ABSTRACT
OBJECTIVE: To evaluate if an education program for the nursing staff helps to reduce the incidence of pressure ulcers and prevent their poor evolution. MATERIAL AND METHODS: A prospective and observational study where the prevention and educational methods have been used to prevent and treat pressure ulcers. All patients admitted to Intensive Care Unit during one year were included (six months of basal period and six months of post-training period). The following variables were analyzed: incidence of Pressure Ulcers, risk score according to EMINA, ulcer grade and location. RESULTS: A total of 134 ulcers were identified in the 69 patients (14.37%) with pressure ulcers included in the basal period. Forty-four patients (7.88%) of the patients in the post-training period developed 77 pressure ulcers. The significance level was p < 0.01, OR: 0.40 (95% CI: 0.26-0.62). Fifteen of the 211 pressure ulcers evolved to grade III-IV p > 0.20. CONCLUSIONS: Conducting a training program in the application of standardized prevention methods for the nursing staff reduces the incidence of pressure ulcers.
Subject(s)
Education, Nursing , Pressure Ulcer/nursing , Pressure Ulcer/prevention & control , Algorithms , Humans , Middle Aged , Prospective StudiesABSTRACT
Objetivo. Evaluar si la educación dirigida a los profesionales de enfermería disminuye laincidencia de úlceras por presión (UPP) y su mala evolución.Material y métodos. Estudio prospectivo, observacional, basado en medidas educacionalessobre prevención y tratamiento. Incluyó a todos los pacientes ingresados en elServicio de Medicina Intensiva durante un año (seis meses periodo basal [PB] y seis mesesperiodo pos-educacional [PE]). Las variables fueron incidencia de UPP, riesgo según escalaEMINA, grados y localización.Resultados. Pacientes ulcerados en PB 69 (14,37%) con 134 UPP. En PE 44 pacientes(7,88%) con 77 UPP. Nivel de signifi cación p < 0,01, odds ratio: 0,40 (intervalo de confi anzadel 95%; 0,26-0,62).Del total de 211 UPP, 15 (7,10%) evolucionaron a grado III-IV (11 en PB y 4 en PE); p > 0,20.Conclusiones. La formación de los profesionales en cuanto a la aplicación de medidaspreventivas estandarizadas disminuye la incidencia de UPP(AU)
Objective. To evaluate if an education program for the nursing staff helps to reduce theincidence of pressure ulcers and prevent their poor evolution.Material and methods. A prospective and observational study where the prevention andeducational methods have been used to prevent and treat pressure ulcers. All patients hasadmittedto Intensive Care Unit during one year were included (six months of basalperiod and six months of post-training period). The following variables were analyzed:incidence of Pressure Ulcers, risk score according to EMINA, ulcer grade and location.Results. A total of 134 ulcers were identifi ed in the 69 patients (14.37%) with pressureulcers included in the basal period. Forty-four patients (7.88%) of the patients in thepost-training period developed 77 pressure ulcers. The signifi cance level was p < 0.01,OR: 0.40 (95% CI: 0.26-0.62). Fifteen of the 211 pressure ulcers evolved to grade III-IV p> 0.20.Conclusions. Conducting a training program in the application of standardized preventionmethods for the nursing staff reduces the incidence of pressure ulcers(AU)
