[1]蔡甜甜庞雪莲张丽丽韩文静王凯苏东敏陈玲.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(09):067-70.[doi:10.13912/j.cnki.chqm.2021.28.9.18 ]
　CAI Tiantian,PANG Xuelian,ZHANG Lili.Reducing the Incidence of Pressure Ulcers in Patients with Prone Position Ventilation in ICU[J].Chinese Health Quality Management,2021,28(09):067-70.[doi:10.13912/j.cnki.chqm.2021.28.9.18 ]
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降低ICU俯卧位通气患者压力性损伤发生率
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《中国卫生质量管理》[ISSN:1006-7515/CN:CN 61-1283/R]

卷:
第28卷
期数:
2021年09期
页码:
067-70
栏目:
QC小组平台
出版日期:
2021-09-28

文章信息/Info

Title:
Reducing the Incidence of Pressure Ulcers in Patients with Prone Position Ventilation in ICU
作者:
蔡甜甜庞雪莲张丽丽韩文静王凯苏东敏陈玲
山东大学齐鲁医院
Author(s):
CAI Tiantian; PANG Xuelian; ZHANG Lili
Qilu Hospital of Shandong University(Qingdao)
关键词:
品管圈; 问题解决型品管圈; 重症监护室; 患者; 俯卧位通气; 压力性损伤
Keywords:
Quality Control Circle;  Problem Solving Quality Control Circle;  Intensive Care Unit;  Patients; Prone Position Ventilation;  Pressure Ulcers
分类号:
R197.323;R563
DOI:
10.13912/j.cnki.chqm.2021.28.9.18
文献标志码:
B
摘要:
应用品管圈活动改善ICU俯卧位通气患者压力性损伤发生情况。从俯卧位通气方案不合理、俯卧位通气减压不充分两大症结出发进行原因分析, 针对流程、措施、评估等制定针对性改善对策并执行, 包括构建俯卧位通气链式管理模式和实施集束化防控策略。项目改进使ICU俯卧位通气患者压力性损伤发生率由57.14%下降至22.50%，规范了俯卧位通气管理模式，更好地保障了患者安全。
Abstract:
The quality control circle (QCC) activity was used to improve the incidence of pressure ulcers in ICU patients ventilated in the prone position. Cause analysis was carried out from the two major sticking points of unreasonable prone ventilation scheme and insufficient decompression of prone ventilation. Targeted improvement countermeasures were formulated and implemented for procedures, measures and assessments, including the construction of prone ventilation chain-type management mode and the implementation of cluster prevention and control strategies. The improvement of the project actually reduced the incidence of pressure ulcers in ICU patients with prone ventilation from 57.14% to 22.50%, standardized the management mode of prone ventilation, and better guaranteed the safety of patients.

参考文献/References:

［1］Edsberg LE, Black JM, Goldberg M, et al. Revised national pressure ulcer advisory panel pressure injury staging system: revised pressure injury staging system［J］.J Wound Ostomy Continence Nurs, 2017, 43(6):585. ［2］Dickinson S, Park PK, Napolitano LM. Prone-positioning therapy in ARDS［J］.Critical Care Clinics, 2011, 27(3):511-523. ［3］张磊. 不同角度俯卧位对ARDS机械通气患者压力性损伤的影响［D］.苏州：苏州大学,2018. ［4］Lee JM, Bae W, Lee YJ, et al. The efficacy and safely of prone positional ventilation in acute respiratory distress sundrome: updated study-level meta-analysis of 11 randomized controlled trials［J］. Crit Care Med, 2014,42:1252-1262. ［5］Bellani G, Laffey JG, Pham T, et al. Epidemiology, patterns of care, and mortality for patients with acute respiratory distress syndrome in intensive care units in 50 countries［J］.JAMA, 2016, 315(8):788-800. ［6］Russo CA, Steiner C, Spector W. Hospitalizations related to pressure ulcers among adults 18 years and older［J］.Agency for Healthcare Policy and Research, 2016, 41(1):43-49. ［7］谢永鹏.连续性动态机械功能监测对急性呼吸窘迫综合征患者病情严重程度及预后的评价研究［EB/OL］.（2019-12-16）.http://www.chictr.org.cn/showproj.aspx?proj=46779. ［8］党 笑,柏 蒙,张泽昊,等.降低腔镜手术患者接台延迟率［J］.中国卫生质量管理,2020,27(6):103-106. ［9］周润奭,隆 云,李尊柱，等.改良俯卧位通气方式对ICU患者压力性损伤的影响［J］.中国实用护理杂志,2018,34(25):1974-1978.

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更新日期/Last Update: 2021-09-28