Araştırma Makalesi
BibTex RIS Kaynak Göster
Yıl 2023, , 133 - 141, 18.09.2023
https://doi.org/10.26650/experimed.1322111

Öz

Proje Numarası

Approval number: 71-2022

Kaynakça

  • 1. Zengin H, Taşçı İ. Factors influencing the length of stay in the palliative care unit in patients discharged home: results from a tertiary hospital in Turkey. Turk J Med Sci 2021; 51(5): 2420-6. google scholar
  • 2. Dincer M, Doger C, Tas SS, Karakaya D. An analysis of patients in palliative care with pressure injuries. Niger J Clin Pract 2018; 21(4): 484-91. google scholar
  • 3. National Pressure Ulcer Advisory Panel, European Pressure Ulcer Advisory Panel, Pan Pacific Pressure Injury Alliance, Prevention and Treatment of Pressure Ulcers: Clinical practice guideline. Cambridge Media, 2019. google scholar
  • 4. National Pressure Injury Advisory Panel, European Pressure Ulcer Advisory Panel, Pan Pacific Pressure Injury Alliance, Prevention and Treatment of Pressure Ulcers: Clinical practice guideline. Cambridge Media, 2014. google scholar
  • 5. Edsberg LE, Black JM, Goldberg M, McNichol L, Moore L, Sieggreen M. Revised National Pressure Ulcer Advisory Panel Pressure Injury Staging System: revised pressure injury staging system. J Wound Ostomy Continence Nurs. 2016; 43(6): 585-97. google scholar
  • 6. Edsberg LE, Langemo D, Baharestani MM, Posthauer ME, Goldberg M. Unavoidable pressure injury: state of the science and consensus outcomes. J Wound Ostomy Continence Nurs 2014; 41(4): 313-34. google scholar
  • 7. Braden BJ, Bergstrom N. Predictive validity of the Braden Scale for pressure sore risk in a nursing home population. Res Nurs Health 1994; 17(6): 459-70. google scholar
  • 8. Kavşur Z, Sevimli E. Türkiye'deki Palyatif Bakım Hizmetlerinin Bazı Gelişmiş Ülkeler ile Karşılaştırılması. USBAD Uluslararası Sosyal Bilimler Akademi Dergisi 2020; 2(4): 715-30. google scholar B Beers EH. Palliative Wound Care: Less Is More. Surg Clin North Am. 2019; 99(5): 899-919. google scholar
  • 9. Hendrichova I, Castelli M, Mastroianni C, Piredda M, Mirabella F, Surdo L, et al. Pressure ulcers in cancer palliative care patients. Palliat Med 2010; 24(7): 669-73. google scholar
  • 10. Galvin J. An audit of pressure ulcer incidence in a palliative care setting. Int J Palliat Nurs 2002; 8(5): 214-21. google scholar
  • 11. Gencer Z, Özkan Ö. Pressure ulcers surveillance report. Journal of the Turkish Society of Intensive Care-Türk Yoğun Bakım Derneği Dergisi 2015; 13: 26-30. google scholar
  • 12. Karayurt Ö, Akyol Ö, Kılıçaslan N, Akgün N, Sargın Ü, Kondakçı M, et al. The incidence of pressure ulcer in patients on mechanical ventilation andeffects of selected risk factors on pressure ulcer development. Turk J Med Sci 2016; 46(5): 1314-22. google scholar
  • 13. Šateková L, Žiaková K, Zeleníková R. Predictive validity of the Braden Scale, Norton Scale, and Waterlow Scale in the Czech Republic. Int J Nurs Pract 2017; 23(1). google scholar
  • 14. Yürüyen M, Özbaş Tevetoğlu I, Tekmen Y, Polat Ö, Arslan İ, Okuturlar Y. Prognostic factors and clinical features in palliative care patients. Konuralp Med J 2018; 10 (1): 74-80 google scholar
  • 15. Starks H, Wang S, Farber S, Owens DA, Curtis JR. Cost savings vary by length of stay for inpatients receiving palliative care consultation services. J Palliat Med 2013; 16(10): 1215-20. google scholar

Pressure Ulcers in Palliative Care Unit Patients

Yıl 2023, , 133 - 141, 18.09.2023
https://doi.org/10.26650/experimed.1322111

Öz

Objective: Pressure ulcers are associated with prolonged lengths of stay, increased costs, and lower discharge rates in palliative care units. This study aimed to reveal pressure ulcers' risk factors, incidence, and prevalence in a palliative care unit.
Materials and Methods: The data of 252 inpatients in a secondary-level palliative care unit were examined retrospectively. Patients were divided into groups according to pressure ulcer status, and data was comparatively analyzed. Pressure ulcer prevalence and incidence in the palliative care unit were calculated.
Results: There were 137 (54.4%) males and 115 (45.6%) females. The mean age was 67.4 ± 16.7. Most of them were oncology patients (30.6%) and cerebrovascular patients (30.6%). Pressure ulcers' prevalence and incidence were 40.1% and 4.7%, respectively. The Braden score was a median of 13 (5-23). In patients with pressure ulcers, the Braden score and discharge home rate were significantly lower; admission from another intensive care unit, the length of stay, and the treatment costs were significantly higher.
Conclusion: Pressure ulcers negatively affect the patient's length of stay in the palliative care unit, the discharge rate to home, and the financial burden on the healthcare system. Pressure ulcer risk analysis and a standardized care plan to prevent and treat pressure ulcers should be performed for cost-effective palliative care.

Proje Numarası

Approval number: 71-2022

Teşekkür

There is no acknowledgment to declare.

Kaynakça

  • 1. Zengin H, Taşçı İ. Factors influencing the length of stay in the palliative care unit in patients discharged home: results from a tertiary hospital in Turkey. Turk J Med Sci 2021; 51(5): 2420-6. google scholar
  • 2. Dincer M, Doger C, Tas SS, Karakaya D. An analysis of patients in palliative care with pressure injuries. Niger J Clin Pract 2018; 21(4): 484-91. google scholar
  • 3. National Pressure Ulcer Advisory Panel, European Pressure Ulcer Advisory Panel, Pan Pacific Pressure Injury Alliance, Prevention and Treatment of Pressure Ulcers: Clinical practice guideline. Cambridge Media, 2019. google scholar
  • 4. National Pressure Injury Advisory Panel, European Pressure Ulcer Advisory Panel, Pan Pacific Pressure Injury Alliance, Prevention and Treatment of Pressure Ulcers: Clinical practice guideline. Cambridge Media, 2014. google scholar
  • 5. Edsberg LE, Black JM, Goldberg M, McNichol L, Moore L, Sieggreen M. Revised National Pressure Ulcer Advisory Panel Pressure Injury Staging System: revised pressure injury staging system. J Wound Ostomy Continence Nurs. 2016; 43(6): 585-97. google scholar
  • 6. Edsberg LE, Langemo D, Baharestani MM, Posthauer ME, Goldberg M. Unavoidable pressure injury: state of the science and consensus outcomes. J Wound Ostomy Continence Nurs 2014; 41(4): 313-34. google scholar
  • 7. Braden BJ, Bergstrom N. Predictive validity of the Braden Scale for pressure sore risk in a nursing home population. Res Nurs Health 1994; 17(6): 459-70. google scholar
  • 8. Kavşur Z, Sevimli E. Türkiye'deki Palyatif Bakım Hizmetlerinin Bazı Gelişmiş Ülkeler ile Karşılaştırılması. USBAD Uluslararası Sosyal Bilimler Akademi Dergisi 2020; 2(4): 715-30. google scholar B Beers EH. Palliative Wound Care: Less Is More. Surg Clin North Am. 2019; 99(5): 899-919. google scholar
  • 9. Hendrichova I, Castelli M, Mastroianni C, Piredda M, Mirabella F, Surdo L, et al. Pressure ulcers in cancer palliative care patients. Palliat Med 2010; 24(7): 669-73. google scholar
  • 10. Galvin J. An audit of pressure ulcer incidence in a palliative care setting. Int J Palliat Nurs 2002; 8(5): 214-21. google scholar
  • 11. Gencer Z, Özkan Ö. Pressure ulcers surveillance report. Journal of the Turkish Society of Intensive Care-Türk Yoğun Bakım Derneği Dergisi 2015; 13: 26-30. google scholar
  • 12. Karayurt Ö, Akyol Ö, Kılıçaslan N, Akgün N, Sargın Ü, Kondakçı M, et al. The incidence of pressure ulcer in patients on mechanical ventilation andeffects of selected risk factors on pressure ulcer development. Turk J Med Sci 2016; 46(5): 1314-22. google scholar
  • 13. Šateková L, Žiaková K, Zeleníková R. Predictive validity of the Braden Scale, Norton Scale, and Waterlow Scale in the Czech Republic. Int J Nurs Pract 2017; 23(1). google scholar
  • 14. Yürüyen M, Özbaş Tevetoğlu I, Tekmen Y, Polat Ö, Arslan İ, Okuturlar Y. Prognostic factors and clinical features in palliative care patients. Konuralp Med J 2018; 10 (1): 74-80 google scholar
  • 15. Starks H, Wang S, Farber S, Owens DA, Curtis JR. Cost savings vary by length of stay for inpatients receiving palliative care consultation services. J Palliat Med 2013; 16(10): 1215-20. google scholar
Toplam 15 adet kaynakça vardır.

Ayrıntılar

Birincil Dil İngilizce
Konular Klinik Tıp Bilimleri (Diğer)
Bölüm Araştırma Makalesi
Yazarlar

Mahmut Said Değerli 0000-0002-8313-7904

Proje Numarası Approval number: 71-2022
Yayımlanma Tarihi 18 Eylül 2023
Gönderilme Tarihi 3 Temmuz 2023
Yayımlandığı Sayı Yıl 2023

Kaynak Göster

Vancouver Değerli MS. Pressure Ulcers in Palliative Care Unit Patients. Experimed. 2023;13(2):133-41.