Original Article

The Risk Factors-Based Nursing Case Management Could Ef-fectively Reduce the Incidence of Pressure Sores in Hospitalized Patients

Abstract

Background: To explore the effects of risk factors-based nursing management on the occurrence of pressure sores in hospitalized patients.

Methods: From Jan 2018 to Jun 2018, 289 hospitalized patients were divided into pressure sores group [100] and control group [189] for retrospective analysis. Overall, 260 hospitalized patients from Jun 2018 to Dec 2018 were followed up for nursing intervention. Overall 130 patients received risk factors-based nursing case management were in the intervention group, whereas 130 patients who received routine nursing care were in the control group. The chi-square test and t-test were used to compare the count data and the measurement data between groups, respectively.

Results: Age, body weight and proportions of patients with impaired nutritional intake, diabetes or stroke in pressure sores group were higher than those in normal group (P<0.05). Hospital stay and operative time in pressure sores group was longer than those in normal group (P<0.05). The frequency of assistant activity in pressure sores group was significantly lower than that in control group (P<0.05).In addition, the score of uroclepsia in pressure sores group was lower than that in normal group (P<0.05). Patients in the intervention group showed lower risk for pressure sores and more satisfied than patients in control group (P<0.001).

Conclusion: Advanced age, high body weight, diabetes and stroke, long hospital stay, long operative time, poor nutritional status and severe uroclepsia were independent risk factors of pressure sores. Risk factors-based nursing case management can effectively reduce the occurrence and risk of pressure sores for hospitalized patients.

1. Smith HA, Moore Z, Tan MH (2019). Co-hort study to determine the risk of pres-sure ulcers and developing a care bundle within a paediatric intensive care unit set-ting. Intensive Crit Care Nurs, 53: 68-72.
2. Moore ZE, Patton D (2019). Risk assess-ment tools for the prevention of pressure ulcers. Cochrane Database Syst Rev, 1(1): CD006471.
3. Bass MJ, Phillips LG (2007). Pressure sores. Curr Probl Surg, 44(2): 101-143.
4. Tannen A, Dassen T, Halfens R (2008). Dif-ferences in prevalence of pressure ulcers between the Netherlands and Germany–associations between risk, prevention and occurrence of pressure ulcers in hospitals and nursing homes. J Clin Nurs, 17(9): 1237-1244.
5. McInnes E, Jammali-Blasi A, Bell-Syer SE, et al (2015). Support surfaces for pressure ulcer prevention. Cochrane Database Syst Rev, 2015(9): CD001735.
6. Lahmann NA, Dassen T, Poehler A, et al (2010). Pressure ulcer prevalence rates from 2002 to 2008 in German long-term care facilities. Aging Clin Exp Res, 22(2): 152-156.
7. Field TS, Gurwitz JH, Avorn J, et al (2001). Risk factors for adverse drug events among nursing home residents. Arch In-tern Med, 161(13): 1629-1634.
8. Goetz CG, Stebbins GT (1993). Risk factors for nursing home placement in advanced Parkinson's disease. Neurology, 43(11): 2227-2229.
9. Yörük S, Açıkgöz A, Türkmen H, et al (2019). Risk factors and relationship be-tween screening periodicity and risk of cervical cancer among nurses and mid-wives. A cross-sectional study. Sao Paulo Med J, 137(2): 119-125.
10. Yang S, Lu J, Zeng J, et al (2019). Prevalence and Risk Factors of Work-Related Mus-culoskeletal Disorders among Intensive Care Unit Nurses in China. Workplace Health Saf, 67(6): 275-287.
11. Sundaram V, Lim J, Tholey DM, et al (2017). The Braden Scale, a standard tool for assessing pressure ulcer risk, predicts early outcomes after liver transplantation. Liver Transpl, 23(9): 1153-1160.
12. Chen HL, Tzeng WC, Lu MS, et al (2016). Reliability and Validity Testing of the Taiwanese Inpatient Nursing Care Satis-faction Scale: A Pilot-Study. Hu Li Za Zhi, 63(3): 42-51.
13. Ahn H, Cowan L, Garvan C, et al (2016). Risk factors for pressure ulcers including suspected deep tissue injury in nursing home facility residents: analysis of na-tional minimum data set 3.0. Adv Skin Wound Care, 29(4): 178-190.
14. Brauner D, Werner RM, Shippee T P, et al (2018). Does nursing home compare re-flect patient safety in nursing homes? Health Aff (Millwood), 37(11): 1770-1778.
15. Kang JH, Kim CW, Lee SY (2016). Nurse-perceived patient adverse events depend on nursing workload. Osong Public Health Res Perspect, 7(1): 56-62.
16. Brienza D, Krishnan S, Karg P, et al (2018). Predictors of pressure ulcer incidence fol-lowing traumatic spinal cord injury: a sec-ondary analysis of a prospective longitu-dinal study. Spinal Cord, 56(1): 28-34.
17. Wurzer P, Winter R, Sebastian OS, et al (2018). Risk factors for recurrence of pressure ulcers after defect reconstruc-tion: Risk factors for pressure ulcer recur-rence. Wound Repair Regen, 26(1): 64-68.
18. Shahin ES, Dassen T, Halfens RJ (2009). In-cidence, prevention and treatment of pressure ulcers in intensive care patients: a longitudinal study. Int J Nurs Stud, 46(4): 413-421.
19. Kim S, Kim K, Kim SJ (2018). Identifying and prioritizing topics for evidence-based geriatric nursing practice guidelines in Korea. Int Nurs Rev, 65(4): 550-558.
20. Cox J (2011). Predictors of pressure ulcers in adult critical care patients. Am J Crit Care, 20(5): 364-375.
21. Baumgarten M, Margolis D, Berlin JA, et al (2003). Risk factors for pressure ulcers among elderly hip fracture patients. Wound Repair Regen, 11(2): 96-103.
22. Eachempati SR, Hydo LJ, Barie PS (2001). Factors influencing the development of decubitus ulcers in critically ill surgical pa-tients. Crit Care Med, 29(9): 1678-1682.
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IssueVol 50 No 3 (2021) QRcode
SectionOriginal Article(s)
DOI https://doi.org/10.18502/ijph.v50i3.5601
Keywords
Risk factors Pressure sores Hospitalized patients
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How to Cite
1.
JIANG H, LIANG Y, LIU X, YE D, PENG M, CHEN Y, CHEN S, CHEN W, LI H, ZHANG S. The Risk Factors-Based Nursing Case Management Could Ef-fectively Reduce the Incidence of Pressure Sores in Hospitalized Patients. Iran J Public Health. 2021;50(3):566-572.