Influencing factors of pressure ulcers in bedridden patients from the view of caregivers

Abstract

Objective To analyze the influencing factors of pressure ulcers in bedridden patients from the view of caregivers. Methods We used convenience sample method to investigate primary the caregivers of 306 bedridden patients from January 2015 to June 2015. General information questionnaire, self-efficacy scale of caregivers for preventing pressure ulcers and scale of preventing pressure ulcers were used in this investigation. Patients were divided into the group with pressure ulcers (n=57) and the group without pressure ulcers (n=249). General data, self-efficacy and score of preventing pressure ulcers of caregivers in two groups were compared, and losgistic regression analysis was used to analyze the influencing factors of pressure ulcers in bedridden patients. Results The Braden score was (12.07±2.07) points in the group with pressure ulcers, and was (12.94±2.44) points in the group without pressure ulcers (t=2.34, P<0.05). The scores of self-efficacy and preventing pressure ulcers of caregivers in the group with pressure ulcers were (57.23±8.01) points and (3.38±0.40) points, while those in the group without pressure ulcers were (53.53±8.46) points and (3.01±0.37) points (t=2.87, 5.18; P<0.05). Logistic regression analysis showed that the influencing factors of pressure ulcers were the score of caregivers′ measures to prevent pressure ulcers, whether caregivers received training about preventing pressure ulcers and the Braden score of patients (P<0.05). Conclusions It is suggested that the nursing staff should be united with community to educate the caregivers for preventing pressure ulcers, and improve caregiver′s prevention behavior, so as to reduce the incidence of pressure ulcers. Key words: Pressure ulcers; Bedridden patients; Caregivers; Braden score; Self-efficacy