Urgent recommendation protective measures of West China Hospital for medical personnel to prevent device related pressure injuries in 2019-nCoV epidemic situation_Chinese Journal of Reparative and Reconstructive Surgery

Authors：

CHEN Jiali ^1,2 ,  NING Ning ^1,2 ,  JIANG Yan ³ , LI Peifang ¹ , LI Lingli ² , WANG Liqun ¹ , LIU Ying ² , XIE Jingying ² , ZHANG Hongying ² , WANG Yalei ² , ZUO Jianrong ¹

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

Corresponding?author：

NING Ning, Email: gkningning@126.com; JIANG Yan, Email: jiangkunyan@163.com

Keywords：

2019-nCoV; medical personnel; device related pressure injury; preventive and protective measures

DOI：

10.7507/1002-1892.202002009

Video：

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At present, the 2019-nCoV epidemic situation is in severe and complex period. In order to prevent the virus from invading and infecting, it is very important and urgent for medical personnel to protect themselves. However, in the process of using protective equipment by medical personnel, the performance of device related pressure injuries (DRPI) caused by pain, numbness, redness, and even breakage caused by the equipment has seriously endangered the health of medical personnel. This article, based on Prevention and Treatment of Pressure Ulcers/Injuries: Quick Reference Guide 2019, references, and clinical experiences of wound specialists in West China Hospital of Sichuan University, summarize the preventive and protective measures of West China Hospital for medical personnel to prevent DRPI, so as to provide clinical preventive measurements for medical personnel.

Citation： CHEN Jiali, NING Ning, JIANG Yan, LI Peifang, LI Lingli, WANG Liqun, LIU Ying, XIE Jingying, ZHANG Hongying, WANG Yalei, ZUO Jianrong. Urgent recommendation protective measures of West China Hospital for medical personnel to prevent device related pressure injuries in 2019-nCoV epidemic situation. Chinese Journal of Reparative and Reconstructive Surgery, 2020, 34(8): 1036-1040. doi: 10.7507/1002-1892.202002009 Copy

1.	Pittman J, Beeson T, Kitterman J, et al. Medical device-related hospital-acquired pressure ulcers: development of an evidence-based position statement. J Wound Ostomy Continence Nurs, 2015, 42(2): 151-154.
2.	Black JM, Cuddigan JE, Walko MA, et al. Medical device related pressure ulcers in hospitalized patients. Int Wound J, 2010, 7(5): 358-365.
3.	National Pressure Ulcer Advisory Panel, European Pressure Ulcer Advisory Panel, Pan Pacific Pressure Injury Alliance. Prevention and Treatment of Pressure Ulcers/Injuries: Clinical Practice Guideline. Revised ed. Perth: Cambridge Media, 2014.
4.	Edsberg LE, Black JM, Goldberg M, et al. Revised national pressure ulcer advisory panel pressure injury staging system: revised pressure injury staging system. J Wound Ostomy Continence Nurs, 2016, 43(6): 585-597.
5.	European Pressure Ulcer Advisory Panel, National Pressure Injury Advisory Panel, Pan Pacific Pressure Injury Alliance. Prevention and Treatment of Pressure Ulcers/Injuries: Quick Reference Guide 2019[EB/OL]. http://www.internationalguideline.com/guideline.
6.	Apold J, Rydrych D. Preventing device-related pressure ulcers: using data to guide statewide change. J Nurs Care Qual, 2012, 27(1): 28-34.
7.	Baharestani MM, Ratliff CR. Pressure ulcers in neonates and children: an NPUAP white paper. Adv Skin Wound Care, 2007, 20(4): 208-210.
8.	人民日報. 她們摘下口罩的樣子, 讓人心疼…[N/OL]. [2020-2-1]. https://mp.weixin.qq.com/s/e0DaEzvpXSneyYt8A8cZ1g.
9.	人民日報. 臉！[N/OL].[2020-2-5]. https://mp.weixin.qq.com/s/7CtD4bwyh6_UnBbPETz1tg.
10.	National Pressure Ulcer Advisory Panel. Best practices for prevention of medical device-related pressure ulcers in critical care [EB/OL]. [2015-04-15]. http://www.npuap.org/wp-content/uploads/2013/04/Best Practices-Critical Care1.pdf.
11.	居琪晅. COPD 患者 BiPAP 無創機械通氣壓迫性損傷的預防干預. 護理學雜志, 2010, 25(19): 31-32.
12.	Hanonu S, Karadag A. A prospective, descriptive study to determine the rate and characteristics of and risk factors for the development of medical device-related pressure ulcers in intensive care units. Ostomy Wound Manage, 2016, 62(2): 12-22.
13.	Fletcher J. The important of reaching consensus on pressure ulcers. Wound UK, 2012, 8(3): 6.
14.	Kennedy K, Lutz J. Comparison of the efficacy and cost effectiveness of three skin protectants in the management of incontinent dematitis. European Conference on Advance in Wound Management, Amsterdam, the Netherlands, 1996.
15.	楊小輝, 趙媛媛, 鈕美娥. ICU 醫療器械相關壓力性損傷的研究現狀. 護理學報, 2017, 24(13): 49-53.
16.	黃慶萍, 張建榮, 黃艷芳, 等. ICU 醫療器械相關性壓力性損傷風險評估量表構建與分析. 護士進修雜志, 2018, 33(19): 1743-1746.
17.	Cornish L. The use of prophylactic dressings in the prevention of pressure ulcers: a literature review. Br J Community Nurs, 2017, 22(Supppl 6): S26-S32.
18.	Reid K, Ayello EA, Alavi A. Pressure ulcer prevention and treatment: use of prophylactic dressings. Chro Wound Care Manage Res, 2016, 3: 117-121.
19.	National Pressure Ulcer Advisory Panel, European Pressure Ulcer Advisory Panel, Pan Pacific Pressure Injury Alliance. Prevention and treatment of pressure ulcers: medical device related pressure ulcers-an extract from the clinical practice guideline. Osborne Park, Western Australia: Cambridge Media, 2014: 1-17.
20.	Haesler E. Evidence summary. Pressure injuries: preventing medical device related pressure injuries. The Joanna Briggs Institute, 2017, 11(30): 1-4.
21.	何海燕, 劉雨村. 賽膚潤液體敷料對危重患者難免壓瘡預防的效果觀察. 重慶醫科大學學報, 2013, 38(7): 723-726.
22.	Otero DP, Domínguez DV, Fernández LH, et al. Preventing facial pressure ulcers in patients under non-invasive mechanical ventilation: a randomised control trial. J Wound Care, 2017, 26(3): 128-136.
23.	陽緒容, 吳小玲, 蔣麗, 等. 3M 液體敷料預防老年患者心電監護時電極片致皮膚損傷的效果觀察. 護理學報, 2014, (22): 42-43, 44.

1. Pittman J, Beeson T, Kitterman J, et al. Medical device-related hospital-acquired pressure ulcers: development of an evidence-based position statement. J Wound Ostomy Continence Nurs, 2015, 42(2): 151-154.
2. Black JM, Cuddigan JE, Walko MA, et al. Medical device related pressure ulcers in hospitalized patients. Int Wound J, 2010, 7(5): 358-365.
3. National Pressure Ulcer Advisory Panel, European Pressure Ulcer Advisory Panel, Pan Pacific Pressure Injury Alliance. Prevention and Treatment of Pressure Ulcers/Injuries: Clinical Practice Guideline. Revised ed. Perth: Cambridge Media, 2014.
4. Edsberg LE, Black JM, Goldberg M, et al. Revised national pressure ulcer advisory panel pressure injury staging system: revised pressure injury staging system. J Wound Ostomy Continence Nurs, 2016, 43(6): 585-597.
5. European Pressure Ulcer Advisory Panel, National Pressure Injury Advisory Panel, Pan Pacific Pressure Injury Alliance. Prevention and Treatment of Pressure Ulcers/Injuries: Quick Reference Guide 2019[EB/OL]. http://www.internationalguideline.com/guideline.
6. Apold J, Rydrych D. Preventing device-related pressure ulcers: using data to guide statewide change. J Nurs Care Qual, 2012, 27(1): 28-34.
7. Baharestani MM, Ratliff CR. Pressure ulcers in neonates and children: an NPUAP white paper. Adv Skin Wound Care, 2007, 20(4): 208-210.
8. 人民日報. 她們摘下口罩的樣子, 讓人心疼…[N/OL]. [2020-2-1]. https://mp.weixin.qq.com/s/e0DaEzvpXSneyYt8A8cZ1g.
9. 人民日報. 臉！[N/OL].[2020-2-5]. https://mp.weixin.qq.com/s/7CtD4bwyh6_UnBbPETz1tg.
10. National Pressure Ulcer Advisory Panel. Best practices for prevention of medical device-related pressure ulcers in critical care [EB/OL]. [2015-04-15]. http://www.npuap.org/wp-content/uploads/2013/04/Best Practices-Critical Care1.pdf.
11. 居琪晅. COPD 患者 BiPAP 無創機械通氣壓迫性損傷的預防干預. 護理學雜志, 2010, 25(19): 31-32.
12. Hanonu S, Karadag A. A prospective, descriptive study to determine the rate and characteristics of and risk factors for the development of medical device-related pressure ulcers in intensive care units. Ostomy Wound Manage, 2016, 62(2): 12-22.
13. Fletcher J. The important of reaching consensus on pressure ulcers. Wound UK, 2012, 8(3): 6.
14. Kennedy K, Lutz J. Comparison of the efficacy and cost effectiveness of three skin protectants in the management of incontinent dematitis. European Conference on Advance in Wound Management, Amsterdam, the Netherlands, 1996.
15. 楊小輝, 趙媛媛, 鈕美娥. ICU 醫療器械相關壓力性損傷的研究現狀. 護理學報, 2017, 24(13): 49-53.
16. 黃慶萍, 張建榮, 黃艷芳, 等. ICU 醫療器械相關性壓力性損傷風險評估量表構建與分析. 護士進修雜志, 2018, 33(19): 1743-1746.
17. Cornish L. The use of prophylactic dressings in the prevention of pressure ulcers: a literature review. Br J Community Nurs, 2017, 22(Supppl 6): S26-S32.
18. Reid K, Ayello EA, Alavi A. Pressure ulcer prevention and treatment: use of prophylactic dressings. Chro Wound Care Manage Res, 2016, 3: 117-121.
19. National Pressure Ulcer Advisory Panel, European Pressure Ulcer Advisory Panel, Pan Pacific Pressure Injury Alliance. Prevention and treatment of pressure ulcers: medical device related pressure ulcers-an extract from the clinical practice guideline. Osborne Park, Western Australia: Cambridge Media, 2014: 1-17.
20. Haesler E. Evidence summary. Pressure injuries: preventing medical device related pressure injuries. The Joanna Briggs Institute, 2017, 11(30): 1-4.
21. 何海燕, 劉雨村. 賽膚潤液體敷料對危重患者難免壓瘡預防的效果觀察. 重慶醫科大學學報, 2013, 38(7): 723-726.
22. Otero DP, Domínguez DV, Fernández LH, et al. Preventing facial pressure ulcers in patients under non-invasive mechanical ventilation: a randomised control trial. J Wound Care, 2017, 26(3): 128-136.
23. 陽緒容, 吳小玲, 蔣麗, 等. 3M 液體敷料預防老年患者心電監護時電極片致皮膚損傷的效果觀察. 護理學報, 2014, (22): 42-43, 44.

Chinese Journal of Reparative and Reconstructive Surgery

Urgent recommendation protective measures of West China Hospital for medical personnel to prevent device related pressure injuries in 2019-nCoV epidemic situation

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