Construction of nursing scheme for facial pressure injury of patients with prone position ventilation based on SSKIN cluster scheme
10.3760/cma.j.cn115682-20211123-05285
- VernacularTitle:基于SSKIN集束化方案的俯卧位通气患者面部压力性损伤护理方案的构建
- Author:
Qianqian ZHANG
1
;
Aimin GUO
;
Zunzhu LI
;
Hongbo LUO
Author Information
1. 北京协和医学院护理学院，北京 100144
- Keywords:
Nursing care;
Cluster nursing scheme;
Prone position ventilation;
Facial;
Pressure injury;
Delphi inquiry
- From:
Chinese Journal of Modern Nursing
2022;28(13):1747-1752
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To construct the nursing scheme for facial pressure injury of patients with prone position ventilation (PPV) based on surface, skin inspection, keep moving, incontinence/moisture, nutrition (SSKIN) cluster scheme, so as to provide guidance for clinical nursing practice.Methods:Under the guidance of SSKIN cluster scheme, the existing research evidence was summarized and the nursing scheme of facial pressure injury in patients with PPV was preliminarily constructed. From August to September 2021, a total of 19 nursing experts were selected for two rounds of Delphi expert consultation, and the items of scheme were modified according to the expert opinions.Results:In the two rounds of expert letter inquiries, 19 questionnaires were distributed and 19 valid questionnaires were recovered. The effective recovery rate was 100.00% and the expert authority coefficient were all 0.85. The Kendall's harmony coefficients of the importance and operability of the items in the second round of expert letters were 0.48 and 0.41 respectively (all P<0.01) . Finally, the nursing scheme for PPV patients with facial pressure injury was formed, including 5 frameworks, namely skin evaluation, support surface, body position change, moisture treatment and nutritional support, with a total of 27 items. Conclusions:The nursing scheme of PPV patients with facial pressure injury based on SSKIN cluster scheme constructed in this study has scientific, feasible and strong clinical practical value, which can provide guidance for clinical nursing practice.
