Abstract
ABSTRACT
Introduction and Aims: Home care services is an approach aiming at providing preventive, curative and rehabilitative health care effectively in a continuum. Pressure ulcers are common among patients receiving home care services.
Materials and Method: In this study, the medical files of 311 patients registered and managed by the home care services unit of Ankara Atatürk Training and Research Hospital between 01/12/2010 and 30/09/2012 were reviewed. Seventy one patients with pressure ulcers were included in the study
Findings: A total of 71 patients, of which 26 being male (36.60%) and 45 being female (63.40%), were included in the study. The median age of the patients with pressure ulcers was 80 (IQR:13). Pressure ulcer locations were sacral in 42 (59.20%), trochanteric in 10 (14.10%), heels in 3 (9.90%), thoracic vertabral and scapular in 3 (4.20%) and arms and other areas in 2 (2.80%) patients. Mean serum albümin was 3.20 ± 0.51 g/dL. Hypoalbuminemia was observed in 4 patients feeded via PEG, in 7 patients receiving oral enteral support and in 1 patient feeded via nasogastric tube.
Conclusison: Assessment of the risk factors should be a part of the first visit of every single patient registered for home care services. Nutritional support should be emphasized among high risk patients.
References
- 1- Hisar KM., Erdoğdu H., Evde sağlık hizmeti alanlarda yaşam kalitesi durumu ve etkileyen faktörlerin belirlenmesi, Genel Tıp Dergisi 2014;24:138-142
- 2- Akdemir N., Bostanoğlu H., Yurtsever S., Kutlutürkan S., Kapucu S., Özer ZC., Yatağa bağımlı hastaların evde yaşadıkları sağlık sorunlarına yönelik evde bakım hizmet gereksinimleri, Dicle Tıp Dergisi 2011;38(1):57-65
- 3- İnözü E., Özakpınar HR., Durgun M., Eryılmaz AT., Selçuk CT, Tellioğlu AT., Geriatrik hastalarda bası yaralarına yaklaşım, Dicle Tıp Dergisi 2012;39(3):408-412
- 4- Bergquist S., Pressure ulcer prediction in older adults receiving home health care: implications for use with the OASIS , ADV Skin Wound Care 2003;16:132-9
- 5- Edward H. Comfort, Reducing pressure ulcer incidence through Braden scale risk assessment and support surface use, Advances in Skin& Wound Care 2008;21(7):330-4
- 6- Panos Papanikolaou, Patricia Lyne, Denis Anthony, Risk assessment scales for pressure ulcers: a methodological review, İnternational Journal of Nursing Studies 44(2007) 285-296
- 7- Jeffrey A. Niezgoda, Susan Mendez-Eastman, The effective management of pressure ulcers, Advances in Skin& Wound Care 2006;19(1):3-15
- 8- Sevnaz Şahin, Fehmi Akçiçek, Yaşlı hastada bası yaraları önleme, tanı ve tedavisi, Akademik Geriatri Dergisi, 2009;1308-5115
- 9- Kottner J., Halfens R., Dassen T., An interrater reliability study of assessment of pressure ulcer risk using the Braden scale and the classification of pressure ulcers in home care setting, International Journal of Nursing Studies 46(2009) 1307-1312
- 10- Bergquist-Beringer S., Gajewski B. J., Outcome and assessment information set data that predict pressure ulcer development in older adult home health patients, ADV Skin Wound Care 2011;24:404-14
- 11- Edlich R., Winters K., Woodard C., Buschbacher R., Long W., Gebhart J., Pressure ulcer prevention, J Long Term Eff Med Implants 2004;14(4):285-304
- 12- Baranoski S., Raising awareness of pressure ulcer prevention and treatment, ADV Skin Wound Care 2006;19:398-405
- 13- Litchfor M., Dorner B., Posthauer M., Malnutrition as a precursor of pressure ulcers, ADV Wound Care 2014;3(1):54-63
- 14- Lyman V., Successful heel pressure ulcer prevention program in a long-term care setting, J Wound Continence Nurs. 2009;36(6):616-621
- 15- Moore Z., Webster J., Dressing and topical agents for preventing pressure ulcers, Cochrane Database Syst Rev. 2013;18(8) doi:10.1002/14651858.CD009362.pub2
- 16- Aktürk A., Atmaca E., Zengin S., Bayramgürler D., Kocaeli ilinde evde bakım hizmeti alan hastalarda bası ülserlerinin prevelansı ve klinik özellikleri, Turkderm 2010;44:128-31
- 17- Queiroz AC., Mota DD., Bachion MM., Ferreira AC., Pressure ulcers in palliative home care patients: prevalence and characteristics, Rev Esc Enferm USP, 2014;48(2):264-71
- 18- Ferrell BA., Josephson K., Norvid P., Alcorn H., Pressure ulcers among patients admitted to home care , J Am Geriatr Soc. 2000; 48(9):1042-7
- 19- Anthony D., Reynolds T., Russell L., An investigation into the use of serum albumin in pressure sore prediction, J Adv Nurs. 2000;32(2);359-65
- 20- Doran D., Lefebre N., O’Brien-Pallas L., Estabrook CA., White P., Carryer J. ve ark., The relationship among evidence-based practice and client dyspnea, pain, falls, and pressure ulcer outcomes in the community setting, Worldviews Evid Based Nurs., 2014;11(5):274-83
- 21- Smith DM., Pressure ulcers in the nursing home, Ann Intern Med 1995;123(6):433-438
- 22- Moore Z., Cowman S., Posnett J., An economic analysis of repositioning fort he prevention of pressure ulcers, J Clin Nurs. 2013;22(15-16)2354-60
- 23- Pinkney L., Nixon J., Wilson L., Coleman S., McGinnis E., Stubbs N. ve ark. Why do patients develop severe pressure ulcers? A retrospective case study, BMJ Open 2014; 4(1) doi:10.1136/bmjopen-2013-004303
Abstract
ÖZET
Giriş ve Amaç: Evde bakım kavramı, koruyucu, tedavi ve rehabilite edici sağlık hizmetlerinin sürekliliğinin etkili biçimde sürdürülmesi amacını güden bir yaklaşımdır. Evde bakım hizmeti alan hastalarda bası yarası gelişimi sık görülmektedir.
Olgular ve Yöntem: Çalışmada 01/12/2010-30/09/2012 tarihleri arasında Ankara Atatürk Eğitim ve Araştırma Hastanesi Evde Sağlık Hizmetleri Birimi’nde takip ve tedavisi yapılan 311 hastanın dosyaları tarandı. Bası yarası olan 71 hasta çalışmaya alındı.
Bulgular: Çalışmaya 26 erkek (%36,60) ve 45 (%63,4) kadın olmak üzere toplam 71 hasta dahil edildi. Bası yarası olan hastaların ortanca yaşı 80 (IQR:13) olarak bulundu. 42 (%59,20) hastanın sakrumunda, 10 (%14,10) hastanın trokanterik bölgesinde, 7 (%9,90) hastanın topuğunda, 3 (%4,20) hastanın torakal vertebra ve skapuler bölgesinde, 2 (%2,80) hastanın kol ve diğer bölgelerinde bası yarası mevcuttu. Hastaların ortalama serum albumin değeri 3,20 ± 0,51 g/dL bulundu. PEG ile beslenen 4 hastada, enteral beslenme alan 7 hastada ve nazogastrik sonda ile beslenen 1 hastada hipoalbuminemi olduğu gözlendi.
Sonuç: Evde sağlık sistemine alınan her hastada, risk faktörlerinin değerlendirilmesi ilk muayenenin bir parçası olmalıdır. Riskli gruptaki hastalarda beslenme desteğinin önemi vurgulanmalıdır.
Keywords
References
- 1- Hisar KM., Erdoğdu H., Evde sağlık hizmeti alanlarda yaşam kalitesi durumu ve etkileyen faktörlerin belirlenmesi, Genel Tıp Dergisi 2014;24:138-142
- 2- Akdemir N., Bostanoğlu H., Yurtsever S., Kutlutürkan S., Kapucu S., Özer ZC., Yatağa bağımlı hastaların evde yaşadıkları sağlık sorunlarına yönelik evde bakım hizmet gereksinimleri, Dicle Tıp Dergisi 2011;38(1):57-65
- 3- İnözü E., Özakpınar HR., Durgun M., Eryılmaz AT., Selçuk CT, Tellioğlu AT., Geriatrik hastalarda bası yaralarına yaklaşım, Dicle Tıp Dergisi 2012;39(3):408-412
- 4- Bergquist S., Pressure ulcer prediction in older adults receiving home health care: implications for use with the OASIS , ADV Skin Wound Care 2003;16:132-9
- 5- Edward H. Comfort, Reducing pressure ulcer incidence through Braden scale risk assessment and support surface use, Advances in Skin& Wound Care 2008;21(7):330-4
- 6- Panos Papanikolaou, Patricia Lyne, Denis Anthony, Risk assessment scales for pressure ulcers: a methodological review, İnternational Journal of Nursing Studies 44(2007) 285-296
- 7- Jeffrey A. Niezgoda, Susan Mendez-Eastman, The effective management of pressure ulcers, Advances in Skin& Wound Care 2006;19(1):3-15
- 8- Sevnaz Şahin, Fehmi Akçiçek, Yaşlı hastada bası yaraları önleme, tanı ve tedavisi, Akademik Geriatri Dergisi, 2009;1308-5115
- 9- Kottner J., Halfens R., Dassen T., An interrater reliability study of assessment of pressure ulcer risk using the Braden scale and the classification of pressure ulcers in home care setting, International Journal of Nursing Studies 46(2009) 1307-1312
- 10- Bergquist-Beringer S., Gajewski B. J., Outcome and assessment information set data that predict pressure ulcer development in older adult home health patients, ADV Skin Wound Care 2011;24:404-14
- 11- Edlich R., Winters K., Woodard C., Buschbacher R., Long W., Gebhart J., Pressure ulcer prevention, J Long Term Eff Med Implants 2004;14(4):285-304
- 12- Baranoski S., Raising awareness of pressure ulcer prevention and treatment, ADV Skin Wound Care 2006;19:398-405
- 13- Litchfor M., Dorner B., Posthauer M., Malnutrition as a precursor of pressure ulcers, ADV Wound Care 2014;3(1):54-63
- 14- Lyman V., Successful heel pressure ulcer prevention program in a long-term care setting, J Wound Continence Nurs. 2009;36(6):616-621
- 15- Moore Z., Webster J., Dressing and topical agents for preventing pressure ulcers, Cochrane Database Syst Rev. 2013;18(8) doi:10.1002/14651858.CD009362.pub2
- 16- Aktürk A., Atmaca E., Zengin S., Bayramgürler D., Kocaeli ilinde evde bakım hizmeti alan hastalarda bası ülserlerinin prevelansı ve klinik özellikleri, Turkderm 2010;44:128-31
- 17- Queiroz AC., Mota DD., Bachion MM., Ferreira AC., Pressure ulcers in palliative home care patients: prevalence and characteristics, Rev Esc Enferm USP, 2014;48(2):264-71
- 18- Ferrell BA., Josephson K., Norvid P., Alcorn H., Pressure ulcers among patients admitted to home care , J Am Geriatr Soc. 2000; 48(9):1042-7
- 19- Anthony D., Reynolds T., Russell L., An investigation into the use of serum albumin in pressure sore prediction, J Adv Nurs. 2000;32(2);359-65
- 20- Doran D., Lefebre N., O’Brien-Pallas L., Estabrook CA., White P., Carryer J. ve ark., The relationship among evidence-based practice and client dyspnea, pain, falls, and pressure ulcer outcomes in the community setting, Worldviews Evid Based Nurs., 2014;11(5):274-83
- 21- Smith DM., Pressure ulcers in the nursing home, Ann Intern Med 1995;123(6):433-438
- 22- Moore Z., Cowman S., Posnett J., An economic analysis of repositioning fort he prevention of pressure ulcers, J Clin Nurs. 2013;22(15-16)2354-60
- 23- Pinkney L., Nixon J., Wilson L., Coleman S., McGinnis E., Stubbs N. ve ark. Why do patients develop severe pressure ulcers? A retrospective case study, BMJ Open 2014; 4(1) doi:10.1136/bmjopen-2013-004303
Details
| Subjects | Health Care Administration |
|---|---|
| Journal Section | Articles |
| Authors | |
| Publication Date | March 23, 2017 |
| Published in Issue | Year 2017 Volume: 9 Issue: 1 |
