New progress in clinical management model of device related pressure injuries_West China Medical Journal

Authors：

FU Zhongmin ¹ , CHEN Jiali ² ,  NING Ning ² , LI Peifang ²

1. West China School of Nursing, Sichuan University / Department of Orthopedics, West China Hospital, Sichuan University, Chengdu, Sichuan 610041, P. R. China;
2. Department of Orthopedics, West China Hospital, Sichuan University, Chengdu, Sichuan 610041, P. R. China;

Corresponding author：

NING Ning, Email: gkningning@126.com

Keywords：

Device related pressure injuries; care bundles model; SSKIN clinical management model; SECURE clinical management model; chain clinical management model

DOI：

10.7507/1002-0179.202101145

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In recent years, the widespread use of medical devices has led to the increasing frequency of device related pressure injuries (DRPI), which seriously affects the quality of life of patients and increases the burden on the healthcare system. The management model of DRPI has become an effective means of coping. This article reviews the application status of the care bundles model, SSKIN clinical management model, SECURE clinical management model in the prevention of DRPI. According to the characteristics of different management models, the key steps of implementation are given, aiming to provide a reference for exploring the prevention and management model of DRPI suitable for China’s national conditions.

Citation： FU Zhongmin, CHEN Jiali, NING Ning, LI Peifang. New progress in clinical management model of device related pressure injuries. West China Medical Journal, 2022, 37(12): 1917-1920. doi: 10.7507/1002-0179.202101145 Copy

1.	Black JM, Cuddigan JE, Walko MA, et al. Medical device related pressure ulcers in hospitalized patients. Int Wound J, 2010, 7(5): 358-365.
2.	Barakat-Johnson M, Barnett C, Wand T, et al. Medical device-related pressure injuries: an exploratory descriptive study in an acute tertiary hospital in Australia. J Tissue Viability, 2017, 26(4): 246-253.
3.	Jackson D, Sarki AM, Betteridge R, et al. Medical device-related pressure ulcers: a systematic review and meta-analysis. Int J Nurs Stud, 2019, 92: 109-120.
4.	Kohr LM, Curley MA. Small study finds 27.7% prevalence of pressure ulcers in paediatric hospitals in Switzerland, with many cases caused by external medical devices. Evid Based Nurs, 2010, 13(2): 58.
5.	Willock J, Baharestani MM, Anthony D. The development of the Glamorgan paediatric pressure ulcer risk assessment scale. J Wound Care, 2009, 18(1): 17-21.
6.	Resar R. Using care bundles to improve health care quality. (2020-10-20)[2021-01-01]. https://www.ihi.org/resources/Pages/IHIWhitePapers/UsingCareBundles.aspx.
7.	Coyer F, Gardner A, Doubrovsky A, et al. Reducing pressure injuries in critically ill patients by using a patient skin integrity care bundle (InSPiRE). Am J Crit Care, 2015, 24(3): 199-209.
8.	Martin D, Albensi L, Van Haute S, et al. Healthy skin wins: a glowing pressure ulcer prevention program that can guide evidence-based practice. Worldviews Evid Based Nurs, 2017, 14(6): 473-483.
9.	Tayyib N, Coyer F. Translating pressure ulcer prevention into intensive care nursing practice: overlaying a care bundle approach with a model for research implementation. J Nurs Care Qual, 2017, 32(1): 6-14.
10.	Healthcare Improvement Scotland. SSKIN care bundle. (2020-10-25)[2021-01-01]. https://www.healthcareimprovementscotland.org/our_work/patient_safety/tissue_viability/sskin_care_bundle.aspx.
11.	Campbell N. Electronic SSKIN pathway: reducing device-related pressure ulcers. Br J Nurs, 2016, 25(Suppl 15): S14-S26.
12.	McIntyre L. A communication project to prevent pressure ulcers. Nurs Times, 2013, 109(40): 12-14.
13.	Department of Health. Modernising nursing careers (chief nursing officer): high impact actions. (2011-01-11)[2021-01-01]. https://www.healthcareimprovementscotland.org/our_work/patient_safety/tissue_viability/sskin_care_bundle.aspx.
14.	郭桂丽, 韩斌如, 董婷婷. SSKIN 集束化护理措施对院内压力性损伤预防效果的研究. 中国护理管理, 2020, 20(8): 1241-1244.
15.	Smith HA, Moore Z, Tan MH. Cohort study to determine the risk of pressure ulcers and developing a care bundle within a paediatric intensive care unit setting. Intensive Crit Care Nurs, 2019, 53: 68-72.
16.	Gefen A, Alves P, Ciprandi G, et al. Device-related pressure ulcers: SECURE prevention. J Wound Care, 2020, 29(Suppl 2a): S1-S52.
17.	Coyer F, Cook JL, Brown W, et al. Securement to prevent device-related pressure injuries in the intensive care unit: a randomised controlled feasibility study. Int Wound J, 2020, 17(6): 1566-1577.
18.	Gefen A, Ousey K. Update to device-related pressure ulcers: SECURE prevention. COVID-19, face masks and skin damage. J Wound Care, 2020, 29(5): 245-259.
19.	王宏亮, 刘旭光. 煤炭企业链式管理模式研究与实践. 中国煤炭, 2001(6): 21-23.
20.	封海霞, 谭靓靓, 李慧敏, 等. 基于医联体模式下压疮链式管理体系的构建与应用. 解放军护理杂志, 2018, 35(8): 61-64.
21.	戴爱兰, 林海英, 陈莹, 等. 链式管理模式在院内压力性损伤预防管理中的应用. 上海护理, 2020, 20(10): 49-51.
22.	Schofield A. Device-related pressure ulcers in community settings. Br J Community Nurs, 2020, 25(Suppl 6): S14-S18.
23.	Monarca MC, Marteka P, Breda K. Decreasing incidence of medical device-related pressure injuries in a small community hospital: a quality improvement project. J Wound Ostomy Continence Nurs, 2018, 45(2): 137-140.
24.	Mehta C, Ali M, Mehta Y, et al. MDRPU -an uncommonly recognized common problem in ICU: a point prevalence study. J Tissue Viability, 2019, 28(1): 35-39.
25.	陈佳丽, 宁宁, 蒋艳, 等. 新型冠状病毒疫情下医护人员器械相关压力性损伤防护华西紧急推荐. 中国修复重建外科杂志, 2020, 34(8): 1036-1040.
26.	黄琼蕾, 金瑛, 张子贤, 等. 新型冠状病毒肺炎疫情下医护人员器械相关压力性损伤防治的研究进展. 中华护理杂志, 2020, 55(z2): 836-838.
27.	周琴, 薛姣, 王立娜, 等. 面部医用级别防护用具致皮肤损伤的护理策略. 中华烧伤杂志, 2020, 36(8): 686-690.

1. Black JM, Cuddigan JE, Walko MA, et al. Medical device related pressure ulcers in hospitalized patients. Int Wound J, 2010, 7(5): 358-365.
2. Barakat-Johnson M, Barnett C, Wand T, et al. Medical device-related pressure injuries: an exploratory descriptive study in an acute tertiary hospital in Australia. J Tissue Viability, 2017, 26(4): 246-253.
3. Jackson D, Sarki AM, Betteridge R, et al. Medical device-related pressure ulcers: a systematic review and meta-analysis. Int J Nurs Stud, 2019, 92: 109-120.
4. Kohr LM, Curley MA. Small study finds 27.7% prevalence of pressure ulcers in paediatric hospitals in Switzerland, with many cases caused by external medical devices. Evid Based Nurs, 2010, 13(2): 58.
5. Willock J, Baharestani MM, Anthony D. The development of the Glamorgan paediatric pressure ulcer risk assessment scale. J Wound Care, 2009, 18(1): 17-21.
6. Resar R. Using care bundles to improve health care quality. (2020-10-20)[2021-01-01]. https://www.ihi.org/resources/Pages/IHIWhitePapers/UsingCareBundles.aspx.
7. Coyer F, Gardner A, Doubrovsky A, et al. Reducing pressure injuries in critically ill patients by using a patient skin integrity care bundle (InSPiRE). Am J Crit Care, 2015, 24(3): 199-209.
8. Martin D, Albensi L, Van Haute S, et al. Healthy skin wins: a glowing pressure ulcer prevention program that can guide evidence-based practice. Worldviews Evid Based Nurs, 2017, 14(6): 473-483.
9. Tayyib N, Coyer F. Translating pressure ulcer prevention into intensive care nursing practice: overlaying a care bundle approach with a model for research implementation. J Nurs Care Qual, 2017, 32(1): 6-14.
10. Healthcare Improvement Scotland. SSKIN care bundle. (2020-10-25)[2021-01-01]. https://www.healthcareimprovementscotland.org/our_work/patient_safety/tissue_viability/sskin_care_bundle.aspx.
11. Campbell N. Electronic SSKIN pathway: reducing device-related pressure ulcers. Br J Nurs, 2016, 25(Suppl 15): S14-S26.
12. McIntyre L. A communication project to prevent pressure ulcers. Nurs Times, 2013, 109(40): 12-14.
13. Department of Health. Modernising nursing careers (chief nursing officer): high impact actions. (2011-01-11)[2021-01-01]. https://www.healthcareimprovementscotland.org/our_work/patient_safety/tissue_viability/sskin_care_bundle.aspx.
14. 郭桂丽, 韩斌如, 董婷婷. SSKIN 集束化护理措施对院内压力性损伤预防效果的研究. 中国护理管理, 2020, 20(8): 1241-1244.
15. Smith HA, Moore Z, Tan MH. Cohort study to determine the risk of pressure ulcers and developing a care bundle within a paediatric intensive care unit setting. Intensive Crit Care Nurs, 2019, 53: 68-72.
16. Gefen A, Alves P, Ciprandi G, et al. Device-related pressure ulcers: SECURE prevention. J Wound Care, 2020, 29(Suppl 2a): S1-S52.
17. Coyer F, Cook JL, Brown W, et al. Securement to prevent device-related pressure injuries in the intensive care unit: a randomised controlled feasibility study. Int Wound J, 2020, 17(6): 1566-1577.
18. Gefen A, Ousey K. Update to device-related pressure ulcers: SECURE prevention. COVID-19, face masks and skin damage. J Wound Care, 2020, 29(5): 245-259.
19. 王宏亮, 刘旭光. 煤炭企业链式管理模式研究与实践. 中国煤炭, 2001(6): 21-23.
20. 封海霞, 谭靓靓, 李慧敏, 等. 基于医联体模式下压疮链式管理体系的构建与应用. 解放军护理杂志, 2018, 35(8): 61-64.
21. 戴爱兰, 林海英, 陈莹, 等. 链式管理模式在院内压力性损伤预防管理中的应用. 上海护理, 2020, 20(10): 49-51.
22. Schofield A. Device-related pressure ulcers in community settings. Br J Community Nurs, 2020, 25(Suppl 6): S14-S18.
23. Monarca MC, Marteka P, Breda K. Decreasing incidence of medical device-related pressure injuries in a small community hospital: a quality improvement project. J Wound Ostomy Continence Nurs, 2018, 45(2): 137-140.
24. Mehta C, Ali M, Mehta Y, et al. MDRPU -an uncommonly recognized common problem in ICU: a point prevalence study. J Tissue Viability, 2019, 28(1): 35-39.
25. 陈佳丽, 宁宁, 蒋艳, 等. 新型冠状病毒疫情下医护人员器械相关压力性损伤防护华西紧急推荐. 中国修复重建外科杂志, 2020, 34(8): 1036-1040.
26. 黄琼蕾, 金瑛, 张子贤, 等. 新型冠状病毒肺炎疫情下医护人员器械相关压力性损伤防治的研究进展. 中华护理杂志, 2020, 55(z2): 836-838.
27. 周琴, 薛姣, 王立娜, 等. 面部医用级别防护用具致皮肤损伤的护理策略. 中华烧伤杂志, 2020, 36(8): 686-690.

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