Construction of device-related pressure injury prevention program in orthopedics patients based on evidence-based and SSKINS clinical management model
10.3760/cma.j.cn211501-20240622-01641
- VernacularTitle:基于循证及SSKINS临床管理模式构建骨科患者器械相关压力性损伤预防方案
- Author:
Zihan HE
1
;
Huiwen WANG
;
Rong YAN
;
Suyun LI
;
Yunfang LIU
;
Yali WAN
;
Rong PI
;
Fang LIU
;
Yan WANG
Author Information
1. 华中科技大学同济医学院附属协和医院护理部，武汉 430030
- Publication Type:Journal Article
- Keywords:
Orthopedics;
Device-related pressure injury;
Prevention;
Evidence-based;
Program construction
- From:
Chinese Journal of Practical Nursing
2025;41(8):593-600
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To construct a device-related pressure injury prevention program for orthopedic patients based on evidence-based and SSKINS (S: skin, S: surface, K: keep moving, I: incontinence, N: nutrition, S: self-care) clinical management model, and to provide reference for clinical nursing practice.Methods:In June 2023, a research team was set up to retrieve the literature related to device-related pressure injury in orthopedic patients, and the evidence was extracted and screened with reference to the SSKINS clinical management model, and the first draft of the protocol was formulated based on clinical practice. The final plan was determined through two rounds of expert consultations from October to December 2023.Results:The response rate of the two rounds of expert correspondence was 100%(20/20). The expert authority coefficients were 0.897 and 0.907, the overall Kendall coordination coefficients of the two rounds were 0.116 and 0.136 respectively, and the Kendall coordination coefficients of all levels were 0.104-0.213 (all P<0.001). The final protocol contains 6 first-level items (assessment and examination, the use and adjustment of device, prophylactic dressings, skin protection, nutritional support, health education) and 31 second-level items. Conclusions:The proposed orthopedic device-related pressure injury prevention program is scientific and practical, and can provide a reference for the prevention and management of clinical medical staff.
