Pressure Ulcer Prevention Procedure on Reducing Incidenceand Rank of Pressure Ulcer in Patients with Surgery

Autor: Mei-Lan Huang, 黃梅藍
Rok vydání: 2015
Druh dokumentu: 學位論文 ; thesis
Popis: 103
Background: Pressure ulcer (PU) is a quality indicator in healthcare organizations. PU does not only elevate health costs but also threats medical quality. About 12-66 % of peri-operative patients may experience PU. Objective: The objective of the study was to compare the incidences of PU between before and after implementation of the pressure ulcer prevention procedure (PUPP) in patients receiving surgery. Methods: This study was a comparison with retrospective research design. Data were collected from medical records 3-month before (BI, n=101) and 3-month after (AI, n=130) implementation of the PUPP at a hospital in southern Taiwan. PUPP was a standard of operation procedure developing for reducing perioperative PU. Subjects were above 20-years old, receiving a Microsurgical Reconstruction in Head Neck Using Free Flaps or a Spinal Posterior Surgery, at least 240 minutes of time of surgery and no PU occurrence before surgery. Data included demographics, disease history, and operation attritions. Analytical strategy included descriptive statistics, Chi-square, t-tests, and ANOVAs. Results: There were no significant differences in age, gender, Hct, Hb, BMI, time of surgery, surgical position (supine/prone), and chronic disease (Diabetes Mellitus/hypertension) between AI and BI groups and cross the six months. The incidence of the PU at the consequent months were 9.5%(2/42), 3.7%(/127), 6.3%(2/32), 25.0%(9/36), 17.0%(8/47), and 8.5% (4/47). The incidence of PU of AI (4.95% [5/101] was higher than those of BO (16.2% [21/130]; Chi-square=5.70, p =0.03). All the PU in the AI group demonstrated at rank I (n=21); whereas, those in the BI group demonstrated at rank I (n=3) and rank II and III each (n=1). Conclusion: PUPP is promise of effective for this study. Continue studying on PUPP to prevent the incidence and rank of PUPP is need.
Databáze: Networked Digital Library of Theses & Dissertations
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