Boettger J E
St. Joseph's Regional Health Center, Hot Springs, Arkansas 71913, USA.
J Wound Ostomy Continence Nurs. 1997 Jan;24(1):19-25. doi: 10.1016/s1071-5754(97)90045-0.
The purpose of this study was to determine whether replacing standard hospital mattresses with pressure-reduction mattresses and educating the patient care team on Agency for Health Care Policy and Research prevention guidelines would decrease the incidence of nosocomial pressure ulcers.
Retrospective chart review before and after implementation of replacement of standard hospital mattresses with pressure-reduction mattresses and before and after patient care team education was completed.
A 6-month clinical study with 141 subjects was conducted on a skilled-nursing unit.
The 3-month preintervention sample group of 141 subjects received routine nursing care on a standard hospital mattress. After the introduction of pressure-reduction mattresses and an education program, a 3-month postintervention sample group of 141 subjects was studied.
Incidence of nosocomial pressure ulcers during a 3-month period.
Among the preintervention group, 21 of 141 subjects (15%) acquired nosocomial pressure ulcers, versus 16 of 141 subjects (11%) in the postintervention group. This improvement was not statistically significant (chi 2 = 0.78, df = 1, p = 0.38). The incidence of ulcers staged II or higher dropped from 11 patients in the preintervention group to six in the postintervention group. a 45% reduction that was not statistically significant (chi 2 = 1.56, df = 1, p = 0.21).
Replacement of standard hospital mattresses and education of staff according to recommendations from the Agency for Health Care Policy and Research guideline for pressure ulcer prediction and prevention did not significantly change the incidence of pressure ulcers during a 3-month period in our skilled-nursing unit.
本研究的目的是确定用减压床垫替换标准医院床垫并就医疗保健政策与研究机构的预防指南对患者护理团队进行教育是否会降低医院获得性压疮的发生率。
对用减压床垫替换标准医院床垫实施前后以及患者护理团队教育完成前后进行回顾性病历审查。
在一个专业护理单元进行了一项为期6个月、有141名对象的临床研究。
141名对象的3个月干预前样本组在标准医院床垫上接受常规护理。在引入减压床垫和一个教育项目后，对141名对象的3个月干预后样本组进行了研究。
3个月期间医院获得性压疮的发生率。
在干预前组中，141名对象中有21名（15%）发生了医院获得性压疮，而干预后组中141名对象中有16名（11%）发生。这种改善没有统计学意义（卡方 = 0.78，自由度 = 1，p = 0.38）。II期或更高分期溃疡的发生率从干预前组的11例患者降至干预后组的6例。降低了45%，但没有统计学意义（卡方 = 1.56，自由度 = 1，p = 0.21）。
根据医疗保健政策与研究机构压疮预测和预防指南的建议，用减压床垫替换标准医院床垫并对工作人员进行教育，在我们的专业护理单元3个月期间并没有显著改变压疮的发生率。
