护士分类授权管理对住院患者医源性皮肤损伤的影响  

Effect of implementing hierarchical authorization of nurses in management of iatrogenic skin injury for hospitalized patients

作　　者：刘艳[1] 徐进[2] 丁瑜[3] 蔡忠香[1] 秦琦[4] 谢菲[5] Liu Yan;Xu Jin;Ding Yu;Cai Zhongxiang;Qin Qi;Xie Fei(Department of Nursing,People′s Hospital of Wuhan University,Wuhan 430060,China)

机构地区：[1]武汉大学人民医院护理部,湖北武汉430060 [2]武汉大学人民医院东院静脉用药调配中心,湖北武汉430060 [3]武汉大学人民医院疼痛科,湖北武汉430060 [4]武汉大学人民医院外科换药室,湖北武汉430060 [5]武汉大学人民医院胃肠外Ⅱ科,湖北武汉430060

出　　处：《护理学杂志》2023年第7期54-57,共4页Journal of Nursing Science

基　　金：武汉大学人民医院院内护理课题重点项目(HL2019ZD-03)。

摘　　要：目的探讨护士分类授权管理对住院患者医源性皮肤损伤的实践效果。方法将存在医源性皮肤损伤风险的住院患者按照时间顺序分为对照组(2018年173237例)和观察组(2019年205511例和2021年236742例),分别实施常规管理和护士分类授权管理。结果实施护士分类授权管理后,培养和授权专科护士81人。两组医源性皮肤损伤发生率、皮肤损伤程度及转归比较,差异有统计学意义(均P<0.05)。结论实施护士分类授权管理,可有效降低住院患者医源性皮肤损伤发生率,改善转归,促进护理质量的提升。Objective To explore the effect of hierarchical authorization of nurses in management of iatrogenic skin injury in hospita-lized patients.Methods Inpatients at risk of iatrogenic skin injury were divided into a control group(173237 cases in 2018)and an observation group(205511 cases in 2019 and 236742 cases in 2021)in chronological order,respectively subjected to routine ma-nagement or management by hierarchically authorized nurses.Results After implementing hierarchical authorization of nurses in management of iatrogenic skin injury,81 nurse specialists were trained and authorized.There were significant differences in the incidence rate,degree and outcomes of iatrogenic skin injury between the two groups(all P<0.05).Conclusion Implementation of hierarchical authorization of nurses could effectively reduce the incidence rate of iatrogenic skin injury in hospitalized patients,improve the outcome of skin injury,and improve the quality of nursing care.

关 键 词：护士 授权 医源性皮肤损伤 患者安全 护理质量 护理管理 

分 类 号：R471[医药卫生—护理学]