Change search
CiteExportLink to record
Permanent link

Direct link
Cite
Citation style
  • apa
  • ieee
  • modern-language-association-8th-edition
  • vancouver
  • Other style
More styles
Language
  • de-DE
  • en-GB
  • en-US
  • fi-FI
  • nn-NO
  • nn-NB
  • sv-SE
  • Other locale
More languages
Output format
  • html
  • text
  • asciidoc
  • rtf
Åtgärdsprogram för trycksårsprevention: Vilken effekt har de och vilka komponenter ska ingå?
Uppsala University, Disciplinary Domain of Medicine and Pharmacy, Faculty of Medicine, Department of Public Health and Caring Sciences.
Uppsala University, Disciplinary Domain of Medicine and Pharmacy, Faculty of Medicine, Department of Public Health and Caring Sciences.
2019 (Swedish)Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
Abstract [sv]

Bakgrund: Trycksår är en vanlig vårdskada som orsakar stora problem inom hälso- och sjukvård, onödigt lidande för patienter och leder till höga kostnader för samhället. Preventiva åtgärder skulle kunna förebygga detta, vilka kan kombineras i åtgärdsprogram.

 

Syfte: Syftet var att undersöka effekten av olika åtgärdsprogram för trycksårsprevention, samt identifiera vilka komponenter som ingår i ett effektivt åtgärdsprogram.

 

Metod: Litteraturstudie baserad på tio kvantitativa artiklar med randomiserad kontrollerad studie (RCT) eller kvasiexperimentell design. Artikelsökning gjordes i databaserna PubMed och Cinahl samt manuellt. Katie Erikssons teori om vårdlidande användes som teoretisk referensram.

 

Resultat: Majoritet av inkluderade studiers åtgärdsprogram resulterade i effekt på andel sjukhusförvärvade trycksår, preventiva åtgärder, patienters delaktighet och egenvård samt kunskap hos vårdpersonal. Åtgärder som förekom i samtliga effektiva åtgärdsprogram var: riskbedömning, hudbedömning, tryckavlastande underlag, lägesändring, hudvård och adekvat nutrition. Komponenter som flertalet åtgärdsprogram dessutom använde var: skin champions, familjemedverkan och multiprofessionell samverkan. Enskilda åtgärdsprogram använde följande komponenter: mobilapplikation, foto och uppladdning i journal, orsaksanalys och algoritmer som beslutsstöd.

 

Slutsats: Trycksår är en vårdskada som kan undvikas med preventiva åtgärder. Åtgärdsprogram bestående av grundläggande åtgärder som: riskbedömning, hudbedömning, tryckavlastande underlag, lägesändring, hudvård och adekvat nutrition har påvisats ha god effekt för trycksårsprevention. Åtgärdsprogram med signifikant reducering av andel sjukhusförvärvade trycksår hade antingen effektiviserat och ökat frekvensen av dessa åtgärder eller kombinerat dem med ytterligare åtgärder.

 

Nyckelord: Trycksår, prevention, åtgärdsprogram, lidande

Abstract [en]

Background: Hospital acquired pressure ulcers are common and that cause major problems in health and medical care, unnecessary suffering for patients and leads to high costs in the society. Preventive measures could prevent this, which can be designed in bundles.

 

Aim: The aim was to investigate the effect of various bundles for pressure ulcer prevention, and to identify which components are part of an effective bundle.

 

Method: Literature review based on ten quantitative articles with randomized controlled trial (RCT) or quasi-experimental design. Article search was made in the databases Pubmed and Cinahl as manually. Katie Eriksson’s theory of care suffering was used as a theoretical frame of reference.

Results: The majority of the bundles of the included studies resulted in an effect on the proportion of hospital acquired pressure ulcers, preventative measures, patient involvement and self-care, and knowledge among healthcare professionals. Measures that were included in all effective bundles were: risk assessment, skin assessment, pressure relieving surfaces, repositioning, skincare and adequate nutrition. Additional components that most of the bundles used were: skin champions, family involvement and multiprofessional collaboration. Some bundles used the following components: mobile application, photo and upload in journal, cause analysis and algorithms as decision support.

 

Conclusion: A pressure ulcer is an adverese event that can be avoided with the adequate preventive measures. Bundles consisting of basic measures such as: risk assessment, skin assessment, pressure relieving surfaces, repositioning, skincare and adequate nutrition have been shown to have a good effect for pressure ulcer prevention. Bundles with a significant reduction in the proportion of hospital acquired pressure ulcers had either made them more effective and increased the frequency of these measures or combined them with further measures

 

Keywords: Pressure ulcer, prevention, bundles, suffering

Place, publisher, year, edition, pages
2019. , p. 21
Keywords [en]
Pressure ulcer, prevention, bundles, suffering
Keywords [sv]
Trycksår, prevention, åtgärdsprogram, lidande
National Category
Nursing
Identifiers
URN: urn:nbn:se:uu:diva-385182OAI: oai:DiVA.org:uu-385182DiVA, id: diva2:1323272
Subject / course
Caring Sciences
Educational program
Registered Nurse Programme
Supervisors
Examiners
Available from: 2019-06-14 Created: 2019-06-11 Last updated: 2019-06-14Bibliographically approved

Open Access in DiVA

fulltext(449 kB)12 downloads
File information
File name FULLTEXT01.pdfFile size 449 kBChecksum SHA-512
cfd60efb72fd4db7e6380fd1b0abad1614891273d3d44ea9878a64daac741605db67849ad279d9d60a754a85864f0cfdb88cfe603b189a9b996a4becfd726c59
Type fulltextMimetype application/pdf

By organisation
Department of Public Health and Caring Sciences
Nursing

Search outside of DiVA

GoogleGoogle Scholar
Total: 12 downloads
The number of downloads is the sum of all downloads of full texts. It may include eg previous versions that are now no longer available

urn-nbn

Altmetric score

urn-nbn
Total: 52 hits
CiteExportLink to record
Permanent link

Direct link
Cite
Citation style
  • apa
  • ieee
  • modern-language-association-8th-edition
  • vancouver
  • Other style
More styles
Language
  • de-DE
  • en-GB
  • en-US
  • fi-FI
  • nn-NO
  • nn-NB
  • sv-SE
  • Other locale
More languages
Output format
  • html
  • text
  • asciidoc
  • rtf