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Preventivt omvårdnadsarbete inom riskområdet trycksår: En registerstudie utifrån kvalitetsregistret Senior Alert
Halmstad University, School of Social and Health Sciences (HOS).
Halmstad University, School of Social and Health Sciences (HOS).
2014 (Swedish)Independent thesis Advanced level (degree of Master (Two Years)), 10 credits / 15 HE creditsStudent thesisAlternative title
Preventive nursing interventions of pressure ulcer : A study of The National Quality Registry Senior Alert (English)
Abstract [sv]

Trycksår orsakar lidande för patienter och höga kostnader för sjukvården. För att förhindra uppkomst av trycksår är det viktigt att identifiera patienter med ökad risk för trycksår samt att aktivt arbeta med preventiva omvårdnadsåtgärder. Ett strukturerat arbetssätt kan göras utifrån kvalitetsregistret Senior Alerts rekommendationer. Senior Alert är inriktat på förebyggande vård av äldre över 65 år och i registret registreras bland annat risk för trycksår, planerade åtgärder samt sjuksköterskans utvärdering av de insatta åtgärderna. Syftet med studien var att kartlägga täckningsgrad, utförda riskbedömningar och planerade åtgärder avseende risk för trycksår i kvalitetsregistret Senior Alert. Datainsamling innefattade alla patienter, 75 år eller äldre, på en medicinklinik i västra Sverige, som under år 2013 riskbedömts och registrerats med risk för trycksår. Materialet beskrevs kvantitativt. Resultatet visade att täckningsgraden i Senior Alert var 61,8% och att av de riskbedömda patienterna bedömdes 22,7% ha risk att utveckla trycksår. I genomsnitt planerades för 5,84 (±2,72) åtgärder per patient. Mest frekvent var åtgärder inom nutrition. Det fanns en svag korrelation mellan antal planerade åtgärder och Modifierad Norton-poäng (MNS-poäng). Resultatet visar att fortsatt arbete för att öka täckningsgrad krävs samt att mer individanpassade åtgärder behövs.

Abstract [en]

Pressure ulcers are common and cause both suffering for patients and high costs for the health care services. To prevent the occurrence of pressure ulcers, it is important to find patients at risk and do the preventive care. This can be done based on The National Registry Senior Alert which focus is on preventive care of elderly over 65 years. The registry includes measurements of the risk of pressure ulcers, planned actions and evaluation of the inserted measures. The purpose of this study was to examine the coverage and what preventive actions that was planned and registered in Senior Alert. A data collection was performed during 2013 and included all patients 75 years or older, at a medical clinic, in western Sweden, recorded with increased risk of developing pressure ulcers. The material was analyzed quantitatively. The results showed that the coverage of registration was 61.8% and that 22.7 % had increased risk for developing pressure ulcers. On average 5.84 (± 2.72 ) actions were planned per patient. Most frequent actions were in nutrition. There was a weak correlation between the number of planned actions and Modified Norton-score (MNS-score). The results of this study showed that further work to increase the coverage is required and that more individualized measures are needed.         

Place, publisher, year, edition, pages
2014. , 15 p.
Keyword [en]
pressure ulcer, preventive interventions, risk assessment and Senior Alert
Keyword [sv]
prevention, riskbedömning, Senior Alert, trycksår och åtgärder
National Category
Nursing
Identifiers
URN: urn:nbn:se:hh:diva-25628OAI: oai:DiVA.org:hh-25628DiVA: diva2:724921
Subject / course
Nursing
Supervisors
Examiners
Available from: 2014-06-27 Created: 2014-06-13 Last updated: 2014-06-27Bibliographically approved

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Vancura, JeanetteSandström, Malin
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Citation style
  • apa
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