Independent risk factors for pressure ulcer development in a high‐risk nursing home population receiving evidence‐based pressure ulcer prevention: Results from a study in 26 nursing homes in Belgium |
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Authors: | Charlotte Anrys Hanne Van Tiggelen Sofie Verhaeghe Ann Van Hecke Dimitri Beeckman |
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Institution: | 1. Skin Integrity Research Group (SKINT), University Centre for Nursing and Midwifery, Department of Public Health and Primary Care, Ghent University, Ghent Belgium ; 2. Department Health Care, VIVES University College, Roeselare Belgium ; 3. Nursing Department, Ghent University Hospital, Ghent Belgium ; 4. School of Health Sciences, Örebro University, Örebro Sweden ; 5. School of Nursing & Midwifery, Royal College of Surgeons in Ireland (RCSI), Dublin Ireland |
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Abstract: | The aim of this study was to identify independent risk factors for pressure ulcer (PU) development in a high‐risk nursing home population receiving evidence‐based PU prevention. This study was part of a randomised controlled trial examining the (cost‐)effectiveness of static air support surfaces compared with alternating pressure air mattresses. The sample consisted of 308 residents at a high risk of PU development (presence of non‐blanchable erythema, Braden score ≤ 12 or Braden subscale “mobility” ≤ 2). PU incidence was monitored for 14 days. Demographic variables; functional, physical, and psychological characteristics; and data on skin assessment were collected. Independent risk factors were identified using multiple logistic regression analysis. The overall PU incidence (category II‐IV) was 8.4% (n = 26), and 1.9% (n = 6) of the residents developed a deep PU (category III‐IV). PUs (category II‐IV) were significantly associated with non‐blanchable erythema, a lower Braden score, and pressure area‐related pain in high‐risk residents even if preventive care was provided. These results highlight the need of a systematic risk assessment, including pain assessment and skin observations, in order to determine and tailor preventive care to the needs of high‐risk individuals. |
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Keywords: | high‐risk population nursing home pressure ulcers prevention risk factors |
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