SciELO - Scientific Electronic Library Online

 
vol.32 issue3The incidence of pressure ulcers at a geriatric functional recovery unit: a time series studyComparison between the cost and the wound closure in a Clinical Management Unit that includes an Advanced Practice Nurse on Complex Chronic Wounds author indexsubject indexarticles search
Home Pagealphabetic serial listing  

Services on Demand

Journal

Article

Indicators

Related links

  • On index processCited by Google
  • Have no similar articlesSimilars in SciELO
  • On index processSimilars in Google

Share


Gerokomos

Print version ISSN 1134-928X

Abstract

MORALES GUIJARRO, Ana María; ARRIBAS SANCHO, Pilar; DIAZ DIAZ, Raquel  and  GUADARRAMA ORTEGA, David. Impact of the implementation of the guide of good practices: risk assessment and prevention of pressure ulcers in hospital settings. Gerokomos [online]. 2021, vol.32, n.3, pp.187-192.  Epub Oct 25, 2021. ISSN 1134-928X.

Objective:

To evaluate the implementation of the good practice guide: risk assessment and prevention of pressure ulcers in a hospital environment, in the internal medicine unit of the University Hospital Fundación Alcorcón of the Community of Madrid.

Methodology:

a quasi-experimental, pre-post study in which indicators are evaluated before (2017) and after (2019) the implementation of the good practice guide. Variables: incidence rate of pressure injuries, assessment and reassessment of the risk of pressure injuries, application of pressure control surfaces in patients at risk of pressure injuries, time of development of pressure injuries, and categories of injuries developed.

Results:

the analyzed sample consists of 764 patients. The incidence rate of pressure injuries in 2017 was a 2.70%; a 6,1% in 2018 and a 4,1% in 2019. The risk assessment of pressure injuries in 2017 was 98,57%, compared to 94,3% in 2019. Regarding the reassessment, it goes from a 0% before the implementation a 96.49% after. The application of special surfaces for handling pressure in 2017 was a 7.69%, and a 70,67% at the end of 2019.

Conclusions:

a decrease of the incidence rate in the development of pressure injuries during the patients’ admission, a significant increase in the reassessment of the patients at risk of pressure injuries and in the use of special surfaces for handling pressure.

Keywords : Pressure injuries; clinical practice guide; prevention; nursing; risk; incidence rate.

        · abstract in Spanish     · text in Spanish     · Spanish ( pdf )