Aljezawi Ma'en, Al Qadire Mohammad, Tubaishat Ahmad
Assistant Professor of Gerontological Nursing, Faculty of Nursing, Al al-Bayt University, Mafraq, Jordan.
Doctor of Adult Oncology and Palliative Care Nursing, Faculty of Nursing, Al al-Bayt University, Mafraq, Jordan.
Br J Nurs. 2014;23(6):S4, S6, S8, S10-1. doi: 10.12968/bjon.2014.23.Sup6.S4.
Pressure ulcers (PUs) are a common problem in the elderly long-term care population.
To explore the prevalence of PUs in Jordanian long-term care settings.
A cross-sectional survey.
Data in this study were collected with the European Pressure Ulcers Advisory Panel (EPUAP) minimum data set. The skin of residents was directly examined. Risk of PUs was assessed with the Braden scale. Information about prevention was obtained from staff and resident files.
The largest elderly long-term care facility in Jordan (124 residents) was surveyed. Six residents did not match the inclusion criteria, and 118 were actually examined.
Participants in this study were considerably younger when compared with similar studies (median age 65 years, mean 65.14, standard deviation 11.48). The general prevalence of PUs was 16.9%. The most common place for PUs was on the buttocks (42.9%). The most reported grades were 1 and 2, each of which had 40% prevalence. Of those patients at risk, 27.6% received adequate prevention for PUs.
Given that the residents in this study sample were quite young, prevalence of PUs was relatively high compared with similar studies that used the same methodology. Bearing in mind that most elderly patients in Jordan are looked after at home, on account of Jordanian cultural attitudes toward elderly people, it can be hypothesised that institutionalised elderly people are either very ill or do not receive the care they need at home. The greater frailty of the Jordanian patients in this study, evident in their higher PU risk scores and comorbidities, supports this hypothesis.
压疮是老年长期护理人群中的常见问题。
探讨约旦长期护理机构中压疮的患病率。
横断面调查。
本研究采用欧洲压疮咨询小组（EPUAP）的最小数据集收集数据。直接检查居民的皮肤。用Braden量表评估压疮风险。从工作人员和居民档案中获取有关预防措施的信息。
对约旦最大的老年长期护理机构（124名居民）进行了调查。6名居民不符合纳入标准，实际检查了118名。
与类似研究相比，本研究的参与者年龄要小得多（年龄中位数65岁，平均65.14岁，标准差11.48）。压疮的总体患病率为16.9%。压疮最常见的部位是臀部（42.9%）。报告最多的分级是1级和2级，患病率均为40%。在有风险的患者中，27.6%接受了充分的压疮预防措施。
鉴于本研究样本中的居民年龄相当小，与采用相同方法的类似研究相比，压疮患病率相对较高。考虑到约旦的大多数老年患者在家中接受照料，鉴于约旦文化对老年人的态度，可以假设入住机构的老年人要么病情非常严重，要么在家中未得到所需的照料。本研究中约旦患者的更虚弱状况，在其较高的压疮风险评分和合并症中明显体现，支持了这一假设。
