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[Pressure ulcer prevention and therapy: results of a descriptive study]
Anna-Barbara Schlüer1, Eva Cignacco, Ruud J Halfens
1Kinderuniversitätskliniken Zürich. barbara.schlueer@kispi.uzh.ch
Insights
Pediatric patients face a high risk of pressure ulcers, with 92% receiving preventive care like repositioning and skin inspection. Further research is needed to improve interventions for this vulnerable group.
Area of Science:
- Nursing Care
- Pediatric Health
- Dermatology
Context:
- Pressure ulcers are a significant concern in pediatric hospital settings.
- Children, especially those who are sick, premature, disabled, or impaired, are at elevated risk.
- The Braden Scale identifies a high-risk rate among pediatric patients.
Purpose:
- To describe pediatric patients at risk for pressure ulcers.
- To identify preventive and therapeutic interventions used in pediatric care.
- To explore effective strategies for this patient population.
Summary:
- A descriptive cross-sectional study included 155 hospitalized children aged 0-18 years.
- Preventive actions were administered to 92% of patients, including repositioning (84%), mobilization (75%), skin inspection (61%), and lotion application (56%).
- Despite high intervention rates, the identified risk level necessitates further investigation into effective strategies.
Impact:
- Highlights the prevalence of pressure ulcer risk in hospitalized children.
- Emphasizes the common preventive measures currently employed.
- Calls for enhanced research into optimizing interventions to improve outcomes for pediatric patients at risk.
Abstract:
Pressure ulcers are a common nursing care issue in hospitals. Sick children, premature infants and toddlers, but also disabled and impaired children are at a high risk of developing pressure ulcers. The aim of this descriptive cross-sectional study was to describe the patients at risk as well as to identify the preventive and therapeutic interventions in a pediatric care setting. Of 213 hospitalised children, 155 (82 percent) from the age of 0 to 18 years could be included in the study. Altogether, preventive actions of any kind were performed with 92 percent of the patients. These were repositioning (84 percent), mobilisation of the patients (75 percent), followed by skin inspection (61 percent) and the application of lotions (56 percent). The high risk rate of pediatric patients considered at risk according to the Braden Scale is disconcerting and requires further exploration in terms of effective preventive and therapeutic interventions to improve the outcome for this patient group.
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