Influence factor and prevention of pressure ulcers in advanced tumor patients
10.3760/j.issn.1674-2907.2014.34.021
- VernacularTitle:晚期肿瘤患者压疮预防措施及相关危险因素分析
- Author:
Shui YU
1
;
Xiaosu ZHAO
;
Ling SONG
;
Wei LYU
Author Information
1. 130021 长春,吉林大学第一医院心血管诊疗中心
- Keywords:
Nursing care;
Pressure ulcer;
Prevention;
Quality indicators;
Risk assessment
- From:
Chinese Journal of Modern Nursing
2014;20(34):4338-4342
- CountryChina
- Language:Chinese
-
Abstract:
Objective To compare the prevalence of pressure ulcers and prevention before and after a quality improvement program.Methods Descriptive comparative study based on two cross-sectional pressure ulcer surveys was conducted in 2010 and 2013.A total of 612 hospitalized patients in 2010 and 632 in 2013 were included.The pressure ulcers prevention mainly included pressure-reducing mattresses, planned repositioning and so on.Braden scale was used to estimate the effect factors and severity of pressure ulcers. Results Pressure ulcer prevalence was 23.9%in 2010 and 18.2%in 2013,and the difference was statistically significant (χ2 =4.80,P<0.05).The mean age of patients with pressure ulcers in first half year of 2013 were significantly older than those without (76.2 ±2.3 vs 66.1 ±2.0;t=23.37,P<0.01).Braden scale records of pressure ulcers patients was lower than that of patients without (11.3 ±1.1 vs 20.4 ±1.7;t =27.12,P<0.01).The severity of pressure ulcers was related to moisture, activity, mobility and friction and shear (P<0.01).Conclusions Risk assessment as well as prevention should start early in the hospitalization in order to improve the life quality of patients.