The prevalence of pain at pressure areas and pressure ulcers in hospitalised patients

被引：65

作者：

Briggs M. ^{[1
]}

Collinson M. ^{[2
]}

Wilson L. ^{[2
]}

Rivers C. ^{[3
]}

McGinnis E. ^{[4
]}

Dealey C. ^{[5
]}

Brown J. ^{[2
]}

Coleman S. ^{[2
]}

Stubbs N. ^{[6
]}

Stevenson R. ^{[2
]}

Nelson E.A. ^{[7
]}

Nixon J. ^{[2
]}

机构：

[1] Centre for Pain Research, Leeds Metropolitan University, Queens Square House

[2] Clinical Trials Research Unit, Leeds Institute of Clinical Trials Research, University of Leeds

[3] Rick Hansen Institute, 6400-818 West 10th Avenue, Vancouver

[4] Leeds Teaching Hospital NHS Trust, Great George Street, Leeds

[5] Clinical Research Unit, Old Nuclear Medicine, Research and Development, University Hospitals Birmingham NHS Foundation Trust, Queen Elizabeth Hospital, Queen Elizabeth Medical Centre, 1st Floor Pharmacy Building

[6] Tissue Viability, St Mary's Hospital, Greenhill Road

[7] School of Healthcare, University of Leeds, Baines Wing

来源：

BMC Nursing | / 12卷 / 1期

关键词：

Pain; Pressure ulcers; Prevalence; Risk assessment;

D O I：

10.1186/1472-6955-12-19

中图分类号：

学科分类号：

摘要：

Background: Patients with pressure ulcers (PUs) report that pain is their most distressing symptom, but there are few PU pain prevalence studies. We sought to estimate the prevalence of unattributed pressure area related pain (UPAR pain) which was defined as pain, soreness or discomfort reported by patients, on an " at risk" or PU skin site, reported at a patient level.Methods: We undertook pain prevalence surveys in 2 large UK teaching hospital NHS Trusts (6 hospitals) and a district general hospital NHS Trust (3 hospitals) during their routine annual PU prevalence audits. The hospitals provide secondary and tertiary care beds in acute and elective surgery, trauma and orthopaedics, burns, medicine, elderly medicine, oncology and rehabilitation. Anonymised individual patient data were recorded by the ward nurse and PU prevalence team. The analysis of this prevalence survey included data summaries; no inferential statistical testing was planned or undertaken. Percentages were calculated using the total number of patients from the relevant population as the denominator (i.e. including all patients with missing data for that variable).Results: A total of 3,397 patients in 9 acute hospitals were included in routine PU prevalence audits and, of these, 2010 (59.2%) patients participated in the pain prevalence study. UPAR pain prevalence was 16.3% (327/2010). 1769 patients had no PUs and of these 223 patients reported UPAR pain, a prevalence of 12.6%. Of the 241 people with pressure ulcers, 104 patients reported pain, a UPAR pain prevalence of 43.2% (104/241).Conclusion: One in six people in acute hospitals experience UPAR pain on 'at risk' or PU skin sites; one in every 8 people without PUs and, more than 2 out of every five people with PUs. The results provide a clear indication that all patients should be asked if they have pain at pressure areas even when they do not have a PU. © 2013 Briggs et al.; licensee BioMed Central Ltd.

引用

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