The role of psychological distress in the relationship between the severity of pressure injury and pain intensity in hospitalized adults

Kim, Junglyun; Lyon, Debra E.; Weaver, Michael T.; Keenan, Gail M.; Chen, Xinguang

doi:10.1111/jan.13913

Cited by 15 publications

(5 citation statements)

References 42 publications

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“…Pressure injuries, also known as pressure ulcers, are a major patient safety issue that negatively impact on patient's quality of life 1 and adds costs to the healthcare systems. 2 , 3 The burden of pressure injury is substantial.…”

Section: Introductionmentioning

confidence: 99%

Pressure injury prevention practices among medical surgical nurses in a tertiary hospital: An observational and chart audit study

Marshall

Lin

et al. 2021

International Wound Journal

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Pressure injuries are frequently occurring adverse events in hospitals, negatively impacting patient safety and quality of care. Most pressure injuries are avoidable if effective prevention strategies are used. However, the extent to which various settings influence their use of prevention strategies is unknown. The aim of this study was to describe and compare pressure injury prevention strategies used by medical and surgical nurses in the Chinese context. In this observational study, we used semi‐structured observations with chart audits to collect data in two medical and two surgical wards in a tertiary hospital from June to December 2020. Observations were patient‐focused; any prevention practices the patient received were recorded, and a chart audit was used to identify documented prevention strategies. The frequency of each prevention strategy was reported, and differences between medical and surgical wards were analysed using independent t ‐test or χ 2 test. A total of 577 patients (n = 294, 50.9% medical; n = 283, 49.1% surgical) were observed and their charts audited. Risk assessment was completed on admission for all patients. Repositioning was the most frequently used strategy, with about 84% (n = 486) patients being repositioned regularly. However, skin care, nutritional risk screening and the use of support surfaces were suboptimal. Patient education was not commonly observed but was documented in 75% (n = 433) of audited charts. More medical patients' skin was kept clean and hydrated, but more surgical patients received barrier creams, had a support surface and received more nutrition support and if a prone position was used, they were more likely to be turned after 2 hr and to be repositioned after sitting in a chair for an hour. Prevention strategies were more likely to be documented in surgical patients' charts. Despite pressure injury prevention guideline recommendations provided various prevention strategies for nurses to apply, the observed use of some strategies such as nutrition, skin care and support surfaces was not ideal. Nurses relied heavily on repositioning for pressure injury prevention. Most pressure injury prevention practices need improvement although surgical patients generally received better preventative care. These findings can facilitate clinicians and nurse managers when tailoring future pressure injury prevention work.

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Section: Introductionmentioning

confidence: 99%

Pressure injury prevention practices among medical surgical nurses in a tertiary hospital: An observational and chart audit study

Marshall

Lin

et al. 2021

International Wound Journal

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“…NPUAP divides PI into stage-I PI, stage-II PI, stage-III PI, stage-IV PI, nonstage PI, and deep tissue injury. Medical device-related PI and mucosal PI include both open ulcers and deep tissue damage [ 5 ]. In recent years, the multidisciplinary combination has increased the complexity of the operation and the hospitalized patients are predominantly affected by pressure ulcers.…”

Section: Introductionmentioning

confidence: 99%

Prevention Effects of Chain Management on Pressure Ulcers of Hospitalized Patients

Yao

Zhao

Chen

et al. 2021

Journal of Healthcare Engineering

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The study focused on the preventive effects of the chain management model on pressure ulcers in the operating room. Sqoop big data collection module is used to collect patient information from various hospital information systems in a distributed manner. The data were from the clinical data center of the Zhongshan Hospital Xiamen University General Hospital, and 268 patients were selected as the research subjects. A chain management model is constructed, concerning the preventive measures, the management of each link, the perioperative pressure ulcer management, and the reporting of pressure ulcers. Then, the two groups were compared for the SAS and SDS scores before and after nursing, the pressure ulcer sites, pressure ulcer reporting rate, pressure ulcer staging, and nursing satisfaction. The results show that it is not that more collection modules will lead to better cluster performance and that the execution delay is caused by MapReduce requiring the JAVA virtual machine, and after reaching a certain point, the increase in the number of tasks will slow down the process, and as data size increases, DataNote has an expanded capability to analyze data. After nursing treatment, the SAS and SDS scores of the two groups of patients were significantly lower than before treatment ( P < 0.05 ). The pressure ulcers were mainly distributed in the forehead, mandible, cheeks, front chest, and knees in the two groups, and the difference between the two groups was statistically significant ( P < 0.05 ). The total satisfaction of the observation group was 93.28%, and the total satisfaction of the control group was 92.54%. The patients’ satisfaction with the chain management model was higher than that of conventional nursing.

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“…Pain also has an indirect association with sleep impairment by inducing a depressed mood [ 21 ]. Poorer sleep quality and higher pain intensity also were reported in chronic pain unrelated to cancer in Mexican patients [ 38 , 39 ]. Pain produces nightly awakenings, sleep fragmentation, and reduced sleep efficiency [ 21 , 32 ], which can be detected as sleep disruption in the PSQI.…”

Section: Discussionmentioning

confidence: 99%

Prevalence of Poor Sleep Quality and Associated Factors in Individuals with Rheumatoid Arthritis: A Cross-Sectional Study

Juárez-Rojop,

Fresán,

Genis-Mendoza

et al. 2023

Medicina

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Background and Objectives: Poor sleep quality has been frequently observed in individuals with rheumatoid arthritis. In the present study, we analyzed the presence of poor sleep quality in a sample of Mexican individuals with rheumatoid arthritis; then, we compared sociodemographic and clinical characteristics among patients to determine risk factors for poor sleep quality. Materials and Methods: In this cross-sectional study, we included 102 individuals with rheumatoid arthritis from a hospital in Mexico. We evaluated disease activity (DAS28), quality of sleep using the Pittsburgh Sleep Quality Index, and the presence of depression and anxiety with the Hospital Anxiety and Depression Scale. We performed a Chi-square test and a t-test. Then, we performed a logistic regressions model of the associated features in a univariable analysis. Results: Poor sleep quality was observed in 41.75% of the individuals with rheumatoid arthritis. Being married was a proactive factor (OR 0.04, 95% CI 0.1–0.9, p = 0.04), whereas having one’s hips affected or presenting with anxiety and depression was associated with poor sleep quality (OR 4.6, 95% CI 1.2–17.69, p = 0.02). After a multivariate analysis, having anxiety (OR 5.0, 95% CI 1.4–17.7, p < 0.01) and depression (OR 9.2, 95% CI 1.0–8.1, p < 0.01) remained associated with a higher risk of having poor sleep quality. Other clinical characteristics among patients were not significantly different. Conclusions: Our results showed that individuals with rheumatoid arthritis who also presented with depression or anxiety had a higher risk of suffering from poor sleep quality. However, more studies with larger samples are necessary to replicate these results in the Mexican population.

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The role of psychological distress in the relationship between the severity of pressure injury and pain intensity in hospitalized adults

Cited by 15 publications

References 42 publications

Pressure injury prevention practices among medical surgical nurses in a tertiary hospital: An observational and chart audit study

Pressure injury prevention practices among medical surgical nurses in a tertiary hospital: An observational and chart audit study

Prevention Effects of Chain Management on Pressure Ulcers of Hospitalized Patients

Prevalence of Poor Sleep Quality and Associated Factors in Individuals with Rheumatoid Arthritis: A Cross-Sectional Study

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