Senior researcher, Scientific Institute for Quality of Healthcare, Radboud university medical center, Nijmegen, the Netherlands.
J Nurs Scholarsh. 2014 May;46(3):187-98. doi: 10.1111/jnu.12063. Epub 2013 Dec 19.
To describe the concurrent incidence of pressure ulcers, urinary tract infections, and falls in hospitals and nursing homes, and the preventive care given. Additionally, the correlation between the occurrence of these adverse events and preventive care was explored.
A prospective, 3-month, cohort study at 10 hospitals and 10 nursing homes in the Netherlands.
687 hospital patients and 241 nursing home patients.
The incidence of three adverse events and preventive care given to patients at risk. During weekly visits, the patients and their files were assessed. Additionally, observations were performed.
Seventy-seven hospital patients (11%) and 111 nursing home patients (46%) developed one or more adverse events. The incidence rate for both types of patients, and for the three adverse events combined, was 9% adverse events per patient week. In hospitals, 34% of the patients received adequate pressure ulcer preventive care, while 47% of the patients received adequate urinary tract infection preventive care, and none of the patients received adequate falls preventive care. In nursing homes, 18% of the patients received adequate pressure ulcer preventive care, 42% of the patients received adequate urinary tract infection preventive care, and less than 1% of the patients received adequate falls prevention care. Negative or no correlations were found between the incidence rates for the three adverse events. In nursing homes the incidence of pressure ulcers and preventive care were positively correlated.
There is a high incidence of adverse events in hospitals and nursing homes. Many patients at risk do not receive adequate preventive care.
描述医院和养老院中压力性溃疡、尿路感染和跌倒的同时发生情况以及所采取的预防保健措施。此外，还探讨了这些不良事件的发生与预防保健之间的相关性。
荷兰 10 家医院和 10 家养老院进行的前瞻性、3 个月的队列研究。
687 名医院患者和 241 名养老院患者。
三种不良事件的发生率以及高危患者接受的预防保健措施。每周访视时，评估患者及其病历，并进行观察。
77 名医院患者（11%）和 111 名养老院患者（46%）发生了 1 种或多种不良事件。这两种类型的患者以及这三种不良事件的综合发生率为每位患者每周发生 9%的不良事件。在医院中，34%的患者接受了充分的压力性溃疡预防保健，而 47%的患者接受了充分的尿路感染预防保健，没有患者接受充分的跌倒预防保健。在养老院中，18%的患者接受了充分的压力性溃疡预防保健，42%的患者接受了充分的尿路感染预防保健，不到 1%的患者接受了充分的跌倒预防保健。三种不良事件的发生率之间未发现负相关或无相关性。在养老院中，压力性溃疡的发生率与预防保健呈正相关。
医院和养老院中不良事件的发生率较高。许多高危患者未接受充分的预防保健措施。
