基于SSKIN方案在提高护士高危压力性损伤预防措施执行率的临床研究  

A clinical study on improving the execution rate of prevention measures for high-risk pressure injury in nurses based on the SSKIN plan

作　　者：徐佳[1] 李秀萍[1] 孙于舒 顾方蕾 张晓洁 盛子雁 XU Jia;LI Xiuping;SUN Yushu;GU Fanglei;ZHANG Xiaojie;SHENG Ziyan(Sir Run Run Shaw Hospital,Zhejiang University School of Medicine,Hangzhou 310000,Zhejiang,China)

机构地区：[1]浙江大学医学院附属邵逸夫医院,浙江杭州310000

出　　处：《护士进修杂志》2025年第2期169-173,共5页Journal of Nurses Training

摘　　要：目的探讨SSKIN方案在提高护士压力性损伤(pressure injury,PI)预防措施执行率中的应用效果。方法采用随机抽样法,选取2021年1月—2022年2月浙江省某三级甲等综合性医院普外科高危PI患者为研究对象,采用随机数字表法分为对照组50例和观察组50例,对照组采用常规护理,观察组采用基于SSKIN方案的护理措施,比较2组护士高危PI预防措施执行率、有效翻身次数、PI发生率。结果观察组高危PI预防措施执行率为93.4%,对照组高危PI预防措施执行率为85.6%,2组比较差异有统计学意义(P<0.05);观察组有效翻身次数白班为528次、夜班为435次,对照组有效翻身次数白班为474次,夜班为297次,2组比较差异有统计学意义(P<0.05)。观察组PI发生率为0,对照组PI发生率为8%,2组比较差异有统计学意义(P<0.05)。结论SSKIN方案可以提高护士高危PI预防措施的执行率,有助于降低临床PI事件的发生。Objective To explore the application effectiveness of the SSKIN plan in improving the execution rate of pressure injury(PI)prevention measures in nurses.Methods Patients with high risk of PI in the general surgery department of a grade A tertiary comprehensive hospital in Zhejiang province from January 2021 to February 2022 was used to select as the study subjects by a random sampling method,and were randomly divided into a control group(n=50)and an observation group(n=50)using a random number table method.The control group received routine nursing care,while the observation group received nursing measures based on the SSKIN plan.The execution rate of high-risk PI prevention measures,effective turning times,and PI incidence were compared between 2 groups of nurses.Results The execution rate of high-risk PI prevention measures in the observation group was 93.4%,while in the control group it was 85.6%,with a statistically significant difference between 2 groups(P<0.05);The effective turning times in the observation group were 528 times for the day shift and 435 times for the night shift,while in the control group they were 474 times for the day shift and 297 times for the night shift,with a statistically significant difference between 2 groups(P<0.05).The incidence of PI in the observation group was 0%,while in the control group it was 8%,with a statistically significant difference between 2 groups(P<0.05).Conclusion The SSKIN plan can improve the execution rate of high-risk PI prevention measures in nurses and help reduce the occurrence of clinical PI incidents.

关 键 词：护士 压力性损伤 SSKIN方案 预防措施 执行率 护理 

分 类 号：R473.5[医药卫生—护理学]