社区获得性压疮在急性护理环境中的发生情况。

Community-Acquired Pressure Injuries in the Acute Care Setting.

机构信息

Charleen Singh, PhD, FNP-BC, CWOCN, is Director of Wound Care Services, Regional Medical Center, San Jose, California; Faculty, Betty Irene Moore School of Nursing, University of California Davis; and Nurse Practitioner, Cottage Hospital, Santa Barbara. Noordeen Shoqirat, PhD, RN, is Professor and Dean of Nursing Faculty, Mutah University, Karak, Jordan. Acknowledgments: The authors thank the San Jose Valley Foundation School of Nursing Master's in Nursing Education students and the nurses at Regional Medical Center San Jose for their continued educational and clinical support. The authors have disclosed no financial relationships related to this article. Submitted May 15, 2020; accepted in revised form September 21, 2020.

出版信息

Adv Skin Wound Care. 2021 Mar 1;34(3):1-4. doi: 10.1097/01.ASW.0000732748.56041.cf.

DOI:10.1097/01.ASW.0000732748.56041.cf

PMID:33587480

Abstract

OBJECTIVE

To explore the population of patients with a community-acquired pressure injury (CAPI) admitted to an acute care facility from December 2018 to December 2019. The specific aims of the study were to identify the (1) number of patients admitted with a CAPI, (2) type and frequency of pressure injury (PI), (3) location of residence prior to admission, (4) general demographics of the patient, and (5) condition of the PI at discharge.

METHODS

In this retrospective descriptive study, participants were identified and pulled from the hospital database at a 260-bed level 2 trauma center. Patients' charts were identified by searching for nursing documentation of CAPIs. The exclusion criterion was charts that did not include verification of PI by a certified wound nurse. Data were pulled from the electronic medical record, verified by the certified wound nurse, and reviewed for participant demographics and implementation of PI prevention and treatment.

RESULTS

Over the course of the year, 88 patients had a CAPI. The majority lived at home (86.4%), were male (68.2%), and had stage 2 PIs (37%) on the sacrum (30.7%) or coccyx (51.1%). All participants had multiple comorbidities. Few PIs were from postacute care settings (11%) or another acute care hospital (1.1%). On average, patients had more than one PI. All patients had decreased or impaired mobility and mean body mass index of 26.38 ± 7.23 kg/m2. No one developed a new PI while in the acute care setting, and many of the CAPIs either healed (69.3%) or stabilized (22.7%).

CONCLUSIONS

Providers have an opportunity to make a difference in the prevalence of PIs occurring outside of acute and postacute care settings.

摘要

目的

探索 2018 年 12 月至 2019 年 12 月期间入住急性护理机构的社区获得性压力性损伤（CAPI）患者人群。本研究的具体目的是确定：（1）患有 CAPI 的入院患者人数；（2）压力性损伤（PI）的类型和频率；（3）入院前的居住地点；（4）患者的一般人口统计学特征；以及（5）出院时 PI 的状况。

方法

在这项回顾性描述性研究中，参与者是从一家 260 张床位的 2 级创伤中心的医院数据库中识别和提取出来的。通过搜索护理人员对 CAPIs 的记录来确定患者的病历。排除标准是病历中没有经过认证的伤口护士对 PI 的验证。数据从电子病历中提取，由认证的伤口护士验证，并审查参与者的人口统计学特征和 PI 预防及治疗的实施情况。

结果

在这一年中，有 88 名患者患有 CAPI。大多数患者居住在家庭（86.4%），为男性（68.2%），PI 处于第 2 阶段（37%），主要位于骶骨（30.7%）或尾骨（51.1%）。所有参与者都有多种合并症。很少有 PI 来自急性后护理机构（11%）或其他急性护理医院（1.1%）。平均而言，每位患者都有多个 PI。所有患者的活动能力均下降或受损，平均体重指数为 26.38 ± 7.23kg/m2。在急性护理环境中，没有患者新发生 PI，许多 CAPI 要么愈合（69.3%），要么稳定（22.7%）。