基于行动研究的ICU失禁性皮炎护理方案改进与实施
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Development and effect evaluation of an action-research-based intervention plan for incontinence-associated dermatitis
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    目的 基于行动研究改进并实施ICU 失禁性皮炎(Incontinence-AssociatedDermatitis,IAD)护理方案,并评价其效果。方法 以行动研究为理论框架,根据情境分析、综合文献、小组讨论、专家咨询等方案开发策略,确定干预方案,并以计划、行动、观察、反 思4个步骤为指导形成符合科室临床情境的ICUIAD护理方案。结果 实施护理方案2轮循环后护士IAD照护行为较前显著提 升(P<0.05,P<0.01),患者IAD发生率较干预前显著下降(P

    Abstract:

    Objective To develop an action-research-based intervention plan for incontinence-associated dermatitis (IAD) care ability of ICU nurses, and evaluate the effect of the intervention. Methods Using action research method as the framework, we built an IAD care intervention plan through scenario analysis, literature research, group discussion, expert consultation, etc. Then through the cycles of planning, taking action, observation, reflection, we finalized the IAD care intervention plan which suited the context of ICU. Results After 2 rounds of the intervention cycle, the ICU nurses′ IAD care practice was significantly improved(P<0.05,P<0.01), and the incidence rate of IAD saw a significant drop from baseline(P<0.01 for both). Conclusion The implementation of the IAD care intervention plan for ICU nurses, which was based on action research, can improve ICU nurses′ IAD care ability and decrease IAD incidence rate of patients.

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张煜,刘均娥,高凤莉,张春艳,王淑芹.基于行动研究的ICU失禁性皮炎护理方案改进与实施[J].护理学杂志,2019,34(23):36-40

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  • 收稿日期:2019-07-17
  • 最后修改日期:2019-08-29
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  • 在线发布日期: 2022-08-09