使用外周中心静脉导管的肿瘤患者与医用粘合剂相关的皮肤损伤的预防和管理:最佳实践实施项目。

IF 2.7 4区 医学 Q2 HEALTH CARE SCIENCES & SERVICES
Huang Tang, Xuemei Zhong, Caixia Wu, Yunfei Fan, Qinghua Li, Qingxia Chen, Xiaojin Li, Jing Ruan, Chunxia Xia
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引用次数: 0

摘要

导言:外周中心静脉导管是肿瘤患者常用的血管通路装置。为防止导管脱落和移位,必须使用医用粘合剂固定导管。医用粘合剂的反复粘贴和去除会削弱皮肤的屏障功能,导致医用粘合剂相关皮肤损伤(MARSI),从而增加患者的痛苦和医疗费用:本项目旨在利用最佳证据来预防和管理使用外周中心静脉导管的肿瘤患者的 MARSI:该循证审计和反馈项目的理论依据是 JBI 证据实施框架。该框架包括七个阶段:成立项目小组;选择可衡量标准;收集基线数据;实施改进策略以弥补合规性方面的不足;开展后续审核以评估合规性方面的改进;以及考虑可持续性措施。该项目还利用 JBI 临床证据实际应用系统 (PACES) 进行项目管理,包括数据收集和分析。此外,还采用了 JBI 将研究付诸实践(GRiP)的方法来支持实施和合规性:结果:在基线审计中,九项审计标准的符合率较低。在后续审核中,合规率明显提高,每项审核标准都超过了最低 80%,其中四项审核标准达到了 100%。护士和患者对 MARSI 的了解程度也明显提高(P 结论:该项目成功地提高了护士对 MARSI 的遵守程度:该项目成功地提高了护士对 MARSI 预防和管理的依从性,增加了护士和患者对 MARSI 的知识和技能。西班牙文摘要:http://links.lww.com/IJEBH/A285。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Prevention and management of medical adhesive-related skin injuries in tumor patients with peripheral central venous catheters: a best practice implementation project.

Introduction: Peripheral central venous catheters are common vascular access devices used in patients with tumors. To prevent catheter shedding and displacement, it is essential to use medical adhesives to secure the catheters. Repeated adhesion and removal of medical adhesives can weaken the barrier function of the skin, leading to medical adhesive-related skin injuries (MARSI), which can increase the patients' pain and medical expenses.

Objectives: The objective of this project was to utilize the best evidence to prevent and manage MARSI in tumor patients with peripheral central venous catheters.

Methods: This evidence-based audit and feedback project was theoretically informed by the JBI Evidence Implementation Framework. The framework involves seven phases in which a project team was established; measurable criteria were selected; baseline data were collected; improvement strategies were implemented to address gaps in compliance; a follow-up audit was conducted to assess improvements in compliance; and sustainability measures were considered. The project also used the JBI Practical Application of Clinical Evidence System (PACES) for project management, including data collection and analysis. The JBI Getting Research into Practice (GRiP) approach was also used to support implementation and compliance.

Results: In the baseline audit, the compliance rate for the nine audit criteria was low. In the follow-up audit, the compliance rate significantly improved, with each audit criterion exceeding a minimum of 80%, and four audit criteria reaching 100%. Knowledge of MARSI among nurses and patients significantly improved (p  < 0.05) and the incidence of MARSI among patients with peripheral central venous catheters decreased.

Conclusions: This project successfully enhanced nurses' compliance with MARSI prevention and management and increased the knowledge and skills of both nurses and patients about MARSI.

Spanish abstract: http://links.lww.com/IJEBH/A285.

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CiteScore
3.20
自引率
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