The prevalence of pressure ulcers in community settings: An observational study |
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Authors: | Rebecca Stevenson Michelle Collinson Val Henderson Lyn Wilson Carol Dealey Elizabeth McGinnis Michelle Briggs E Andrea Nelson Nikki Stubbs Susanne Coleman Jane Nixon |
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Institution: | 1. Clinical Trials Research Unit, University of Leeds, Clinical Trials Research House, 71-71 Clarendon Road, Leeds LS2 9PH, United Kingdom;2. Clinical Lead Tissue Viability, Northumberland Care Trust, Nursery Park Primary Care Centre, Nursery Road, Ashington, Northumberland NE63 0HP, United Kingdom;3. Tissue Viability Research Team, Clinical Research Unit, Old Nuclear Medicine, 1st Floor Pharmacy Building, Old Queen Elizabeth Hospital, Edgbaston, Birmingham B15 2TH, United Kingdom;4. Leeds Teaching Hospitals Trust, c/o 2nd Floor Stables Block, Old Trust HQ, LGI, LS1 3EX, United Kingdom;5. University of Leeds, Baines Wing, Woodhouse Lane, Leeds LS2 9UT, United Kingdom;6. NHS Leeds PCT, St Mary''s Hospital, Greenhill Road, Leeds LS12 3QE, United Kingdom |
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Abstract: | BackgroundChanges in healthcare and ageing populations have led to an increasing emphasis on the provision of healthcare in the community. Quality initiatives in healthcare have led to a focus upon pressure ulcer rates. However, published data on pressure ulcer prevalence in a community setting is currently very limited.ObjectiveThe objective of this cross-sectional observational study was to determine the prevalence of patients with pressure ulcers in a community setting in the United Kingdom.DesignA cross-sectional observational study.SettingTwo community settings in the North of England.ParticipantsPatients in the community who were aged 18 years or older at the time of the pressure ulcer prevalence audit were included. There were no exclusion criteria and consent was not a requirement.MethodsEach site used a different method to collect the data as per their usual method of prevalence data collection. Site 1 assessed all patients on the community nursing caseload: patients in residential homes, rehabilitation units, specialist palliative care units and all nursing homes in the locality, whether they were known to have a pressure ulcer or not. Site 2 assessed only those on the community nursing caseload who were known to have a pressure ulcer. Site 1 collected data between 8th February and 2nd April 2010 and site 2 between 12th April and 7th May 2010.ResultsIn site 1, 185 patients were assessed as having a pressure ulcer Grade ≥1, a prevalence rate of 0.77 per 1000 adults. In Site 2 102 patients were assessed as having a Grade ≥1 pressure ulcer, a prevalence rate of 0.40 per 1000 adults. Removing patients in nursing homes from the calculation gives a prevalence of 0.38 per 1000 adults for site 1 and 0.39 per 1000 adults for site 2.ConclusionsThis study provides prevalence data in a community setting which can be used to assess resource allocation and staff training. This study has highlighted that differences in methodology can affect prevalence results, and this should be taken into account in future research. |
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Keywords: | Pressure ulcer Prevalence Period prevalence Community Methodology |
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