Volume 20 Issue 8
Aug.  2022
Turn off MathJax
Article Contents
Article Navigation >  Chinese Journal of General Practice  > 2022  >  20(8): 1438-1441
FENG Chun, WANG Jing-nan, CHEN Ping. Early warning of the Braden individual score in the prevention of hospital pressure injury[J]. Chinese Journal of General Practice, 2022, 20(8): 1438-1441. doi: 10.16766/j.cnki.issn.1674-4152.002617
Citation: FENG Chun, WANG Jing-nan, CHEN Ping. Early warning of the Braden individual score in the prevention of hospital pressure injury[J]. Chinese Journal of General Practice, 2022, 20(8): 1438-1441. doi: 10.16766/j.cnki.issn.1674-4152.002617
shu

Early warning of the Braden individual score in the prevention of hospital pressure injury

doi: 10.16766/j.cnki.issn.1674-4152.002617

  • Department of Nursing, Hwamei Hospital, University of Chinese Academy of Sciences, Ningbo, Zhejiang 315010, China

Funds:

 2022KY1131

 2021HMKY24

  • Received Date: 2022-03-07
    Available Online: 2022-09-26
    Abstract
  •   Objective  To explore the effect of Braden's individual score in the prevention of hospital pressure injury (PI) to reduce the incidence of PI.  Methods  A grid management team composed of experts from the nursing department, the head nurses of the section, wound ostomy specialist nurses, the head nurses and the PI quality controller was established to monitor and track PI events in the whole hospital by dividing the team into three grid levels. We analysed Braden's individual score, the locations of PI, and the causes of PI in 81 cases reported by the office automation (OA) adverse event system in our hospital from January to December in 2020. We also calculated the Braden scores of moisture, activity and mobility less than 3 points in the medical benefit system in 2021; carried out preventive measures according to Braden's individual score management warning system; and observed PI events.  Results  After the implementation of individual scoring management, the incidence of in-hospital PI decreased from 0.125% in 2020 to 0.085% in 2021. The number of PI patients with one or two aspects less than 3 points amongst moisture, activity and mobility scorings decreased from 33 in 2020 to 15 in 2021, with a statistically significant difference between the two groups (P < 0.05). Stage three PI and deep tissue pressure injury were significantly reduced, and the healing rate of patients with PI increased dramatically.  Conclusion  Early intervention through Braden's individual score management and implementation of preventive measures to patients with mid-low and no risk through Braden's scoring can effectively reduce the incidence of in-hospital PI.

     

    • FullText(HTML)
  • loading
    • References(15)
  • [1]
    夏敏, 吴金球, 芮菁, 等. 门诊老年压力性损伤患者主要照顾者营养照护体验的质性研究[J]. 中国实用护理杂志, 2019, 35(15): 1176-1181. doi: 10.3760/cma.j.issn.1672-7088.2019.15.013

    XIA M, WU J Q, RUI J, et al. A qualitative research on the nutritional care experience of primary caregivers in elderly patients with pressure injury in outpatients[J]. Chinese Journal of Practical Nursing, 2019, 35(15): 1176-1181. doi: 10.3760/cma.j.issn.1672-7088.2019.15.013
    [2]
    国家卫生计生委医院管理研究所护理中心. 护理类敏感质量指标实用手册(2016版)[M]. 北京: 人民卫生出版社, 2016: 115-116.

    Nursing Center, Institute of Hospital Administration, National Health and Family Planning Commission. Practical Manual of nursing sensitive Quality Indicators (2016 edition)[M]. Beijing: People's Medical Publishing House, 2016: 115-116.
    [3]
    顾静. Braden评分表在压疮预防中的应用及效果评价[J]. 世界最新医学信息文摘, 2019, 19(23): 259-260.

    GU J. Application and effect evaluation of Braden scale in prevention of pressure ulcers[J]. World Latest Medicine Information, 2019, 19(23): 259-260.
    [4]
    魏小雪, 徐亚非, 王陈龙, 等. 基于"WSR"方法论的新冠肺炎疫情期医共体内医务人员网格化应急管理机制研究[J]. 中华全科医学, 2020, 18(11): 1884-1888. doi: 10.16766/j.cnki.issn.1674-4152.001645

    WEI X X, XU Y F, WANG C L, et al. Research on the emergency management of the grid management of medical personnel in the medical community during the COVID-19 epidemic based on Wuli-Shili-Renli methodology[J]. Chinese Journal of General Practice, 2020, 18(11): 1884-1888. doi: 10.16766/j.cnki.issn.1674-4152.001645
    [5]
    赵喜兰, 陈长蓉, 张晓玲, 等. 出院压力性损伤风险患者现况及危险因素分析[J]. 中华现代护理杂志, 2021, 27(21): 2867-2872. doi: 10.3760/cma.j.cn115682-20201019-05815

    ZHAO X L, CHEN C R, ZHANG X L, et al. Status and risk factors of discharged patients at risk of pressure injury[J]. Chinese Journal of Modern Nursing, 2021, 27(21): 2867-2872. doi: 10.3760/cma.j.cn115682-20201019-05815
    [6]
    赵丹, 王志稳. 骨科患者术中压力性损伤发生情况及危险因素研究[J]. 护理学杂志, 2018, 33(22): 33-37, 56. doi: 10.3870/j.issn.1001-4152.2018.22.033

    ZHAO D, WANG Z W. Situation of and risk factors of intraoperatively acquired pressure injury in adult patients undergoing orthopedic surgery[J]. Journal of Nursing Science, 2018, 33(22): 33-37, 56. doi: 10.3870/j.issn.1001-4152.2018.22.033
    [7]
    郑瑞真, 郑英智, 李炳钻, 等. 足部减压垫在下肢高分子石膏固定预防压力性损伤中的临床应用[J]. 护理实践与研究, 2020, 17(22): 133-135.

    ZHENG R Z, ZHENG Y Z, LI B Z, et al. Clinical application of foot decompression pad in lower extremity polymer plaster fixation to prevent pressure injury[J]. Nursing Practice and Research, 2020, 17(22): 133-135.
    [8]
    朱萍, 江子芳. 住院晚期肿瘤患者压力性损伤风险矩阵的构建[J]. 护理学杂志, 2021, 36(10): 49-52.

    ZHU P, JIANG Z F. Application of risk matrix method in pressure injury risk assessment in advanced cancer patients[J]. Journal of Nursing Science, 2021, 36(10): 49-52.
    [9]
    周思君, 谌永毅, 许湘华, 等. 生命末期患者压力性损伤管理的研究进展[J]. 护理学杂志, 2021, 36(6): 105-108.

    ZHOU S J, KAN Y Y, XU X H, et al. A review of management of pressure injuries in patients at the end-of-life stage[J]. Journal of Nursing Science, 2021, 36(6): 105-108.
    [10]
    贾静, 仇晓溪, 蒋琪霞. 住院患者压疮发生调研结果分析及管理对策[J]. 中华现代护理杂志, 2014, 20(11): 1257-1259. doi: 10.3760/j.issn.1674-2907.2014.11.008

    JIA J, CHOU X X, JIANG Q X. Analysis of investigation results and management countermeasures of pressure ulcers in inpatients[J]. Chinese Journal of Modern Nursing, 2014, 20(11): 1257-1259. doi: 10.3760/j.issn.1674-2907.2014.11.008
    [11]
    满剑卿, 娄程程. 高龄髋关节手术患者术中压疮的风险评估及护理干预[J]. 中国临床研究, 2018, 31(12): 1731-1733. https://www.cnki.com.cn/Article/CJFDTOTAL-ZGCK201812040.htm

    MAN J Q, LOU C C. Risk assessment and nursing intervention of intraoperative pressure ulcers in elderly patients undergoing hip surgery[J]. Chinese Journal of Clinical Research, 2018, 31(12): 1731-1733. https://www.cnki.com.cn/Article/CJFDTOTAL-ZGCK201812040.htm
    [12]
    周妹, 陈红菊, 许广亮. 血流灌注指标与Braden量表预测在ICU患者压力性损伤预防中的应用[J]. 齐鲁护理杂志, 2020, 26(11): 126-128.

    ZHOU M, CHEN H J, XU G L. Application of blood perfusion index and Braden scale prediction in the prevention of pressure injury in ICU patients[J]. Journal of Qilu Nursing, 2020, 26(11): 126-128.
    [13]
    陈慧玲, 王淑东. Waterlow压力性损伤量表与Braden压力性量表在预测ICU病人压疮预防中的价值[J]. 蚌埠医学院学报, 2020, 45(8): 1107-1109, 1113. https://www.cnki.com.cn/Article/CJFDTOTAL-BANG202008032.htm

    CHEN H L, WANG S D. Value of the Waterlow stress injury scale and Braden stress scale in predicting the prevention of pressure ulcer in ICU patients[J]. Journal of Bengbu Medical College, 2020, 45(8): 1107-1109, 1113. https://www.cnki.com.cn/Article/CJFDTOTAL-BANG202008032.htm
    [14]
    王祖晶, 姚建琴, 郭菁, 等. 两种量表对肿瘤患者压力性损伤预测效果的比较研究[J]. 当代护士(中旬刊), 2020, 27(2): 1-4.

    WANG Z JMYAO J Q, GUO J, et al. A comparative study of two scales to prediction the stress injury in tumor patients[J]. Modern Nurse, 2020, 27(2): 1-4.
    [15]
    许胜敏, 缪滔, 毕东军. 信息系统在压疮高风险患者管理中的应用[J]. 医院管理论坛, 2018, 35(7): 73-76. https://www.cnki.com.cn/Article/CJFDTOTAL-GWYG201807026.htm

    XU S M, MIU T, BI D J. Application of information system in management of high risk patients with pressure sores[J]. Hospital Management Forum, 2018, 35(7): 73-76. https://www.cnki.com.cn/Article/CJFDTOTAL-GWYG201807026.htm
    • Relative Articles
    • Supplements(0)
    • Cited By
  • 加载中

Catalog

    通讯作者: 陈斌, bchen63@163.com
    • 1. 

      沈阳化工大学材料科学与工程学院 沈阳 110142

    1. 本站搜索
    2. 百度学术搜索
    3. 万方数据库搜索
    4. CNKI搜索

    Tables(4)

    Get Citation
    PDF
    XML

    Article Metrics

    Article views (293) PDF downloads(2) Cited by()
    Proportional views
    Related

    Address：No. 287, Changhuai Road, Bengbu, Anhui Province, 233004, P.R.ChinaphoneNo：0552-3066635； 0552-3051890Email：zhqkyx@163.com

    Copyright © Chinese Journal of General Practice皖ICP备2020018345号-2

    Supported by: Beijing Renhe Information Technology Co., Ltd.    

    /

    DownLoad:  Full-Size Img  PowerPoint
    Return
    Return