School of Nursing, The Hong Kong Polytechnic University, Hong Kong SAR, China.
J Clin Nurs. 2011 Oct;20(19-20):2777-86. doi: 10.1111/j.1365-2702.2011.03827.x. Epub 2011 Aug 21.
The aim of this study was to evaluate a pressure ulcer prevention programme for nursing homes to ascertain the feasibility of its implementation, impact on care staff and outcomes for pressure ulcer knowledge and skills and pressure ulcer reduction.
No pressure ulcer prevention protocol for long-term care settings has been established to date. The first author of this study thus developed a pressure ulcer prevention programme for nursing homes.
A quasi-experimental pretest and post-test design was adopted.
Forty-one non-licensed care providers and eleven nurses from a government-subsidised nursing home voluntarily participated in the study. Knowledge and skills of the non-licensed care providers were assessed before, immediately after and six weeks after the training course, and pressure ulcer prevalence and incidence were recorded before and during the protocol implementation. At the end of the programme implementation, focus group interviews with the subjects were conducted to explore their views on the programme.
A statistically significant improvement in knowledge and skills scores amongst non-licensed care providers was noted. Pressure ulcer prevalence and incidence rates dropped from 9-2·5% and 2·5-0·8%, respectively, after programme implementation. The focus group findings indicated that the programme enhanced the motivation of non-licensed care providers to improve their performance of pressure ulcer prevention care and increased communication and cooperation amongst care staff, but use of the modified Braden scale was considered by nurses to increase their workload.
A pressure ulcer prevention programme for nursing homes, which was feasible and acceptable, with positive impact and outcome in a nursing home was empirically developed.
The study findings can be employed to modify the programme and its outcomes for an evaluation of effectiveness of the programme through a randomised controlled trial.
本研究旨在评估养老院的压疮预防方案，以确定其实施的可行性、对护理人员的影响，以及对压疮知识和技能以及压疮减少的效果。
迄今为止，尚无针对长期护理环境的压疮预防协议。因此，本研究的第一作者为养老院开发了一种压疮预防方案。
采用准实验前测和后测设计。
一家政府补贴的养老院的 41 名非持照护理人员和 11 名护士自愿参加了这项研究。在培训课程之前、之后立即和之后六周评估非持照护理人员的知识和技能，在方案实施之前和期间记录压疮的患病率和发病率。在方案实施结束时，对受试者进行焦点小组访谈，以探讨他们对方案的看法。
非持照护理人员的知识和技能得分显著提高。方案实施后，压疮的患病率和发病率分别从 9-2.5%和 2.5-0.8%下降。焦点小组的调查结果表明，该方案增强了非持照护理人员提高压疮预防护理绩效的积极性，并增加了护理人员之间的沟通和合作，但护士认为使用改良的Braden 量表增加了他们的工作量。
在养老院中，开发了一种可行且可接受的压疮预防方案，对养老院具有积极的影响和效果。
本研究结果可用于修改方案及其结果，通过随机对照试验评估方案的有效性。
