急诊护士对急危重症患者器械相关压力性损伤管理需求的现状调查

doi:10.3761/j.issn.2096-7446.2025.06.016

摘要/Abstract

摘要：

目的深入了解急诊护士对急危重症患者器械相关压力性损伤（device related pressure injuries，DRPI）管理需求的现状，为构建急危重症患者DRPI的预防管理方案提供参考。方法使用急危重症患者DRPI管理需求调查问卷，采用便利抽样方法选取河南省1所省级医院及郑州市2所三级甲等医院急诊系统的155名护士进行问卷调查，分析急诊护士的管理需求。结果共回收155份问卷。急诊护士对急危重症患者的DRPI管理需求程度为100%，中高度需求达74.19%，主要涉及3个方面：提升对DRPI的系统化认知、提升对DRPI的精准管理能力、更优化的DRPI工作流程。结论护理管理者应根据急诊护士的实际管理需求，制订并推行科学合理的DRPI培训方案及管理方案，提升其DRPI管理能力，改善患者预后。

关键词: 急诊, 器械相关压力性损伤, 管理, 需求, 现状调查

Abstract:

Objective To gain a deeper understanding of the current management needs for device related pressure injuries（DRPI）in emergency and critically ill patients among emergency nurses，and to provide reference for the construction of DRPI prevention and management plans for emergency critically ill patients. Methods A questionnaire was used to investigate the emergency nurses’ management needs of DRPI among emergency critically ill patients. Convenience sampling was used to select 155 nurses from the emergency system of one provincial-level hospital in Henan Province and two tertiary grade A hospitals in Zhengzhou City for a questionnaire survey to analyze the management needs of emergency nurses. Results A total of 155 questionnaires were collected. The demand for DRPI management among emergency nurses for emergency critically ill patients reached 100%，with a medium-to-high demand accounted for 74.19%. There were mainly three aspects，including improving the systematic understanding of DRPI，enhancing the precise management ability of DRPI，and optimizing the DRPI workflow. Conclusion Nursing managers should develop and implement scientifically reasonable DRPI training and management plans based on the actual management needs of emergency nurses，enhance their DRPI management capabilities，and improve patient outcomes.

Key words: Emergency Department, Device Related Pressure Injuries, Management, Demand, Current Situation Survey

张圆圆, 刘颖, 刘琪燕. 急诊护士对急危重症患者器械相关压力性损伤管理需求的现状调查[J]. 中华急危重症护理杂志, 2025, 6(6): 719-724.

ZHANG Yuanyuan, LIU Ying, LIU Qiyan. Investigation on the current situation of emergency nurses’ management needs for device-related pressure injuries in emergency and critically ill patients[J]. Chinese Journal of Emergency and Critical Care Nursing, 2025, 6(6): 719-724.

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