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  

Optimization design of pass-on skin checklist in perioperative skin management

作　　者：刘艳华[1] 李慧[1] 高小雁[1] 

机构地区：[1]北京积水潭医院手术室,100035

出　　处：《中国护理管理》2014年第8期861-864,共4页Chinese Nursing Management

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。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.

关 键 词：手术患者 全期护理 皮肤评估单 优化设计 皮肤管理 

分 类 号：R47[医药卫生—护理学]