創新教育與實踐：預防醫療黏性產品相關皮膚損傷的策略與應用

Innovative Education and Practice: Strategies and Applications for Preventing Medical Adhesive-Related Skin Injuries

臨床工作中，經常使用醫療黏性產品來固定管路或敷料，然而反覆黏貼可能導致患者皮膚變得敏感脆弱，甚至引發撕裂傷口，因此，提升護理人員對醫療黏性產品相關皮膚損傷（MARSI）的認知及預防方法是至關重要。透過跨專業合作設計課程講授、影片討論及策劃體驗工作坊，教授MARSI的定義、高危險族群的內外在因子、選用適合的醫療黏性產品，以及正確的黏貼與撕除技巧。使用有效評估工具來選用黏性產品，並藉由MARSI高危險個案評估表及警示卡，提升護理人員的認知與技能；最後，訂定MARSI預防護理標準並建立稽核與照會制度，將教育與實踐結合，以提升照護品質，預防因醫療黏性產品引發的皮膚損傷。

In clinical practice, medical adhesive products are frequently used to secure catheters or dressings. However, repeated application may cause patients' skin to become sensitive and fragile, potentially leading to skin tears. Therefore, enhancing nurses' awareness of and prevention strategies for medical adhesive-related skin injury (MARSI) is crucial. Through interdisciplinary collaboration, we designed a curriculum that includes lectures, video discussions, and experiential workshops to teach the definition of MARSI, internal and external risk factors for high-risk populations, the selection of appropriate medical adhesive products, and correct application and removal techniques. Effective assessment tools, such as the MARSI high-risk case assessment form and alert cards, are utilized to enhance nurses' knowledge and skills. Finally, we established MARSI prevention care standards and an audit and reporting system, integrating education and practice to improve care quality and prevent skin injuries caused by medical adhesive products.