- Keywords:
Skin tears;
Prevention;
Effects evaluation;
Incidence
- From:
Chinese Journal of Modern Nursing
2016;22(24):3419-3422
- CountryChina
- Language:Chinese
-
Abstract:
Objective To explore the effect of preventing skin tears with prevention protocol based on guideline. Methods According to International Guideline of Prevention Skin Tears to discuss and make prevention protocol, including prediction risk people, prevention fall and fall from bed with auxiliary means, wearing long sleeves clothes, using emollient on skin twice a day, providing nutrients and water, prevention friction and shear force with movement skills, totally six comprehensive measures. Wound care team trained backbone nurses the measures and backbone nurses trained clinical nurses. Before and after intervention 5 month and 17 month, every patient with age more than 18 years and hospitalized more than 24 hours was checked skin from head to toes in order to observe and compare skin tears incidence and practicable rate of prevention measures by cross-sectional survey.Results Before intervention, skin tears incidence was 0.77%(12/1 558), and skin tears incidence after intervention 5 month and 17 month was 0.16%(3/1 777) and 0.22%(4/1 825) ( P<0.05) . Practicable rate of 6 measures in patients with risk and with skin tears after intervention 5 month and 17 month was increased than that before intervention which was unsatisfactory (P>0.05).Conclusions Preven-tion skin tears protocol can reduce skin tears incidence, but practicable rate need be improved. In future nurses training, guidance and management bedside should be strengthened in order to enhance practicable rate of prevention measures.
