[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):74-79.[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):74-79.[doi:10.13912/j.cnki.chqm.2022.29.5.19 ]

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降低骨科俯卧位手术患者术中获得性压力性损伤发生率

《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: 74-79 栏目: QC小组平台出版日期: 2022-05-28

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 Bo; CHEN Hong; YU 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.

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更新日期/Last Update: 2022-05-28