Selected correlates conditioning the occurrence of pressure ulcers and their actual occurrence among residents of long-term residential care. Test report

Anna Wójcik; Weronika Szarek; Elżbieta Przyboś; Dariusz Bazaliński; Anna Nowak

doi:10.5114/ms.2024.141738

eISSN: 2300-6722
ISSN: 1899-1874

Medical Studies/Studia Medyczne

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abstract:

Original paper

Selected correlates conditioning the occurrence of pressure ulcers and their actual occurrence among residents of long-term residential care. Test report

Anna M. Wójcik

¹

,

Weronika Szarek

²

,

Elżbieta Przyboś

³

,

Dariusz Bazaliński

^{1, 4}

,

Anna Nowak

⁵

Podkarpackie Specialist Oncology Centre, Specialist Hospital in Brzozów, Brzozów, Poland
LUX MED Oncology, Szamocka Hospital, Warsaw, Poland
AVEE-MED, Care Facility, Niechobrz, Poland
Institute of Health Sciences, College of Medical Sciences, University of Rzeszow, Poland
School of Foreign Languages, University of Rzeszow, Rzeszow, Poland

Medical Studies/Studia Medyczne 2024; 40 (3)

DOI: https://doi.org/10.5114/ms.2024.141738

Online publish date: 2024/08/23

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Aim of the research
To assess the relationship between selected determinants of the incidence of bedsores and their actual occurrence among inpatients in long-term care.

Material and methods
This prospective observational study involved 47 patients of an inpatient long-term care centre. An estimation method was used. A primary assessment (study 0) and a secondary assessment (study1) were conducted over 4 weeks. Study data were collected by means of a scientific questionnaire, which used clinical tools in addition to sociodemographic data and vital signs assessment: the Barthel scale, Glasgow Coma Scale (GCS), Nutritional Risk Index (NRI), body mass index (BMI), and the Braden pressure ulcer risk scale.

Results
There was a correlation in terms of comorbidities and the incidence of pressure sores. A correlation was confirmed between the incidence of pressure sores, renal failure (p = 0.026), and cardiovascular failure (p = 0.030). An association was observed between albumin levels in the group of residents with and without bedsores (p < 0.001). The albumin level in the second measurement was higher in the group of patients without pressure sores (p < 0.001). There was also a correlation found in the assessment of the degree of self-care and the occurrence of pressure sores (p < 0.004).

Conclusions
Hypoalbuminaemia and immobilisation in the course of chronic diseases increase the risk of pressure ulcers in the long-term care group. The implementation of multidirectional and interdisciplinary prevention is a fundamental pillar of professional care for the chronically ill.

keywords:

Selected correlates conditioning the occurrence of pressure ulcers and their actual occurrence among residents of long-term residential care. Test report

Anna M. Wójcik 1 , Weronika Szarek 2 , Elżbieta Przyboś 3 , Dariusz Bazaliński 1, 4 , Anna Nowak 5

nutritional status, long-term care, decubitus ulcer

Anna M. Wójcik

¹

,

Weronika Szarek

²

,

Elżbieta Przyboś

³

,

Dariusz Bazaliński

^{1, 4}

,

Anna Nowak

⁵