Hospital Clínico Universitario de Valladolid, 47002 Valladolid, Spain.
Nursing Faculty, University of Valladolid, 47005 Valladolid, Spain.
Int J Environ Res Public Health. 2021 Oct 27;18(21):11262. doi: 10.3390/ijerph182111262.
The COVID-19 pandemic has led to an increased workload for nurses and organisational and structural changes, which have been necessary to meet the needs of inpatients in isolation.
To describe the impact of the COVID-19 pandemic on levels of adherence to the completion of nursing records that document the risk of developing pressure ulcers, falling, and social vulnerability among hospitalised patients in isolation.
Observational pre-post comparison study. Comparison between nursing records (the Braden, Downton, and Gijón scales) belonging to 1205 inpatients took place in two phases. Phase 1: 568 patients admitted in February 2020, prior to the COVID-19 pandemic, vs. phase 2: 637 patients hospitalised with COVID-19 in March-April 2020, during the peak of the first wave of the pandemic. This research adheres to the STROBE guidelines for the reporting of observational studies.
The degree of completion of the Braden, Downton, and Gijón scales decreased significantly in phase 2 vs. phase 1 ( < 0.001). The mean Downton and Gijón scale scores for patients admitted in phase 1 were higher compared to those of patients admitted in phase 2 ( < 0.001). The mean Braden scale score in phase 2 was higher than in phase 1 ( < 0.05).
During the COVID-19 pandemic, there was a decrease in the completion of nursing records in the clinical records of patients in isolation. The levels of risk of developing PUs, falling, and social vulnerability of patients admitted to hospital were lower during the first wave of the pandemic.
COVID-19 大流行导致护士工作量增加，以及组织结构和结构发生变化，这是满足隔离住院患者需求所必需的。
描述 COVID-19 大流行对完成记录住院患者发生压疮、跌倒和社会脆弱性风险的护理记录的依从性水平的影响，这些患者是处于隔离状态的。
观察前后比较研究。在两个阶段对属于 1205 名住院患者的护理记录（Braden、Downton 和 Gijón 量表）进行比较。第 1 阶段：2020 年 2 月在 COVID-19 大流行之前，有 568 名患者入院，第 2 阶段：2020 年 3-4 月有 637 名 COVID-19 住院患者，处于大流行第一波的高峰期。本研究遵循 STROBE 指南报告观察性研究。
与第 1 阶段相比，第 2 阶段 Braden、Downton 和 Gijón 量表的完成度显著降低（<0.001）。第 1 阶段入院患者的 Downton 和 Gijón 量表评分均值高于第 2 阶段（<0.001）。第 2 阶段的 Braden 量表评分均值高于第 1 阶段（<0.05）。
在 COVID-19 大流行期间，隔离住院患者的临床记录中护理记录的完成度降低。在大流行的第一波期间，住院患者发生压疮、跌倒和社会脆弱性的风险水平降低。
