Do Patients in Dutch Nursing Homes Have More Pressure Ulcers Than Patients in German Nursing Homes? A Prospective Multicenter Cohort Study

被引：25

作者：

Meesterberends, Esther ^{[1
]}

Halfens, Ruud J. G. ^{[1
]}

Spreeuwenberg, Marieke D. ^{[1
]}

Ambergen, Ton A. W. ^{[2
]}

Lohrmann, Christa ^{[3
]}

Neyens, Jacques C. L. ^{[1
]}

Schols, Jos M. G. A. ^{[1
]}

机构：

[1] Maastricht Univ, Dept Hlth Serv Res, Sch Publ Hlth & Primary Care CAPHRI, NL-6229 GT Maastricht, Netherlands

[2] Maastricht Univ, Dept Methodol & Stat, NL-6229 GT Maastricht, Netherlands

[3] Med Univ Graz, Dept Nursing Sci, Graz, Austria

来源：

JOURNAL OF THE AMERICAN MEDICAL DIRECTORS ASSOCIATION | 2013年 / 14卷 / 08期

关键词：

Pressure ulcers; incidence; prevention; nursing homes; LONG-TERM-CARE; OLDER RESIDENTS; BRADEN-SCALE; RISK-FACTORS; SORE RISK; PREVALENCE; PREVENTION; NETHERLANDS;

D O I：

10.1016/j.jamda.2013.03.005

中图分类号：

R592 [老年病学]; C [社会科学总论];

学科分类号：

03 ; 0303 ; 100203 ;

摘要：

Objectives: To investigate whether the incidence of pressure ulcers in nursing homes in the Netherlands and Germany differs and, if so, to identify resident-related risk factors, nursing-related interventions, and structural factors associated with pressure ulcer development in nursing home residents. Design: A prospective multicenter cohort study. Setting: Ten nursing homes in the Netherlands and 11 nursing homes in Germany (around Berlin and Brandenburg). Participants: A total of 547 newly admitted nursing home residents, of which 240 were Dutch and 307 were German. Residents had an expected length of stay of 12 weeks or longer. Measurements: Data were collected for each resident over a 12-week period and included resident characteristics (eg, demographics, medical history, Braden scale scores, nutritional factors), pressure ulcer prevention and treatment characteristics, staffing ratios and other structural nursing home characteristics, and outcome (pressure ulcer development during the study). Data were obtained by trained research assistants. Results: A significantly higher pressure ulcer incidence rate was found for the Dutch nursing homes (33.3%) compared with the German nursing homes (14.3%). Six factors that explain the difference in pressure ulcer incidence rates were identified: dementia, analgesics use, the use of transfer aids, repositioning the residents, the availability of a tissue viability nurse on the ward, and regular internal quality controls in the nursing home. Conclusion: The pressure ulcer incidence was significantly higher in Dutch nursing homes than in German nursing homes. Factors related to residents, nursing care and structure explain this difference in incidence rates. Continuous attention to pressure ulcer care is important for all health care settings and countries, but Dutch nursing homes especially should pay more attention to repositioning residents, the necessity and correct use of transfer aids, the necessity of analgesics use, the tasks of the tissue viability nurse, and the performance of regular internal quality controls. Copyright (C) 2013 - American Medical Directors Association, Inc.

引用

页码：605 / 610

页数：6

共 40 条

[1]

Abel Robert L, 2005, J Am Med Dir Assoc, V6, P181, DOI 10.1016/j.jamda.2005.03.011

[2]

Achterberg W P, 2008, Tijdschr Gerontol Geriatr, V39, P115

[3]

Alexander Gregory L, 2008, Qual Manag Health Care, V17, P242, DOI 10.1097/01.QMH.0000326729.78331.c5

[4]

Allman RM, 1997, CLIN GERIATR MED, V13, P421

[5]

Baumgarten Mona, 2003, Adv Skin Wound Care, V16, P299, DOI 10.1097/00129334-200311000-00012

[6] Outcome and Assessment Information Set Data That Predict Pressure Ulcer Development in Older Adult Home Health Patients [J].

Bergquist-Beringer, Sandra ;

Gajewski, Byron J. .

ADVANCES IN SKIN & WOUND CARE, 2011, 24 (09) :404-413

[7] THE BRADEN SCALE FOR PREDICTING PRESSURE SORE RISK [J].

BERGSTROM, N ;

BRADEN, BJ ;

LAGUZZA, A ;

HOLMAN, V .

NURSING RESEARCH, 1987, 36 (04) :205-210

[8]

Bours G J, 1999, Ostomy Wound Manage, V45, P28

[9]

Boyle M, 2001, Aust Crit Care, V14, P24, DOI 10.1016/S1036-7314(01)80019-9

[10] PREDICTIVE-VALIDITY OF THE BRADEN-SCALE FOR PRESSURE SORE RISK IN A NURSING-HOME POPULATION [J].

BRADEN, BJ ;

BERGSTROM, N .

RESEARCH IN NURSING & HEALTH, 1994, 17 (06) :459-470

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