Investigation of prediction and prevention status for pressure ulcers in comprehensive hospitals

Abstract

Objective To analyze the status of prediction and prevention for pressure ulcers in comprehensive hospitals in order to get suggestions for pressure ulcers.Methods Using consensus investigating times,tools,ways and procedure flows and judgment criteria,and organizing 457 nurses who trained and passed examination to do a cross-sectional investigation for condition of prediction and prevention for pressure ulcers in 12 comprehensive acute care hospitals.Data were calculated by SPSS 16.0 statistic software.Results Totals of 39 952 cases run into the database,the prevalence of pressure ulcers was 1.579％ and the incidence of hospital-acquired pressure ulcers was 0.628 ％ (251/39 952).Out of patients with Braden scale ≤ 16 points totally 4 710 cases,the first assessment rate was 50.235％ and reassessment rate was 56.645％.The first assessment rate of 380 patients found out pressure ulcers on admission was 87.38％ and reassessment rate was 90.842％.The reassessment rate of 251 patients with hospital-acquired pressure ulcers was 95.219％.The first assessment rate of 1 094 critical care patients on admission was 94％ and reassessment rate was 69.104％.The application rate of support surfaces or devices on beds and chairs for 4 710 patients with risk of pressure ulcers was 61.805％and 3.652％,respectively.The regular changing position rate on beds and chairs for 4 710 patients with risk of pressure ulcers was 75.138％ and 7.834％ respectively.The difference of Braden scores by clinical nurses and trained wound care team nurses was significant [(14.01 ± 3.54) vs (3.29 ± 3.54) ;t =3.221,P ＜ 0.01].Pressure ulcer risk patients use decompression pad status and timing change positions comparative differences were statistically significant (P ＜ 0.01).Conclusions The results of prediction and prevention for pressure ulcers in twelve comprehensive hospitals did not meet the guidelines' aim.It is important to set up the organized frame and train different professional nurses for preventing pressure ulcers,and enhance clinical nurses' recognition to prevent pressure ulcers,check and guide them regularly. Key words: Pressure ulcers ; A cross-sectional survey; Data collection; Prevention