[1]吴波陈红余云红刘静黄丽红李晓丹.降低骨科俯卧位手术患者术中获得性压力性损伤发生率[J].中国卫生质量管理,2022,29(05):074-79.[doi:10.13912/j.cnki.chqm.2022.29.5.19 ]
 WU Bo,CHEN Hong,YU Yunhong.Reducing the Incidence of Intraoperatively Acquired Pressure Injury in Patients Undergoing Orthopedic Prone Surgery[J].Chinese Health Quality Management,2022,29(05):074-79.[doi:10.13912/j.cnki.chqm.2022.29.5.19 ]
点击复制

降低骨科俯卧位手术患者术中获得性压力性损伤发生率
分享到:

《中国卫生质量管理》[ISSN:1006-7515/CN:CN 61-1283/R]

卷:
第29卷
期数:
2022年05期
页码:
074-79
栏目:
QC小组平台
出版日期:
2022-05-28

文章信息/Info

Title:
Reducing the Incidence of Intraoperatively Acquired Pressure Injury in Patients Undergoing Orthopedic Prone Surgery
作者:
吴波陈红余云红刘静黄丽红李晓丹
华中科技大学同济医学院附属同济医院
Author(s):
WU BoCHEN HongYU Yunhong
Tongji Hospital, Tongji Medical College, Huazhong University of Science and Technology
关键词:
骨科手术患者俯卧位术中获得性压力性损伤品管圈问题解决型品管圈
Keywords:
Orthopedics Department Surgical Patients Prone Position Intraoperatively Acquired Pressure Injury Quality Control Circle Problem Solving Quality Control Circle
分类号:
R687.3
DOI:
10.13912/j.cnki.chqm.2022.29.5.19
文献标志码:
B
摘要:
目的降低骨科俯卧位手术患者术中获得性压力性损伤发生率。方法成立品管圈小组,按照问题解决型品管圈活动步骤,运用质量管理工具进行改进。结果骨科俯卧位手术患者术中获得性压力性损伤发生率由活动前的1.85%降低至活动后的0.59%,构建了多学科协作链式管理。结论通过开展品管圈活动,降低了骨科俯卧位手术患者术中获得性压力性损伤发生率,改善了手术患者的照护结局,提升了护理服务品质,为构建科学、有效的术中压力性损伤预防管理体系提供了参考。
Abstract:
ObjectiveTo reduce the incidence of intraoperatively acquired pressure injury during orthopedic prone surgery. MethodsA quality control circle group was set up and improvement was made with quality management tools according to the steps of quality control circle activities.ResultsThe incidence of acquired pressure injury decreased from 1.85% before to 0.59% after orthopedic prone position surgery. Multidisciplinary chain management was established. Conclusion The quality control circle activities can reduce the incidence of intraoperatively acquired pressure injury in patients undergoing orthopedic prone surgery, improve the outcome of care for patients, improve the quality of surgical care service, and provide a reference for the construction of scientific and effective intraoperative pressure injury prevention and management system.

参考文献/References:

[1]褚万立,郝岱峰.美国国家压疮咨询委员会2016年压力性损伤的定义和分期解读[J].中华损伤与修复杂志(电子版),2018,13(1):64-68. [2]旷婉,赵体玉,余云红.术中获得性压疮预防相关研究进展[J].中国护理管理,2017,17(6):851-855. [3]XIONG C,GAO XL,MA Q,et al.Risk factors for intraoperative pressure injuries in patients undergoing digestive surgery: a retrospective study[J].J Clin Nurs,2019,28(7-8):1148-1155. [4]蒋琪霞,苗素琴,陈文芳,等.手术获得性压力性损伤流行特征和危险评估新进展[J].医学研究生学报,2019,32(8):882-885. [5]TANIA M.Pressure injury prevention strategies: dressings[J].JBI Evidence Summary,2018(10):1-3. [6]胡娟娟,高兴莲,杨英,等.手术患者手术压疮高危因素的多中心研究[J].护理学杂志,2018,33(16):11-14. [7]郭艳侠,周金莉,侯赛宁,等.我国医疗机构成人手术患者手术获得性压力性损伤流行特征的Meta分析[J].解放军护理杂志,2021,38(6):49-53. [8]郭月,余云红,赵体玉.手术室患者压疮临床特点的回顾性分析[J].护理学杂志,2014,29(24):36-39. [9]何国龙,赵体玉,张诗怡,等.某医院2014-2016年住院手术患者手术急性压伤的三间分布情况[J].护理学报,2018,25(23):35-39. [10]SPRUCE L.Back to basics: preventing perioperative pressure injuries[J].AORN J,2017,105(1):92-99. [11]KIMSEY DB.A change in focus: shifting from treatment to prevention of perioperative pressure injuries[J].AORN J,2019,110(4):379-393. [12]蔡甜甜,庞雪莲,张丽丽,等.降低ICU俯卧位通气患者压力性损伤发生率[J].中国卫生质量管理,2021,28(9):67-70,76.

相似文献/References:

[1]程金焱 沈慧 陈晓虹.提高骨科大手术患者深静脉血栓预防措施落实率[J].中国卫生质量管理,2018,25(03):058.[doi:10.13912/j.cnki.chqm.2018.25.3.19]
[2]史芳 张毛影 马静媛 黄崇亚 高建辉 顾珊智.骨科医疗损害司法鉴定案例分析探究[J].中国卫生质量管理,2018,25(04):085.[doi:10.13912/j.cnki.chqm.2018.25.4.27]
[3]罗莉殷佳魏伟狄建忠.公立医院优势学科病种绩效管理研究:以骨科为例[J].中国卫生质量管理,2021,28(07):048.[doi:10.13912/j.cnki.chqm.2021.28.7.13 ]
 LUO Li,YIN Jia,WEI Wei.Performance Management of Diseases in Dominant Disciplines in Public Hospitals: Taking Orthopedics Department as an Example[J].Chinese Health Quality Management,2021,28(05):048.[doi:10.13912/j.cnki.chqm.2021.28.7.13 ]
[4]殷佳罗莉汪盛凯魏伟狄建忠.公立医院病种经济绩效评价方法探究:以上海某院骨科为例[J].中国卫生质量管理,2021,28(08):039.[doi:10.13912/j.cnki.chqm.2021.28.8.11 ]
 YIN Jia,LUO Li,WANG Shengkai.Economic Performance Evaluation Method of Diseases in Public Hospitals:Taking the Department of Orthopedics of a Hospital in Shanghai as an Example[J].Chinese Health Quality Management,2021,28(05):039.[doi:10.13912/j.cnki.chqm.2021.28.8.11 ]
[5]戴晓婷胡晓艳吉琦戴明吕娜.手术患者接送闭环管理系统的设计与应用[J].中国卫生质量管理,2021,28(08):059.[doi:10.13912/j.cnki.chqm.2021.28.8.16 ]
 DAI Xiaoting,HU Xiaoyan,JI Qi.Design and Practice of the Closed-Loop Management System for Surgical Patient Transport[J].Chinese Health Quality Management,2021,28(05):059.[doi:10.13912/j.cnki.chqm.2021.28.8.16 ]
[6]张梦姣吴东娟陈楠韩士超.降低泌尿外科老年患者术后恐动症发生率[J].中国卫生质量管理,2022,29(06):080.[doi:10.13912/j.cnki.chqm.2022.29.6.21 ]
 ZHANG Mengjiao,WU Dongjuan,CHEN Nan.Reducing the Incidence of Postoperative Kinetophobia in Elderly Patients with Urology Surgery[J].Chinese Health Quality Management,2022,29(05):080.[doi:10.13912/j.cnki.chqm.2022.29.6.21 ]
[7]南星羽马靓李海红.骨科围手术期患者静脉血栓栓塞症物理预防的最佳证据总结[J].中国卫生质量管理,2022,29(08):072.[doi:10.13912/j.cnki.chqm.2022.29.8.17 ]
 NAN Xingyu,MA Liang,LI Haihong.Summary of the Best Evidence for Physical Prevention of Venous Thromboembolism in Perioperative Orthopedic Patients[J].Chinese Health Quality Management,2022,29(05):072.[doi:10.13912/j.cnki.chqm.2022.29.8.17 ]
[8]李小艳王莉付艳玲李亚男张戟李颖川.新冠肺炎疫情对医疗质量精细化管理的影响分析:以甲状腺恶性肿瘤手术患者为例[J].中国卫生质量管理,2023,30(03):046.[doi:10.13912/j.cnki.chqm.2023.30.3.09 ]
 LI Xiaoyan,WANG Li,FU Yanling.Influence of COVID-19 on the Refined Management of Medical Quality: a Case Study of Thyroid Malignancy Patients Undergoing Surgery[J].Chinese Health Quality Management,2023,30(05):046.[doi:10.13912/j.cnki.chqm.2023.30.3.09 ]
[9]邵倩王倩曹莉吴浩杨银白亚平薛浩李莎莎.降低老年骨科患者术中低体温发生率[J].中国卫生质量管理,2023,30(10):074.[doi:10.13912/j.cnki.chqm.2023.30.10.16 ]
 SHAO Qian,WANG Qian,CAO Li.Reducing the Incidence of Intraoperative Hypothermia in Elderly Orthopedic Patients[J].Chinese Health Quality Management,2023,30(05):074.[doi:10.13912/j.cnki.chqm.2023.30.10.16 ]
[10]林苡竹金杰王晖丁辉蓉余松轩刘雅娟.资源整合型加速康复外科管理体系构建与应用[J].中国卫生质量管理,2023,30(12):024.[doi:10.13912/j.cnki.chqm.2023.30.12.06 ]
 LIN Yizhu,JIN Jie,WANG Hui.Construction and Application of Management System of Resource Integrated Enhanced Recovery After Surgery[J].Chinese Health Quality Management,2023,30(05):024.[doi:10.13912/j.cnki.chqm.2023.30.12.06 ]

更新日期/Last Update: 2022-05-28