Factors related to the development of pressure ulcers among new recipients of home care services in Taiwan: A questionnaire study.

Abstract: Background: The development of pressure ulcers (PUs) impacts quality of life among home care (HC) recipients and increases overall healthcare costs. Objective: To understand associated factors for the development of PUs in new HC recipients who received HC services for 4–6 weeks. Methods:...

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Publicado en:International Journal of Nursing Studies Vol. 49; no. 11; pp. 1383 - 1391
Autores principales: Tsai, Yi-Chen, Lin, Shu-Yuan, Liu, Yi, Wang, Ruey-Hsia
Formato: research Journal Article
Publicado: Elsevier B.V. Nov2012
Acceso en línea:Ver este registro en EBSCOhost
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      dt: Nov2012
      vid: 49
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        atl: Factors related to the development of pressure ulcers among new recipients of home care services in Taiwan: A questionnaire study.
      aug:
        au:
          Tsai, Yi-Chen
          Lin, Shu-Yuan
          Liu, Yi
          Wang, Ruey-Hsia
        affil: Department of Nursing, Chi Mei Medical Center, Liouying, Taiwan
      sug:
        subj:
          Home Health Care Taiwan
          Pressure Ulcer Risk Factors
          Human
          Taiwan
          Descriptive Research
          Descriptive Statistics
          Structured Questionnaires
          Cross Sectional Studies
          Medical Records
          Record Review
          Pressure Ulcer Epidemiology
          Caregivers Education
          Self-Efficacy Evaluation
          Step-Wise Multiple Regression
          Odds Ratio
          Braden Scale for Predicting Pressure Sore Risk
          Scales
          Pressure Ulcer Prevention and Control
      ab: Abstract: Background: The development of pressure ulcers (PUs) impacts quality of life among home care (HC) recipients and increases overall healthcare costs. Objective: To understand associated factors for the development of PUs in new HC recipients who received HC services for 4–6 weeks. Methods: This was a cross sectional study with retrospective medical record review to establish the incidence of pressure ulcers in the HC setting. A total of 220 pairs of caregivers and HC recipients were recruited from five HC agencies in Tainan, Southern Taiwan. A structured questionnaire was used to collect information about HC recipients’ demographics, clinical characteristics, risk level of developing PUs, and PUs. We also collected information about the primary caregivers’ demographics, caregiving characteristics, prevention care of PUs, and self-efficacy for PUs prevention care. Stepwise logistic regression was used to identify important explanatory factors for the development of PUs among HC recipients after receiving HC services. Results: The incidence of PUs among new recipients of HC services for 4–6 weeks was 14.3%. A decrease of developing PUs was associated with: better PUs prevention care of primary caregivers (OR=0.107); being educated about preventing PUs of primary caregivers during HC recipients’ hospitalization (OR=0.366); and higher scores of the Braden scale among HC recipients (OR=0.759). Conclusions: To decrease the development of developing pressure ulcers in new HC recipients, nurses should educate primary caregivers regarding strategies for preventing PUs during potential HC recipient hospitalization. HC nurses should assess PU prevention care of primary caregivers, in addition to assessing the risk of developing PUs by the Braden scale.
      pubtype: Academic Journal
      doctype:
        research
        Journal Article
      ougenre: Article
    language: English
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