Evaluación del impacto de una intervención de enfermería en la prevención y tratamiento de las úlceras por presión

  1. Blanca Larrea-Leoz
  2. Mónica Vázquez-Calatayud 1
  3. Juana Labiano-Turrillas
  1. 1 Universidad de Navarra.
Journal:
Gerokomos: Revista de la Sociedad Española de Enfermería Geriátrica y Gerontológica

ISSN: 1134-928X

Year of publication: 2015

Volume: 26

Issue: 3

Pages: 115-119

Type: Article

DIALNET GOOGLE SCHOLAR lock_openOpen access editor

More publications in: Gerokomos: Revista de la Sociedad Española de Enfermería Geriátrica y Gerontológica

Abstract

Objective: To evaluate the impact of a nursing intervention in the prevention and treatment of pressure ulcers (PU). Methodology: Design quasi-experimental pre-post intervention. Results: The overall prevalence of PUs in our institution has not changed after surgery (χ2 = 1.059, p = 0.589), remaining at 8.7%. However, it has fallen to 0 the number of ulcers of grade III and IV, has dropped significantly the prevalence of PU in Oncology-Hematology unit, the number of low-risk patients who developed PU and improved registration PU risk on admission. Conclusions: Despite these identified improvements will continue doing prevalence studies in order to know the situation and to implement improvement actions to reduce the prevalence rate.

Bibliographic References

  • Vanderwee K, Clark M, Dealey C, Gunningberg L, Defloor T. Pressure ulcer prevalence in Europe: a pilot study. J Eval Clin Pract. 2007;13(2):227-35.
  • Verdú Soriano J, Nolasco A, García C. Análisis de la mortalidad por úlceras por presión en España. Periodo 1987-1999. Gerokomos. 2003;14(4):212-26.
  • Graves N, Birrell F, Whitby M. Effect of pressure ulcers on length of hospital stay. Infect Control Hosp Epidemiol. 2005;26(3):293-7.
  • Ayello E, Lyder CH. Protecting patients from harm: preventing pressure ulcers in hospital patients. Nursing. 2007;37:36-40.
  • Soldevilla Agreda JJ, Torra i Bou JE, Posnett J, Verdú Soriano J, San Miguel L, Mayan Santos J. Una aproximación al impacto del coste económico del tratamiento de las úlceras por presión en España. Gerokomos. 2007;18(4):201-10.
  • Gorecki C, Brown JM, Nelson EA, Briggs M, Schoonhoven L, Dealey C, et al. Impact of pressure ulcers on quality of life in older patients: a systematic review. J Am Geriatr Soc. 2009;57(7):1175-83.
  • Schuurman JP, Schoonhoven L, Keller BP, van Ramshorst B. Do pressure ulcers influence length of hospital stay in surgical cardiothoracic patients? A prospective evaluation. J Clin Nurs. 2009;18(2456-2463):2456.
  • The Joint Commission on Accreditation of Healthcare Organization. National Patient Safety Goals Slide Presentation. (Internet). 2012. (citado 2 de febrero de 2012). Disponible en: http://www.jointcommission.org/2012_npsgs_slides/
  • Ministerio de Sanidad y Consumo. Plan de Calidad para el Sistema Nacional de Salud. Madrid: Ministerio de Sanidad y Consumo; 2010.
  • Altun I, Demir Zencirci A. Knowledge and management of pressure ulcers: impact of lecture-based interactive workshops on training of nurses. Adv Skin Wound Care. 2011;24(6):262-6.
  • Phillips L, Buttery J. Exploring pressure ulcer prevalence and preventative care. Nurs Times. 2009;105(16):34-6.
  • Spetz J, Brown DS, Aydin C, Donaldson N. The value of reducing hospital-acquired pressure ulcer prevalence. An illustrative analysis. JONA. 43(4):235-41.
  • Labiano-Turrillas J, Larrea-Leoz B, Vázquez-Calatayud M, Juandeaburre-Pedroarena B, Irruarizaga-Sagredo A, Morillo-Cabezas E. Estudio de prevalencia de úlceras por presión en un Hospital Universitario en Navarra. Gerokomos. 2103;24(4):184-8.
  • Whittington KT, Briones R. National Prevalence and Incidence Study: 6-year sequential acute care data. Adv Skin Wound Care. 2004;17:490-4.
  • Gallagher P, Barry P, Hartigan I, McCluskey P, O´Connor K, O´Connor M. Prevalence of pressure ulcers in three university teaching hospitals in Ireland. J Tissue Viability. 2008;17(4):103-9.
  • Kottner J, Wilborn D, Dassen T, Lahmann N. The trend of pressure ulcer prevalence rates in German hospitals: results of seven cross-sectional studies. J Tissue Viability 2008;18(2):36-46.
  • Lahmann NA, Dassen T, Poehler A, Kottner J. Pressure ulcer prevalence rates from 2002 to 2008 in German long-term care facilities. Aging Clin Exp Res. 2010;22(2):152-6.
  • Gunningberg L, Donaldson N, Aydin C, Idvall E. Exploring variation in pressure ulcer prevalence in Sweden and the USA: benchmarking in action. J Eval Clin Pract. 2011. doi: 10.1111/j.1365-2753.2011.01702.x.
  • Tubaishat A, Anthony D, Saleh M. Presure ulcers in Jordan: A point prevalence study. J Tossue Viability. 2011;20(1):14-9.
  • Vanderwee K, Defloor T, Beeckman D, Demarré L, Verhaeghe S, Van Durme T, et al. Assessing the adequacy of pressure ulcer prevention in hospitals: a nationwide prevalence survey. BMJ Qual Saf. 2011;20(3):260-7.
  • Soldevilla J, Torra JE, Verdú J, López P. 3.er Estudio Nacional de prevalencia de UPP en España, 2009. Epidemiología y variables definitorias de las lesiones y pacientes. Gerokomos. 2011;22(2):77-90.
  • Ramos A, Ribeiro ASF, Marín A, Vázquez M, Blanco B, Corrales JM, et al. Prevalencia de úlceras por presión en un centro sociosanitario de media-larga estancia. Gerokomos. 2013:24(1):36-40.
  • Paquay L, Verstraete S, Wouters R, Buntinx F, Vanderwee K, Defloor T, et al. Implementation of a guideline for pressure ulcer prevention in home care: pretest-post-test study. J Clin Nurs. 2010;19(13/14):1803-11.
Data source: Dialnet