Bottega Michela, Tempesta Marco, Piovesan Cinzia, Rigo Francesca, Bordignon Johnny, Vedelago Dalmazio, Calo Luca, Marchet Paola, Dorigo Mara, Scarpa Giovanna, Barba Livio Dalla, Coppe Alberto
Department of the Health Care Professions, Azienda Unita Locale Socio Sanitaria (AULSS) 2 Marca Trevigiana, Treviso, Italy.
Department of the Health Care Professions, AULSS 5 Polesana, Rovigo, Italy.
J Wound Care. 2023 Oct 1;32(Sup10):ccxi-ccxviii. doi: 10.12968/jowc.2023.32.Sup10.ccxi.
This study aimed to understand the risk of developing pressure injuries (PIs) and their prevalence rate in older adults in Italy who received public funded home care services and who were often living alone.
In May 2019, a cross-sectional study was performed according to the STROBE (STrengthening the Reporting of OBservational studies in Epidemiology) guidelines. The data collection included demographic variables, a PI risk assessment using the Braden Scale score, the type of mobility devices available, the wound description detailing the PI category, body location and ongoing treatment. Data analysis was conducted using non-parametric descriptive statistics.
Of the 2223 patients who participated in the study, the risk of developing a PI as measured with the Braden Scale sore was: 'absent' for 37.7%; 'mild' for 25.8%; 'moderate' for 13.8%; 'high' for 15.5%; and 'severe' for 7.1% of patients. The PI prevalence in the sample of home care service patients was 26%, of which 46% were inpatients with a Braden Scale score of <14. Of the PIs that developed during the study, 65% of these developed in patients in home care and of these, 81% had a Braden Scale score of ≤9.
PIs developed not only during hospitalisation but at home. Assessing the commitment of patients and caregivers to PI prevention and treatment strategies in home care services could be key to reducing PI prevalence, hospital admissions for PIs, related complications for older people living at home, and the severity of the PI category.
本研究旨在了解在意大利接受公共资助居家护理服务且通常独居的老年人发生压疮（PI）的风险及其患病率。
2019年5月，根据STROBE（加强流行病学观察性研究报告）指南进行了一项横断面研究。数据收集包括人口统计学变量、使用Braden量表评分进行的PI风险评估、可用的移动设备类型、详细描述PI类别、身体部位和正在进行的治疗的伤口描述。使用非参数描述性统计进行数据分析。
在参与研究的2223名患者中，用Braden量表评分衡量的发生PI的风险为：37.7%的患者“无风险”；25.8%的患者“轻度风险”；13.8%的患者“中度风险”；15.5%的患者“高风险”；7.1%的患者“严重风险”。居家护理服务患者样本中的PI患病率为26%，其中46%是Braden量表评分<14的住院患者。在研究期间发生的PI中，65%发生在居家护理患者中，其中81%的Braden量表评分为≤9。
PI不仅在住院期间发生，也在家中发生。评估患者和护理人员对居家护理服务中PI预防和治疗策略的投入可能是降低PI患病率、因PI住院、居家老年人相关并发症以及PI类别严重程度的关键。
