The Risk Factors-Based Nursing Case Management Could Effectively 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 factorsbased nursing case management can effectively reduce the occurrence and risk of pressure sores for hospitalized patients.

Pressure Ulcers and associated factors among adult patients admitted to The Surgical Wards in the Comprehensive Specialized Hospital Of The Northwest Amhara Regional State, Ethiopia

“…This result was slightly greater than that of studies conducted in Australia, which reported a prevalence of 2.6% [38], in China, which reported a prevalence of 1.6% [39], and in Wolaita, which reported a prevalence of 3.4% [40]. The possible reasons for these discrepancies might explain the greater prevalence in this study, which may be linked to the small sample size of the studies in Wolaita; the nding from Australia was based on a prospective cohort study design; and the diversity of the study participants' cultures, the difference in quality of care provided, and good feeding habits in China.…”

Pressure Ulcer And Associated Factors Among Adult Patients Admitted To The Surgical Wards In The Comprehensive Specialised Hospital Of The Northwest Amhara Regional State, Ethiopia

“…This might be attributable to differences in characteristics of patients, disease conditions of patients, difference in hospital factors such as nursing care service,awareness, training to secondary conditions of patients, and the fact that the previous study included all the wards. This result was slightly higher than studies conducted in Australia, with a prevalence of 2.6% [38],in China, with a prevalence of 1.6% [39],and Wolaita, with a prevalence of 3.4% [40]. The possible reasons for the discrepancies might explain the higher prevalence in this study, may be linked to the small sample size of the studies in Wolaita; the nding from Australia was based on a prospective cohort study design; and the diversity of the study participants' cultures, the difference in quality of care provided,and good feeding habits in China.Additionally, the variations can be related to instruction and adherence to procedures for pressure ulcer prevention techniques.…”

Pressure Ulcer And Associated Factors Among Adult Patients Admitted To The Surgical Wards In The Comprehensive Specialised Hospital Of The Northwest Amhara Regional State, Ethiopia

“…This result was slightly higher than studies conducted in Australia, with a prevalence of 2.6% [38],in China, with a prevalence of 1.6% [39],and Wolaita, with a prevalence of 3.4% [40]. The possible reasons for the discrepancies might explain the higher prevalence in this study, may be linked to the small sample size of the studies in Wolaita; the nding from Australia was based on a prospective cohort study design;…”