Status and risk factors of discharged patients at risk of pressure injury
10.3760/cma.j.cn115682-20201019-05815
- VernacularTitle:出院压力性损伤风险患者现况及危险因素分析
- Author:
Xilan ZHAO
1
;
Changrong CHEN
;
Xiaoling ZHANG
;
Chunfeng LIU
;
Mengju LYU
Author Information
1. 重庆市涪陵中心医院心血管内科 408000
- Keywords:
Pressure ulcer;
Pressure injury;
Discharged patients;
Risk;
Influencing factors
- From:
Chinese Journal of Modern Nursing
2021;27(21):2867-2872
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To investigate the current status of discharged patients at risk of pressure injury and analyze risk factors of pressure injury.Methods:Using the convenient sampling method, 54 medical alliance units of Chongqing Fuling Central Hospital were selected for a cross-sectional survey. Patients at risk of pressure injury when discharged from the hospital and their caregivers were selected as the research objects from August 2019 to June 2020. The general demographic data sheet, clinical test data sheet, Braden Pressure Ulcer Risk Assessment Scale, Barthel index, and Family Caregiver Task Inventory (FCTI) were used for investigation. In this study, a total of 409 questionnaires were issued and 409 were effectively received, with an effective recovery of 100%.Results:There were 224 patients (54.8%) at light risk of pressure injury, 74 patients (18.1%) at moderate risk, 89 patients (21.8%) at high risk and 22 (5.4%) patients at extreme risk. The differences in general demographic data, clinical test data and self-care ability grade of 409 patients were statistically significant ( P<0.05) . The FCTI scores of caregivers for patients with different risk levels were compared, and the difference was statistically significant ( P<0.05) . The results of ordered logistic regression analysis showed that white blood cell count ( OR=1.103, 95% CI: 1.006-1.209, P=0.035) , care ability of caregivers ( OR=1.060, 95% CI: 1.017-1.104, P=0.005) , fecal incontinence ( OR=14.112, 95% CI: 2.505-79.497, P=0.003) , indwelling catheter ( OR=3.111, 95% CI: 1.332-7.269, P=0.009) , severe dependence ( OR=15.705, 95% CI: 2.655-92.918, P=0.002) were risk factors for the risk of pressure injury in discharged patients. Conclusions:Among discharged patients with Braden score less than or equal to 18 points, there are 45.2% (185/409) patients with moderate risk of pressure injury and above. It is necessary to focus on discharged patients with high levels of white blood cells, weak care ability of caregivers, indwelling catheters and self-care ability of heavy dependence grade to prevent pressure injuries.
