ORIGINAL PAPER
Selected correlates conditioning the occurrence of pressure ulcers and their actual occurrence among residents of long-term residential care. Test report
1
Podkarpackie Specialist Oncology Centre, Specialist Hospital in Brzozów, Brzozów, Poland
2
LUX MED Oncology, Szamocka Hospital, Warsaw, Poland
3
AVEE-MED, Care Facility, Niechobrz, Poland
4
Institute of Health Sciences, College of Medical Sciences, University of Rzeszow, Poland
5
School of Foreign Languages, University of Rzeszow, Rzeszow, Poland
These authors had equal contribution to this work
Submission date: 2024-01-21
Final revision date: 2024-04-14
Acceptance date: 2024-05-15
Publication date: 2024-08-13
Corresponding author
Anna M. Wójcik
Anna Maria Wójcik MD Specialist Hospital - Podkarpackie Oncology Centre im. Fr. B. Markiewicz Brzozów, Poland
Anna Maria Wójcik MD Specialist Hospital - Podkarpackie Oncology Centre im. Fr. B. Markiewicz Brzozów, Poland
Medical Studies 2024;40(3):263-272
KEYWORDS
TOPICS
ABSTRACT
Aim of the research::
To assess the relationship between selected determinants of the incidence of bedsores and their actual occurrence among inpatients in long-term care.
Material and methods::
This prospective observational study involved 47 patients of an inpatient long-term care centre. An estimation method was used. A primary assessment (study 0) and a secondary assessment (study1) were conducted over 4 weeks. Study data were collected by means of a scientific questionnaire, which used clinical tools in addition to sociodemographic data and vital signs assessment: the Barthel scale, Glasgow Coma Scale (GCS), Nutritional Risk Index (NRI), body mass index (BMI), and the Braden pressure ulcer risk scale.
Results::
There was a correlation in terms of comorbidities and the incidence of pressure sores. A correlation was confirmed between the incidence of pressure sores, renal failure (p = 0.026), and cardiovascular failure (p = 0.030). An association was observed between albumin levels in the group of residents with and without bedsores (p < 0.001). The albumin level in the second measurement was higher in the group of patients without pressure sores (p < 0.001). There was also a correlation found in the assessment of the degree of self-care and the occurrence of pressure sores (p < 0.004).
Conclusions::
Hypoalbuminaemia and immobilisation in the course of chronic diseases increase the risk of pressure ulcers in the long-term care group. The implementation of multidirectional and interdisciplinary prevention is a fundamental pillar of professional care for the chronically ill.
To assess the relationship between selected determinants of the incidence of bedsores and their actual occurrence among inpatients in long-term care.
Material and methods::
This prospective observational study involved 47 patients of an inpatient long-term care centre. An estimation method was used. A primary assessment (study 0) and a secondary assessment (study1) were conducted over 4 weeks. Study data were collected by means of a scientific questionnaire, which used clinical tools in addition to sociodemographic data and vital signs assessment: the Barthel scale, Glasgow Coma Scale (GCS), Nutritional Risk Index (NRI), body mass index (BMI), and the Braden pressure ulcer risk scale.
Results::
There was a correlation in terms of comorbidities and the incidence of pressure sores. A correlation was confirmed between the incidence of pressure sores, renal failure (p = 0.026), and cardiovascular failure (p = 0.030). An association was observed between albumin levels in the group of residents with and without bedsores (p < 0.001). The albumin level in the second measurement was higher in the group of patients without pressure sores (p < 0.001). There was also a correlation found in the assessment of the degree of self-care and the occurrence of pressure sores (p < 0.004).
Conclusions::
Hypoalbuminaemia and immobilisation in the course of chronic diseases increase the risk of pressure ulcers in the long-term care group. The implementation of multidirectional and interdisciplinary prevention is a fundamental pillar of professional care for the chronically ill.
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| ISSN: | 1899-1874 |
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