Original Article

Construction and Application of a Three-Level Linkage System for the Prevention and Treatment of Pressure Sores in Geriatric Patients in the Henan Province, China

Abstract

Background: To research effective prevention and treatment strategies for pressure sores in geriatric patients and examine the results from application of a three-level linkage system.

Methods: We developed and constructed a three-level linkage intervention system for pressure sores from Jun 2017 to Dec 2018, centered at the geriatrics department of the Ninth People's Hospital of Zhengzhou, China. The changes included improving the organization structure; formulating a unified evaluation system for quantitation of pressure sore risk management; formulating and standardizing the reporting/feedback mechanism; constructing and improving three-level linkage system staff training; and establishing a quality control system for process monitoring guidance and final evaluation feedback.

Results: The incidence of pressure sores significantly decreased, nursing staff’s knowledge level regarding pressure sore prevention and treatment increased, and pressure sore cure rate and care satisfaction increased.

Conclusion: Implementation of a three-level linkage intervention system for pressure sores in geriatric patients and standardizing pressure injury assessment helps achieve pressure sore prevention and early intervention, effectively reduces the occurrence of pressure sores in geriatric nursing homes, increases the cure rate, and improves care satisfaction among patients.

 

1. Li L, Jiang L, Zeng Y, Chen X, Li Y, Fan X (2020). Nursing behaviors relevant to pressure injury in the general hospitals of Changsha, China. Zhong Nan Da Xue Xue Bao Yi Xue Ban, 45(6):722-732.
2. Jiang L, Li L, Lommel L (2020). Nurses' knowledge, attitudes, and behaviours re-lated to pressure injury prevention: A large-scale cross-sectional survey in main-land China. J Clin Nurs, 29(17-18):3311-3324.
3. Lawrence P, Fulbrook P, Miles S (2015). A Survey of Australian Nurses' Knowledge of Pressure Injury/Pressure Ulcer Man-agement. J Wound Ostomy Continence Nurs, 42(5):450-60.
4. National Pressure Ulcer Advisory Panel. NPIAP pressure injury stages [EB/OL]. (2016-04-08) [2020-07-01].
5. Dealey C, Posnett J, Walker A (2012). The cost of pressure ulcers in the United Kingdom. J Wound Care, 21(6): 261-2, 264, 266.
6. National Pressure Ulcer Advisory Panel, Eu-ropean Pressure Ulcer Advisory, Pan Pa-cific Pressure Injury Alliance (2014). Pre-vention and Treatment of Pressure Ulcer: Clinical Practice Guideline. Perth: Cambridge Media, 28.
7. Artico M, Dante A, D'Angelo D, et al (2018). Prevalence, incidence and associ-ated factors of pressure ulcers in home palliative care patients: A retrospective chart review. Palliat Med, 32(1): 299-307.
8. Jiang Q, Guan X, Su C (2013). Multi-center joint survey on the prevalence of pressure ulcers in general hospitals. Chinese Nursing Management, 01: 26-30.
9. Li J, Wang Y, Chen Y, Qiu J, Guo H (2015). Analysis of the incidence of pressure ul-cers and related factors among urban res-idents in Panyu area. Chinese General Prac-tice, 11: 1821-1823.
10. Ekama Ilesanmi R, Morohunfoluwa Olu-watosin O (2016). A Quasi-experimental Study to Assess an Interactive Education-al Intervention on Nurses' Knowledge of Pressure Ulcer Prevention in Nigeria. Ostomy Wound Manage, 62(4): 30-40.
11. Wilson L, Kapp S, Santamaria N (2019). The direct cost of pressure injuries in an Aus-tralian residential aged care setting. Int Wound J, 16(1):64-70.
12. Lindhardt CL, Beck SH, Ryg J (2020). Nurs-ing care for older patients with pressure ulcers: A qualitative study. Nurs Open, 7(4):1020-1025.
13. Xu S, Miao T, Bi D (2018). Application of information system in the management of patients with high risk of pressure ul-cers. Hospital Management Forum, 35(7): 73-76.
14. Su M, Zhou G (2019). Progress in the knowledge and training of pressure injury protection. China Medical Journal, 01: 181-184.
15. Tian Y, Pan H, Fang J, Hu H, Ye Z (2017). Construction and practice of a structured pressure ulcer management system. Nurs-ing and Rehabilitation, 16(9): 981-983.
16. Liu Y (2016). Analysis of the application ef-fect of PDCA circulation model in the management of pressure ulcers. Chinese Medical Guide, 14(29): 285-286.
17. Li H, Che Y (2017). The concept and clinical application progress of clustered nursing for the prevention and treatment of pres-sure ulcers. Chinese Journal of Preventive Medi-cine, 35(7): 830-832.
18. Huang Y, Fu X (2020). Suggestions and re-flections on building a high-level wound repair department in China. Chinese Journal of Trauma, 36(10): 876-879.
19. Fu X (2019). Innovation and development of modern Chinese trauma repair disci-pline construction. Chinese Journal of Trau-ma, 35(9): 780-784.
Files
IssueVol 51 No 6 (2022) QRcode
SectionOriginal Article(s)
DOI https://doi.org/10.18502/ijph.v51i6.9673
Keywords
Elderly Three-level linkage system Chronic refractory wounds Pressure sore

Rights and permissions
Creative Commons License This work is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License.
How to Cite
1.
Hu D, Ning J, Sun Y, Wang S, Jin N, Chen Y, Zhang N, Zuo X, Zhao L, Tian Y, Wang X, Xing Z, Wang C. Construction and Application of a Three-Level Linkage System for the Prevention and Treatment of Pressure Sores in Geriatric Patients in the Henan Province, China. Iran J Public Health. 2022;51(6):1295-1302.