基于休哈特控制图的评估预警系统在医疗器械相关性压力损伤中应用研究
Research on the application of evaluation and warning system based on Shewhart control chart in medical device related pressure injury
刘立天 1张飞飞 1袁征 2郑肖林 3王冉 4张磊 5李英肖 1吴晓娇2
作者信息
- 1. 河北省人民医院心脏中心 石家庄 050057
- 2. 河北省人民医院护理部 石家庄 050057
- 3. 邢台市人民医院整形烧伤科 邢台 054001
- 4. 邢台市人民医院检验科 邢台 054001
- 5. 河北省人民医院麻醉科 石家庄 050057
- 折叠
摘要
目的:探究基于休哈特控制图的评估及预警系统预防医疗器械相关性压力损伤(MDRPI)效果.方法:选取河北省人民医院2020年1月至2021年12月收治的152例重症监护室的危重患者,根据评估MDRPI风险方式不同,将其分为对照组和观察组,每组76例.对照组使用Braden评估量评估患者MDRPI风险,观察组采用基于休哈特控制图安全预警系统评估患者MDRPI风险程度,根据两组患者MDRPI风险等级采取护理措施.比较两组患者MDRPI不良事件发生情况、护理安全质量和护理综合质量评分.结果:观察组患者头颈面部MDRPI不良事件发生率及MDRPI不良事件总发生率均低于对照组,差异有统计学意义(x2=4.802、5.758,P＜0.05);重症监护室护士对观察组的护理安全质量与护理综合质量评分均高于对照组,差异有统计学意义(t=6.654、7.172,P＜0.05).结论:在临床护理管理中运用基于休哈特控制图的评估预警系统,能够有效减少MDRPI不良事件的发生,提升护理安全质量与护理综合质量.
Abstract
Objective:To explore the effectiveness of the Shewhart control chart-based assessment and early warning system in prevention of medical device-related pressure injury(MDRPI).Methods:152 critically ill patients admitted to Hebei Central Hospital from January 2020 to December 2021 were selected and divided into a control group and an observation group based on different methods of assessing MDRPI risk,with 76 cases in each group.The control group adopted the Braden scale to assess the risk of MDRPI.The observation group adopted a safety early warning system based on Shewhart control charts to assess the risk of MDRPI in patients.Nursing measures were undertaken according to MDRPI risk grade in both groups.The occurrence of adverse events of MDRPI,nursing safety quality and nursing comprehensive quality were compared between the two groups.Results:The incidence rate of head,neck and face adverse events of MDRPI and the total incidence of adverse events of MDRPI of the patients in the observation group were lower than those in the control group(x2=4.802,5.758,P<0.05).The safety quality and comprehensive quality of nursing of 20 nurses in the observation group were higher than those in the control group(t=6.654,7.172,P<0.05).Conclusion:The application of assessment and early warning system based on Shewhart control chart in clinical nursing management can effectively reduce the incidence of MDRPI adverse events and improve the quality of nursing safety and comprehensive nursing.
关键词
休哈特控制图/评估预警系统/医疗器械相关性压力损伤(MDRPI)Key words
Shewhart control chart/Evaluation and early warning system/Medical device-related pressure injury(MDRPI)引用本文复制引用
基金项目
河北省卫生健康委医学科学研究课题(20240220)
出版年
2024
国家科技期刊平台
NSTL
维普
万方数据