The effect of cluster skin management on children with critical congenital heart disease / 中国实用护理杂志

ABSTRACT

Objective@#To explore the effect of cluster skin management (SSKIN) on reducing the incidence of stress skin injury in children with congenital heart disease during perioperative period.@*Methods@#Delphi method was used to establish cluster skin management specialty to formulate SSKIN. Skin outcomes of 863 children before SSKIN implementation (control group) and 819 children after SSKIN implementation (experimental group) were analyzed and compared through personnel training, program application and supervision.@*Results@#The incidence of stress skin injury, stage I stress skin injury and occipital pressure injury were 5.1% (44/863), 4.4% (38/863), 2.5% (22/863) in the control group and 2.3% (19/819), 2.2% (18/819), 0.7% (6/819) in the experimental group, respectively. There were significant differences between the two groups (χ2 = 8.999, 6.350, 8.472, P < 0.01 or 0.05). The incidence of stress skin injury in delayed chest closure and continuous positive airway pressure were 27.9%(17/61), 23.4%(18/77) in the control group and 11.5%(6/52), 8.9%(7/79) in the experimental group, respectively. There were significant differences between the two groups(χ2=4.618, 6.105, P<0.05).@*Conclusions@#The SSKIN is effective at prevent congenital heart disease patients with high risk of stress skin injury. It can improve the skin outcomes in children.