Application effect of link management in prevention of medical device related pressure ulcers in NICU

Abstract

Objective To explore the link management of medical device related pressure ulcers in neonatal intensive care unit (NICU), and reduce the incidence of NICU medical device related pressure ulcers through various link management. Methods From June 2012 to May 2014, 726 cases of patients in our department were selected as the control group and received commonly used preventive measures and conventional pressure ulcer grading nursing care. From June 2014 to May 2016, another 869 patients in our department was selected as the observation group, and they received link intervention based on the routine nursing method which includes the establishment of pressure ulcer steering group, developing nursing measures of common medical device related pressure ulcers, establishing management principles of prevention and management of medical devices related pressure ulcers and strengthening personnel training and development of all levels of responsibility. The incidence rate of NICU medical device related pressure ulcers was observed. Results There were 28 cases of medical device related pressure ulcers in the control group, and the incidence rate was 3.9% (28/726); while there were 7 cases of medical instrument pressure ulcers in the observation group, and the incidence rate was 0.8% (7/869). The severity of pressure ulcer in the control group was significantly higher than that in the observation group; the cure rate of the wound was significantly lower than that of the observation group (U=-2.001, P<0.05). The score of nursing staff on the knowledge of medical device related pressure ulcers was (26.2±1.7) after training, which was higher than that before training (17.6±0.8) (t=-6.04, P<0.01). Conclusions Through the link management of medical device related pressure ulcers, incidence rate of pressure ulcers is reduced; the quality of nursing is improved; the use of medical equipment is standardized; and the new concept of medical device related pressure ulcers is updated. Key words: Pressure ulcers; Medical instrument; Risk management; Neonatal intensive care unit (NICU)