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Großschädl, F.
Druck in der Pflege - Prävalenz von Dekubitus in österreichischen Krankenhäusern und Pflegeheimen.
[ Diplomarbeit/Master Thesis ] Graz Medical University; 2009. pp.98. [OPEN ACCESS]
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Authors Med Uni Graz:
Großschädl Franziska
Advisor:
Lohrmann Christa
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Abstract:
For decades pressure ulcer have been internationally a serious and frequent nursing problem. It causes enormous suffering to the affected and high costs for society. Prevalence studies about pressure ulcers indicate the extent of this disease. Subsequently targeted measures can be planned in order to prevent pressure ulcers. There are already some international prevalence surveys of pressure ulcers, which reported rates from 0,06 % to 83,6 %. A comparison of these studies is limited due to their differences in methodology, population and the definition of prevalence and pressure ulcer. No prevalence rates that demonstrate the extent of pressure ulcers in health care institutions were available so far in Austria. Therefore measuring the prevalence and wound characteristics of pressure ulcers and giving an overview of the prevention and treatment activities in Austrian hospitals and nursing homes is the aim of this work. In the context of the National Prevalence Survey Care-related Data (LPZ), data were collected on April 7th 2009 with a standardized questionnaire in a cross-sectional study with descriptive design. This survey entitles to compare the results between participating institutions and countries. 2.353 Patients and residents in 17 Austrian institutions were investigated. 4.5 % of the surveyed people in these hospitals and 5.7 % of the surveyed people in these nursing homes had at least a pressure ulcer. The prevalence in the risk group was 12,2 % (excluding grade one pressure ulcers: 8 %) for the patients, while in the nursing homes it was 8 % (excluding grad one pressure ulcers: 5,9 %). Most of the wounds in hospitals were grade one and two, while the majority of pressure ulcers in nursing homes were grade three and four. The results for the localization, the period and the origin were for both institutions very similar. Most of the pressure ulcers were acquired on the heels during the period of more than two weeks and less than three months and outside the institutions. This study also found that prevention and treatment activities of pressure ulcers (for example: the use of anti pressure ulcer mattresses) in the nursing homes were used more often than in the hospitals. Compared to the prevalence of published studies the identified prevalence is very low. It is very important to continue conducting surveys to make more detailed analysis and longitudinal comparisons within the institutions.

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