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Relationships between pressure ulcer risk potential, nursing interventions, and pressure ulcer presence.

机译：潜在的压疮风险，护理干预措施和压疮的存在之间的关系。

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摘要

The development of pressure ulcers is a common and expensive problem within acute care hospitals. Nurses are expected to identify patients at risk for pressure ulcers and provide preventative interventions accordingly. The purpose of this descriptive correlational study was to identify what preventative nursing interventions were being used, and to examine relationships between pressure ulcer risk, nursing interventions, and pressure ulcer presence in two acute care facilities. Bloch's (1975) Framework for the Evaluation of Nursing Care and Braden's (1987) Conceptual Schema for the Development of Pressure Sores provided the conceptual framework for the study.; Eighty-four adult patients were randomly selected from inpatients in eight high risk hospital units. Data were collected by observation and record review using three instruments: the Braden Scale for Predicting Pressure Sore Risk, the Braden Skin Assessment Tool, and the Prevost Pressure Ulcer Prevention Checklist.; Descriptive statistics were used to describe the sample and the nursing interventions used. The Spearman Rank Correlation Coefficient (rho) was used to examine the relationships between risk potential and nursing interventions, and between nursing interventions and pressure ulcer presence.; Twenty-six different interventions were used on the subjects with a total of 568 interventions employed, however only 359 were documented in patient records. Spearman correlations revealed significant relationships between pressure ulcer risk and nursing interventions (rho = {dollar}-{dollar}.6273, {dollar}p<.001{dollar}) and between nursing interventions and pressure ulcer presence (rho =.4114, {dollar}p<.001{dollar}). The findings indicate that nurses were providing interventions tailored to the subjects' level of risk and skin status, even though no formal risk assessment tool was in use by the staff at the two facilities. Unfortunately, the nursing documentation did not support the intensity of nursing interventions provided.
机译：在急性护理医院中，压疮的发展是普遍且昂贵的问题。护士应确定有压疮风险的患者，并提供相应的预防措施。这项描述性相关研究的目的是确定正在使用的预防性护理干预措施，并检查两个急性护理机构中压疮风险，护理干预措施和压疮存在之间的关系。 Bloch（1975）的护理评估框架和Braden（1987）的压疮发展概念图为研究提供了概念框架。从8个高风险医院单位的住院患者中随机选择84名成年患者。使用三种工具通过观察和记录审查收集数据：用于预测褥疮风险的Braden量表，Braden皮肤评估工具和Prevost预防压疮检查清单。描述性统计学用于描述样本和所使用的护理干预措施。 Spearman等级相关系数（rho）用于检查潜在风险与护理干预之间以及护理干预与褥疮存在之间的关系。在受试者身上使用了26种不同的干预措施，总共采用了568种干预措施，但是在患者记录中仅记录了359种。 Spearman相关性揭示了压力性溃疡风险与护理干预措施之间的显着相关性（rho = {dollar}-{dollar} .6273，{dollar} p <.001 {dollar}）以及护理干预措施与压力性溃疡存在之间（rho = .4114， {dollar} p <.001 {dollar}）。调查结果表明，尽管两家机构的工作人员都没有使用正式的风险评估工具，但护士仍在根据受试者的风险和皮肤状况水平提供针对性的干预措施。不幸的是，护理文件不支持所提供的护理干预的强度。

著录项

  • 作者

    Prevost, Suzanne Shimmons.;

  • 作者单位

    Texas Woman's University.;

  • 授予单位 Texas Woman's University.;
  • 学科 Health Sciences Nursing.
  • 学位 Ph.D.
  • 年度 1992
  • 页码 132 p.
  • 总页数 132
  • 原文格式 PDF
  • 正文语种 eng
  • 中图分类 预防医学、卫生学;
  • 关键词

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