NURSING ASSESSMENT OF PRESSURE SORE RISK

压疮风险的护理评估

基本信息

项目摘要

The specific aim of this study is to establish the validity of the Braden Scale for Predicting Pressure Sore (PA) Risk. More specifically, the study aims for the first phase of the study are to (a) identify the critical cut-off score at which risk is accurately predicted, (b) determine the misclassification rate of the critical cut-off score, (c) determine the influence of age, sex, race, diagnosis and other factors on the predictive validity of the Braden Scale, (d) identify the frequency of reassessment necessary to accurately predict changes in PS risk among inpatients and home health care patients, and (e) compare the predictive validity of the Braden Scale in home health care practice versus inpatient acute and long-term care settings. In a second phase, the risk classification accuracy of the scale will be tested in a new population. The study will be conducted in four acute care hospitals, three nursing homes, and two home health agencies. The same prospective design will be used in each setting. Subjects meeting the following criteria will be randomly selected from each setting: (a) PS free on admission to the study, (b) expected length of hospital/institutional stay at least ten days or expected duration of home care of one month, (c) home care patients are home bound, and (d) subjects agree to participate. PS risk will be assessed using the Braden Scale, and demographic data will be recorded from patient records or by interviewing the patient. A nurse who will remain blind to the risk assessment score will systematically assess skin condition. Inpatients will be studied by assessing risk and skin condition three times per week for a maximum of four weeks or until discharge from the institution. Home care patients will be studied through weekly assessments for a maximum of four weeks. Preventing PS is undoubtedly less costly than treatment, but prevention is also expensive. Protective devices such as special beds may cost $85/day or more. Accurate prediction of risk will permit preventive treatments and devices to be ordered in a timely manner for patients at risk while reducing the unnecessary and costly treatment of persons who are not at risk for developing PS.
本研究的具体目的是确定 Braden量表用于预测压疮(PA)风险。 更 具体而言,研究第一阶段的目标是 (a)确定准确评估风险的关键临界分数 预测,(B)确定关键 截止分数,(c)确定年龄,性别,种族, 诊断和其他因素的预测有效性 Braden量表,(d)确定重新评估的频率 有必要准确预测PS风险的变化, 住院病人和家庭保健病人,和(e)比较 家庭保健中Braden量表的预测效度 实践与住院急性和长期护理设置。 中 第二阶段,风险等级的准确性将 在新的人群中测试。 该研究将在四个 急性护理医院、三家疗养院和两家家庭健康中心 社. 每项研究都将使用相同的前瞻性设计 设置. 符合以下标准的受试者将被随机分配至 从每种设置中选择:(a)进入研究时PS免费, (b)预期住院/住院时间至少10天 或预期家庭护理持续时间为一个月,(c)家庭护理 患者在家,和(d)受试者同意参与。 PS 将使用Braden量表和人口统计学数据评估风险 将从患者记录中记录或通过采访 病人 一名护士将对风险评估保持盲态 评分将系统地评估皮肤状况。 住院患者将 通过每周三次评估风险和皮肤状况进行研究 最多四周,或直至出院 机构。 家庭护理患者将每周进行一次研究, 评估时间最长为四周。 预防PS是 无疑比治疗费用低,但预防也 贵了 保护装置,如专用床, 85元/天或以上 准确的风险预测将允许 及时订购预防性治疗和设备 对有风险的病人,同时减少不必要的, 没有发展PS风险的人的昂贵治疗。

项目成果

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NANCY I. BERGSTROM其他文献

NANCY I. BERGSTROM的其他文献

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{{ truncateString('NANCY I. BERGSTROM', 18)}}的其他基金

Preventing Pressure Ulcers: A Multi-site RCT in Nursing Facilities
预防压疮:护理设施中的多中心随机对照试验
  • 批准号:
    7839759
  • 财政年份:
    2009
  • 资助金额:
    $ 33.23万
  • 项目类别:
Preventing Pressure Ulcers: A Multi-site RCT in Nursing Facilities
预防压疮:护理设施中的多中心随机对照试验
  • 批准号:
    7847446
  • 财政年份:
    2007
  • 资助金额:
    $ 33.23万
  • 项目类别:
Preventing Pressure Ulcers: A Multi-site RCT in Nursing Facilities
预防压疮:护理设施中的多中心随机对照试验
  • 批准号:
    7679100
  • 财政年份:
    2007
  • 资助金额:
    $ 33.23万
  • 项目类别:
Preventing Pressure Ulcers: A Multi-site RCT in Nursing Facilities
预防压疮:护理设施中的多中心随机对照试验
  • 批准号:
    7321903
  • 财政年份:
    2007
  • 资助金额:
    $ 33.23万
  • 项目类别:
Preventing Pressure Ulcers: A Multi-site RCT in Nursing Facilities
预防压疮:护理设施中的多中心随机对照试验
  • 批准号:
    7496046
  • 财政年份:
    2007
  • 资助金额:
    $ 33.23万
  • 项目类别:
PROFESSIONAL NURSE TRAINEESHIP
专业护士培训
  • 批准号:
    2434045
  • 财政年份:
    1996
  • 资助金额:
    $ 33.23万
  • 项目类别:
NURSING ASSESSMENT OF PRESSURE SORE RISK
压疮风险的护理评估
  • 批准号:
    3391077
  • 财政年份:
    1984
  • 资助金额:
    $ 33.23万
  • 项目类别:
NURSING ASSESSMENT OF PRESSURE SORE RISK
压疮风险的护理评估
  • 批准号:
    3391078
  • 财政年份:
    1984
  • 资助金额:
    $ 33.23万
  • 项目类别:
NURSING ASSESSMENT OF PRESSURE SORE RISK IN THE ELDERLY
老年人压疮风险的护理评估
  • 批准号:
    3391075
  • 财政年份:
    1984
  • 资助金额:
    $ 33.23万
  • 项目类别:
NURSING ASSESSMENT OF PRESSURE SORE RISK IN THE ELDERLY
老年人压疮风险的护理评估
  • 批准号:
    3419835
  • 财政年份:
    1984
  • 资助金额:
    $ 33.23万
  • 项目类别:
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