手术患者皮肤交接单的优化设计在手术全期患者皮肤管理中的应用.pdfVIP

护理安全 专栏 Nursing Safety 手术患者皮肤交接单的优化设计在手术 全期患者皮肤管理中的应用 刘艳华 李慧 高小雁 [ 摘 要] 目的：应用优化后的手术患者皮肤交接单，对手术全期患者进行连续、动态、全面的评估，以降低患者皮肤损伤 的发生率。方法：对原有手术护理记录单进行优化设计，采用表格、人体四面图示、文字书写相结合的方式，进行分层培训， 规范手术患者皮肤交接单的临床应用，对比两组手术患者皮肤情况。结果：使用优化设计后的手术患者皮肤交接单的患者，皮 肤异常情况的发生率降低。结论：手术患者皮肤交接单的使用利于手术全期患者皮肤的质量控制检查，有效减少了因问题皮肤 的交接遗漏而致的患者皮肤损伤。 [ 关键词 ] 手术患者；全期护理；皮肤评估单；优化设计；皮肤管理 [中图分类号] R47 [DOI] 10.3969/j.issn.1672-1756.2014.08.023 Optimization design of pass-on skin checklist in perioperative skin management / LIU Yanhua, LI Hui, GAO Xiaoyan // Department of Operation Room, Beijing Jishuitan Hospital, 100035 China /// Chinese Nursing Management-2014,14(8): 861-864 [Abstract] Objective: To assess the skin condition in perioperative patients continuously, dynamically, and comprehensively using optimized pass-on skin checklist. Methods: The authors optimized the previous surgical nursing records, which combined chart, table and text in the pass-on skin checklist. Then step-by-step training was performed in operation room and surgical departments to standardize the clinical applications of the checklist, and the incidence of skin pressure ulcers were evaluated. Results: The incidence of skin abnormalities significantly decreased after the new checklist used. Conclusion: The application of pass-on skin checklist was useful to quality checks, and effectively reduced skin problems caused by the hand over omission. [Key words] surgery patients; perioperative care; skin assessment checklist; optimal design; skin management 在《三级综合医院评审标准实施细 带来痛苦，加重病情，延长疾病康复时 前、术中、术后，对手术全期患者皮肤 则（2011年版）》中，患者安全管理目标 间，严重时可因继发感染引起败血症而 变化进