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首页> 外文期刊>Journal of clinical nursing >The National Expert Standard Pressure Ulcer Prevention in Nursing and pressure ulcer prevalence in German health care facilities: a multilevel analysis
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The National Expert Standard Pressure Ulcer Prevention in Nursing and pressure ulcer prevalence in German health care facilities: a multilevel analysis

机译：德国医疗保健机构预防压力性溃疡国家专家标准和压力性溃疡患病率：多层次分析

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Aims and objectives. The objective of this study was to describe the relationship between the German National Expert Standard Pressure Ulcer Prevention and the pressure ulcer prevalence in German nursing homes and hospitals.Background. The patient outcome pressure ulcer does not only depend on individual characteristics of patients, but also on institutional factors. In Germany, National Expert Standards are evidence-based instruments that build the basis of continuing improvement in health care quality. It is expected that after having implemented the National Expert Standard Pressure Ulcer Prevention, the number of pressure ulcers should decrease in health care institutions.Design. The analysed data were obtained from two cross-sectional studies from 2004-2005.Methods. A multilevel analysis was performed to show the impact of the National Expert Standard Pressure Ulcer Prevention on pressure ulcer prevalence.Results. A total of 41-5% of hospitals and 38-8% of the nursing homes claimed to use the National Expert Standard in the process of developing their local protocols. The overall pressure ulcer prevalence grade 2-4 was 4-7%. Adjusted for hospital departments, survey year and individual characteristics, there was no significant difference in the prevalence of pressure ulcers between institutions that refer to the National Expert Standard or those referring to other sources in developing their local protocols (OR = 1-14, 95% CI = 0-90-1-44).Conclusions. There was no empirical evidence demonstrating that local protocols of pressure ulcer prevention based on the National Expert Standard were superior to local protocols which refer other sources of knowledge with regard to the pressure ulcer prevalence.Relevance to clinical practice. The use of the National Expert Standard Pressure Ulcer Prevention can neither be recommended nor be refused. The recent definition of implementation of Expert Standards should be mandatory for all health care institutions which intro...
机译：目的和目标。这项研究的目的是描述德国国家专家预防压疮标准与德国疗养院和医院中压疮患病率之间的关系。患者预后压疮不仅取决于患者的个体特征，还取决于机构因素。在德国，国家专家标准是基于证据的工具，为持续改善医疗质量奠定了基础。预计在实施《国家预防压疮专家标准》后，医疗机构的压疮数量应减少。设计。分析的数据来自2004-2005年的两项横断面研究。进行了多层次分析，以显示国家预防压疮专家标准对压疮患病率的影响。共有41-5％的医院和38-8％的疗养院声称在制定当地规程的过程中使用了国家专家标准。 2-4级总压疮患病率为4-7％。根据医院部门，调查年份和个人特征进行调整后，在制定国家规程时参考国家专家标准的机构与参考其他来源的机构之间的压疮患病率没有显着差异（OR = 1-14、95 ％CI = 0-90-1-44）。结论。没有经验证据表明，根据国家专家标准制定的预防压疮的本地方案优于引用其他知识来源的有关压疮患病率的本地方案。与临床实践相关。既不建议也不拒绝使用国家专家标准的预防压疮。专家标准实施的最新定义对于所有引入医疗服务的医疗机构都是强制性的。

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