新冠肺炎无创正压通气患者面部压力性损伤预防JBI循证实践

Evidence-based practice of JBI for prevention of pressure injury in patients with non-invasive positive pressure ventilation

目的探讨基于SKIN概念框架联合JBI循证护理对新冠肺炎无创正压通气患者鼻面部压力性损伤预防的效果。方法以SKIN概念框架为基础,按照JBI循证模式对无创正压通气患者鼻面部压力性损伤进行循证护理,通过提出问题、证据检索、证据质量评价、证据综合的步骤,制定无创正压通气鼻面部压力性损伤集束化预防护理措施并实践。结果持续干预2周后,实验组中仅有2例出现1期压力性损伤,发生率为2.44%;对照组有15例发生1期的压力性损伤,发生率为18.52%,P<0.05,差异有统计学意义。结论基于SKIN概念框架指导循证护理实践,可降低新冠肺炎无创正压通气患者鼻面部压力性损伤发生率。

Objective To investigate the effect of SKIN conceptual framework combined with JBI evidence-based nursing on the prevention of nasal and facial pressure injury in patients with new coronary pneumonia.Methods Based on the SKIN conceptual framework,evidence-based nursing was conducted for patients with nasal and facial pressure injury in non-invasive positive pressure ventilation according to the JBI evidence-based model.Through the steps of raising questions,evidence retrieval,evidence quality evaluation and evidence synthesis,the prevention and nursing measures of nasal and facial pressure injury in non-invasive positive pressure ventilation were formulated and practiced.Results After 2 weeks of continuous intervention,only 2 patient in the experimental group had stage 1 pressure injury,with an incidence of 2.44%.In the control group,there were 15 cases of stage 1 pressure injury,the incidence was 11.278%,χ^2=11.278,P<0.05,the difference was statistically significant.Concusion Evidence-based nursing practice guided by SKIN conceptual framework can reduce the incidence of nasal and facial pressure injury in patients with new coronary pneumonia with noninvasive positive pressure ventilation.