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The quality of pressure ulcer prediction and prevention in home health care.

机译:家庭保健中压疮的质量预测和预防。

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Abstract The purpose of this study was to assess the quality of pressure ulcer prediction and prevention in home health care. Randomly selected Medicare-certified home care agencies in four midwestern states were surveyed. The overall response rate was 44% ( n = 128). Approximately half (57.8%) of the responding agencies assessed all patients for pressure ulcer risk upon admission; another 4.7% assessed only chair or bed-bound patients. Clinical nursing judgment was the most commonly (72%) used method for assessing risk; only 21% of the agencies used a validated tool such as the Braden Scale or the Norton Scale to identify those at risk. Approximately one third of the reporting agencies had prediction and/or prevention policies. Only 18.0% of home health care agencies identified recommended interventions in a pressure ulcer prevention protocol. Findings suggest opportunities for improvement in pressure ulcer prediction and prevention practice in home health care.
机译:摘要这项研究的目的是评估家庭保健中压疮的预测和预防质量。对中西部四个州随机选择的经Medicare认证的家庭护理机构进行了调查。总体回应率为44%(n = 128)。约有一半(57.8%)的响应机构对所有患者入院后的压疮风险进行了评估;另有4.7%的患者仅接受坐椅或卧床不起的患者。临床护理判断是评估风险的最常用方法(72%)。只有21%的代理商使用经过验证的工具(例如Braden量表或Norton量表)来识别有风险的人。大约三分之一的报告机构制定了预测和/或预防政策。只有18.0%的家庭保健机构确定了预防压疮方案的推荐干预措施。研究结果表明,有机会改善家庭保健中的压疮预测和预防实践。

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