Investigation on the Application of Braden Pressure Ulcer Risk-factor Assessment Scale in the Nursing Staff_West China Medical Journal

Authors：

 Guqin , ZhaoHuiling , ZhouPeng ,  YuRong

Department of Otolaryngology-Head and Neck Surgery, West China Hospital, Sichuan University, Chengdu, Sichuan 610041, P. R. China;

Corresponding author：

YuRong, Email: entyurong@163.com

Keywords：

Nursing staff; Braden pressure ulcer risk factor assessment scale; Actuality of Application

DOI：

10.7507/1002-0179.201600250

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Objective To understand the application of the Braden pressure ulcer risk-factor assessment scale in the nursing staff, in order to provide reference for clinical nurses to standardize the use of Braden assessment scale and facilitate the hospital to develop training programs on pressure ulcer related knowledge. Methods Stratified cluster sampling method was applied in February 2015. Using the self-designed questionnaire of “Application of Braden pressure ulcer risk-factor assessment scale in the nursing staff ”, we conducted a survey on 198 clinical nurses, and the survey results were scrutinized. The difficulty level of using Braden assessment scale in the nurses was analyzed based on their different demographic characteristics. We also analyzed the items which were most difficult to judge for the nurses and nurses’ learning needs for knowledge on Braden assessment scale. Results A total of 168 (84.85%) nurses found it difficult in using Braden scale for the evaluation of pressure ulcer. The most difficult items to judge for the nurses were friction force, shear force and feeling. Nurses in departments with pressure ulcer as a common symptom of the patients could better use the Braden pressure ulcer risk-factor scale, compared with those in departments where pressure ulcer was uncommon (P＜ 0.05) . A total of 189 (95.46%) nurses thought it necessary to carry out a unified quantitative standard analysis of six risk factors in the Braden scale. Conclusions The poor mastery of the assessment standards for Braden scale in the nurses causes various degrees of difficulty in applying the scale, which can influence the accuracy of assessment. It is important to train the nurses on pressure ulcer risk factor assessment in order to raise the clinical assessment accuracy.

Citation： Guqin, ZhaoHuiling, ZhouPeng, YuRong. Investigation on the Application of Braden Pressure Ulcer Risk-factor Assessment Scale in the Nursing Staff. West China Medical Journal, 2016, 31(5): 927-931. doi: 10.7507/1002-0179.201600250 Copy

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12.	姜丽萍, 张龙, 陈丽莉, 等. 应用Braden量表联合近红外光谱仪评估ICU患者压疮发生的研究[J]. 中华护理杂志, 2014, 49(8): 901-904.
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14.	涂倩, 孙艳, 张纯瑜, 等. 氧合作用和血流灌注指标对ICU患者压疮发生的预警作用[J]. 中华护理杂志, 2011, 46(3): 285-287.
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1. 殷磊. 护理学基础[M]. 北京: 人民卫生出版社, 2003: 216-217.
2. 徐素佳. 改进压疮管理模式提高压疮护理质量[J]. 齐齐哈尔医学院学报, 2015, 36(4): 621-622.
3. 邵培双, 邵培艳, 陈丽丽, 等. 三级质量控制体系在压疮预防中的应用[J]. 护理管理杂志, 2012, 12(11): 801-802.
4. 王勤, 孙丽, 冯军, 等. 老年病房压疮管理的三级监控[J]. 护理学杂志, 2012, 27(1): 32-34.
5. 吕冬梅. 褥疮治疗和护理的最新进展[J]. 医学理论与实践, 2005, 18(9): 1031-1033.
6. 杨程显, 李戈, 张立颖. Braden评估压疮风险的研究进展及展望[J]. 护理学报, 2014, 21(7): 25-27.
7. 薛小玲, 刘慧, 景秀琛, 等. 3种评估表预测压疮效果的比较研究[J]. 中华护理杂志, 2004, 39(4): 241-243.
8. 余颖娟, 丁小容, 曾杏珍, 等. 压疮风险预警网络管理系统的开发与效果评价[J]. 护理研究, 2014, 28(15): 1896-1897.
9. 廖林英, 陈佩莲, 曾锦霞, 等. 各层次护士对压疮危险因素预测能力的调查分析[J]. 广西医学, 2009, 31(9): 1376-1378.
10. 吴茜, 龚美芳, 田梅梅, 等. 住院患者护理风险预警控制体系的建立及应用效果评价[J]. 中华护理杂志, 2015, 50(5): 581-584.
11. 封海霞, 鞠昌萍, 芮冶昊, 等. 护理人员Braden压疮评估准确性的要因分析及质量控制[J]. 护理学杂志, 2014, 29(24): 50-52.
12. 姜丽萍, 张龙, 陈丽莉, 等. 应用Braden量表联合近红外光谱仪评估ICU患者压疮发生的研究[J]. 中华护理杂志, 2014, 49(8): 901-904.
13. 王彩凤. 压疮危险评估相关国外实践指南比较[J]. 中国护理管理, 2011, 11(3): 80-83.
14. 涂倩, 孙艳, 张纯瑜, 等. 氧合作用和血流灌注指标对ICU患者压疮发生的预警作用[J]. 中华护理杂志, 2011, 46(3): 285-287.
15. 钟勤. 护理人员压疮高危因素评估缺陷的分析及对策[J]. 护理学杂志, 2010, 25(8): 61-63.
16. 魏苏艳, 王晓凤, 李萍. 预警管理在压疮管理中的效能分析[J]. 华西医学, 2014, 29(2): 315-319.
17. 陈淼, 谭惠仪, 叶雪梅, 等. 专科巡查提高护理人员压疮风险评估能力的实践[J]. 中华护理杂志, 2015, 50(4): 442-445.
18. 董晓江, 吕巧芸. 压疮防治新进展[J]. 护理研究, 2010, 24(6): 1516- 1517.

West China Medical Journal

Investigation on the Application of Braden Pressure Ulcer Risk-factor Assessment Scale in the Nursing Staff

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