Södra Älvsborg Hospital, Borås and Head Office, Departure of patient safety, Region Västra Götaland, Borås, Sweden.
Institute of Health and Care Sciences, Sahlgrenska Academy, University of Gothenburg, Gothenburg, Sweden.
Int Wound J. 2022 Nov;19(7):1736-1747. doi: 10.1111/iwj.13779. Epub 2022 Feb 28.
The aim of this study was to describe pressure ulcer prevalence and prevention interventions in hospital care in Sweden based on nationwide surveys conducted over a 10-year period. All Swedish hospitals were invited to participate in annual pressure ulcer prevalence surveys during the period 2011-2020. The data collection protocols included gender, age, skin assessment, risk assessment, and preventive interventions. In total, more than 130,000 patients were included in the ten prevalence surveys. The prevalence of pressure ulcers in Swedish hospital patients decreased significantly from 17.0 %to 11.4% between 2011 and 2020 and hospital-acquired pressure ulcers decreased from 8.1% to 6.4% between 2018 and 2020. There was no significant decline in medicaldevice-related pressure ulcers during the same period. The proportion of patients who were risk and skin assessed increased, as did the use of pressure-reducing mattresses, sliding sheets, heel protection, and nrepositioning plans. This study shows that the implementation of a national patient safety program has had an impact on the nationwide prevalence of pressure ulcers in hospital care and the occurrence of prevention strategies. However, one in ten patients in Swedish hospitals still suffers from pressure ulcers. Further improvements can be made.
本研究旨在描述瑞典基于全国性调查的医院护理中压疮的流行情况和预防干预措施。在 2011-2020 年期间，邀请所有瑞典医院参加年度压疮流行率调查。数据收集方案包括性别、年龄、皮肤评估、风险评估和预防干预措施。总共有超过 130,000 名患者参加了十次流行率调查。2011 年至 2020 年期间，瑞典医院患者的压疮患病率从 17.0%显著下降至 11.4%，2018 年至 2020 年期间医院获得性压疮从 8.1%下降至 6.4%。同期医疗器械相关压疮的比例没有显著下降。风险和皮肤评估的患者比例增加，同时使用了减压床垫、滑动垫、足跟保护和重新定位计划。本研究表明，国家患者安全计划的实施对全国医院护理中压疮的流行率和预防策略的发生产生了影响。然而，瑞典医院仍有十分之一的患者患有压疮。还可以进一步改进。
