Application of 4R-model crisis management theory in skin care of patients in ICU

Abstract

Objective To explore the application of 4R-model crisis management theory in skin care of patients in ICU. Methods A total of 800 patients in ICU of our hospital between January and December 2013 were included as control group received routine skin care. A total of 850 patients in ICU of our hospital between January and December 2014 were included in observation group and given skin care based on 4R-model crisis management theory. The incidence of pressure ulcers, skin damage, eczema, scald, frostbite and the improvement of pressure ulcers were record and compared in two groups. Results The incidence of skin problems in the observation group was significantly lower than that in the control group. The difference between two groups was statistically significant (P<0.05). The score of nursing quality in the observation group was higher than that in the control group. The difference between two groups was statistically significant (P<0.05). Conclusions The application of 4R-model crisis management theory can effectively prevent the occurrence of skin complications of patients in ICU, and provide a scientific, continuous and effective management for skin care of patients in ICU. Key words: ICU; Skin care; 4R-model crisis management theory