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Titolo:
Reduced incidence of pressure ulcers in patients with hip fractures: a 2-year follow-up of quality indicators
Autore:
Gunningberg, L; Lindholm, C; Carlsson, M; Sjoden, PO;
Indirizzi:
Univ Uppsala Hosp, Dept Nursing Res & Dev, SE-75185 Uppsala, Sweden Univ Uppsala Hosp Uppsala Sweden SE-75185 Dev, SE-75185 Uppsala, Sweden Uppsala Univ, Sect Caring Sci, Dept Publ Hlth & Caring Sci, Uppsala, Sweden Uppsala Univ Uppsala Sweden ept Publ Hlth & Caring Sci, Uppsala, Sweden
Titolo Testata:
INTERNATIONAL JOURNAL FOR QUALITY IN HEALTH CARE
fascicolo: 5, volume: 13, anno: 2001,
pagine: 399 - 407
SICI:
1353-4505(200110)13:5<399:RIOPUI>2.0.ZU;2-W
Fonte:
ISI
Lingua:
ENG
Soggetto:
NURSING DOCUMENTATION; IMPLEMENTATION; MATTRESSES; RECORDS; SORES;
Keywords:
hip fractures; nursing documentation; pressure ulcers incidence; quality improvement;
Tipo documento:
Article
Natura:
Periodico
Settore Disciplinare:
Social & Behavioral Sciences
Citazioni:
47
Recensione:
Indirizzi per estratti:
Indirizzo: Gunningberg, L Univ Uppsala Hosp, Dept Nursing Res & Dev, SE-75185 Uppsala, Sweden Univ Uppsala Hosp Uppsala Sweden SE-75185 Uppsala, Sweden
Citazione:
L. Gunningberg et al., "Reduced incidence of pressure ulcers in patients with hip fractures: a 2-year follow-up of quality indicators", INT J QUAL, 13(5), 2001, pp. 399-407

Abstract

Objective. The aims of the present study were to (i) investigate the incidence of pressure ulcers in 1997 and 1999 among patients with hip fracture, (ii) study changes of nursing and treatment routines during the same periodand (iii) to identify predictors of pressure ulcer development. Design. The present comparative study was based partly on data collected in two prospective, randomized, controlled studies conducted in 1997 and 1999. Setting. The study was carried out in the Accident & Emergency (A&E) Department and the Department of Orthopaedics at the University Hospital in Uppsala, Sweden. Study participants. Inclusion criteria: patient with hip fracture, greaterthan or equal to 65 years, admitted without pressure ulcers. Forty-five patients were included in 1997 and 101 in 1999. Interventions. Risk assessment, pressure ulcer grading, pressure-reducing mattress and educational programme. Main outcome measures. Incidence of pressure ulcers. Results. There was a significant reduction of the overall incidence of pressure ulcers from 55% in 1997 to 29% in 1999. The nursing notes had become significantly more informative. Nursing and treatment routines for patientswith I-lip fractures had changed both in the A&E Department and the orthopaedic ward through initiatives developed and implemented by pressure ulcer nurses. Conclusion. In the framework of a quality improvement project, where research activities were integrated with practice-based developmental work, the incidence of pressure ulcers was reduced significantly in patients with hipfractures. The best predictor of pressure ulcer development was increased age.

ASDD Area Sistemi Dipartimentali e Documentali, Università di Bologna, Catalogo delle riviste ed altri periodici
Documento generato il 04/04/20 alle ore 09:11:46