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Nurses’ Knowledge, Attitudes and Practice regarding pressure ulcers Prevention and Treatment

Open Journal of Nursing 2022年第5期12卷 316-333页

作者： Edouard Niyongabo Emmanuel Gasaba Pascal Niyonsenga Marius Ndayizeye Jean Bosco Ninezereza Désiré Nsabimana Annonciate Nshimirimana Schadrypeluth Abakundanye Faculty of Health Sciences Hope Africa University Bujumbura Burundi Department of Public Health Sciences National Institute of Public Health Bujumbura Burundi

pressure ulcers (PU) are one of the most common hospital-acquired problems that occur in patients with mobility limitations. Such wounds can produce pain and deterioration of the underlying condition. Sometimes, they can be life-threatening, and their treatment can impose a financial burden on both the patient’s family and society. Nurses’ knowledge, attitude, and practice are the most important weapons to fight this preventable burden of PU among patients with impaired mobility. The purpose of this study was to assess nurses’ knowledge, attitude, and practice regarding PU prevention and treatment at Clinique Prince Louis Rwagasore (CPLR) in Bujumbura, Burundi. A cross-sectional study design was used. Convenience sampling was used to invite all 28 qualified nurses and nurses’ aids who work in the services where critically ill patients are admitted to participate. A questionnaire was created, and underwent evaluation of face validity before using it to collect data which was analysed using SPSS 21.0. Results revealed that nurses’ knowledge and practice scores were low as participants scored less than 50% on the six knowledge items and the six practice items. However, the attitude scores were greater than 65% on the five items used to evaluate attitude. A strong negative correlation was found between nurses’ knowledge and their attitude scores (r = ?0.479, p = 0.015). Education level was negatively associated with nurses’ knowledge and practice scores of PU prevention and treatment. A high attitude score did not correlate with a higher practice score which might be explained by low knowledge scores (less than 50% on knowledge items). Continuous professional development (CPD) was recommended to improve nurses’ knowledge scores and implementation of PU preventive practices at CPLR.

关键词： pressure ulcers Nurses Prevention Treatment Knowledge Attitude Practice

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Autologous mesenchymal stem cells applied on the pressure ulcers had produced a surprising outcome in a severe case of neuromyelitis optica

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Neural Regeneration Research 2015年第11期10卷 1841-1845页

作者： Adriana Octaviana Dulamea Mirela-Patricia Sirbu-Boeti Coralia Bleotu Denisa Dragu Lucia Moldovan Ioana Lupescu Giancarlo Comi U.M.F.Carol Davila 8 Bulevardul Eroii Sanitari Department of Neurology Fundeni Clinical Institute National Virology Institute Stefan S.Nicolau National Institute of Research and Development for Biological Sciences Universita Vita-Salute San Raffaele

Recent studies provided evidence that mesenchymal stem cells（MSCs） have regenerative potential in cutaneous repair and profound immunomodulatory properties making them a candidate for therapy of neuroimmunologic diseases. Neuromyelitis optica（NMO） is an autoimmune, demyelinating central nervous system disorder characterized by a longitudinally extensive spinal cord lesion. A 46-year-old male diagnosed with NMO had relapses with paraplegia despite treatment and developed two stage IV pressure ulcers（PUs） on his legs. The patient consented for local application of autologous MSCs on PUs. MSCs isolated from the patient＇s bone marrow aspirate were multiplied in vitro during three passages and embedded in a tridimensional collagen-rich matrix which was applied on the PUs. Eight days after MSCs application the patient showed a progressive healing of PUs and improvement of disability. Two months later the patient was able to walk 20 m with bilateral assistance and one year later he started to walk without assistance. For 76 months the patient had no relapse and no adverse event was reported. The original method of local application of autologous BM-MSCs contributed to healing of PUs. For 6 years the patient was free of relapses and showed an improvement of disability. The association of cutaneous repair, sustained remission of NMO and improvement of disability might be explained by a promotion/optimization of recovery mechanisms in the central nervous system even if alternative hypothesis should be considered. Further studies are needed to assess the safety and efficacy of mesenchymal stem cells in NMO treatment.

关键词： neuromyelitis optica Devic's syndrome mesenchymal stem cells multiple sclerosis pressure ulcers

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Training program for caregivers to prevent pressure ulcers among elderly residents at geriatric homes

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Frontiers of Nursing 2021年第3期8卷 249-259页

作者： Donia Atef Ibrahiem Mona Mohamed Abd El-Maksoud Community Health Nursing Faculty of NursingHelwan UniversityCairo 11571Egypt

Objectives:pressure ulcer(PU)is one of the most common problem among the bedridden elderly and has significantly more burden on elderly and *** study is aimed to evaluate the effects of the training program for caregivers to prevent PUs among elderly residents at geriatric ***:A quasi-experimental design was used to carry out the current study.A purposive sample comprised of all formal(39 nurses)or informal caregivers(39)and all immobilized elderly residents(35)who are found in all geriatric centers in Helwan district.A structured questionnaire was used to assess caregivers’socio-demographic characteristics,knowledge,attitude,and observational checklists for their practice for prevention of PU at pre-and posttest and during ***:After the training program,there were improvements in the level of knowledge,practice,and positive attitude of caregivers about PU prevention with a statistically significant difference between pre-,post-,and follow-up training programs(P<0.001).Conclusions:The study revealed that the training program seemed to change the knowledge,practice,and attitude of the subjects to PU ***,in turn,implies that adequate knowledge affects directly the elderly caregivers’attitudes as well as practice for prevention could be important in reducing the burden of PU among the ***,conducting a training program for caregivers at different geriatric homes about caring skills for elders can prevent PU,and using spontaneous reposition is very effective to prevent PUs.

关键词： caregivers elderly residents geriatric homes pressure ulcers training program

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Study on the Clinical Effect of Nursing Intervention on Reducing Outpatient Children's pressure ulcers Caused by Superficial Venous Indwelling Needle

Study on the Clinical Effect of Nursing Intervention on Redu...

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2016 2nd International Conference on Environmental Pollution and Public Health(EPPH 2016)

作者： Xiaoju Li Lihong Liu Yongfang Wang Langfang People's Hospital Langfang Health Vocational College

Objective: A measure of preventing outpatient children’s pressure ulcers caused by superficial vein indwelling needle was discussed in this paper. Methods: 200 children patients in 2 years old, who were treated with superficial vein indwelling needle in the transfusion room of pediatric outpatient in Langfang People’s Hospital from May 2014 to February 2015, were chosen as the studied objects. The patients were randomly divided in to the prevention group and the control group—each group consisted of 100 cases(n=100). Then, the pressure ulcers caused by superficial vein indwelling needle were compared between the two groups. Results: For 100 cases in the prevention group, effective preventive measures were taken, and their pressure ulcer incidence on some parts where indwelling needle was applied was significantly lower than that of the control group and this difference was of statistical significance;the degree of pressure ulcers also significantly declined, and there was no pressure ulcer Ⅱ. Conclusion: In the nursing work of outpatient service, the early nursing intervention from nurses could significantly reduce the incidence of pressure ulcers caused by trocar, the degree of pressure ulcers, and unnecessary pains and injuries, improve the nursing quality, the satisfaction of patients’ parents, and increase the social benefits.

关键词： Venous Indwelling Needle pressure ulcers Nursing Intervention

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Prevalence and Risk Factors of Postoperative pressure ulcers:A Systematic Review and Meta-analysis of Diagnostic Test

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Medicinal Plant 2022年第6期13卷 63-67页

作者： Xueping ZHANG Haiju LI Yan ZHAN Yongli LIU Junlin XIA Chunxia YANG Changdan BU Qiong CHAI Longti LI Neurological Intensive Care Unit Shiyan Taihe Hospital(Affiliated of Hubei University of Medicine)Shiyan 442000China Nursing Department Shiyan Taihe Hospital(Affiliated of Hubei University of Medicine)Shiyan 442000China

[Objectives]The paper was to analyze the total prevalence of postoperative pressure ulcers in patients and to reveal the epidemic law.[Methods]By searching English databases such as PubMed,Google Academics,Scopus,Science Direct and Web of Science(WOS),a total of 2018 English articles on pressure ulcers published from January 2015 to December 2020 were *** to the inclusion criteria,19 high-quality literatures were selected for the study,and the extended function of meta-analysis software of Review Manager 5.1 diagnostic test was used for data statistics and meta analysis of the results.[Results]There were 19 literatures with a total of 9400 patients included in the *** results showed that the total prevalence estimate of postoperative pressure ulcers was 20.00%(CI 95%:15.3-24.1).The total prevalence estimate of postoperative pressure ulcers in males was 10.1%(CI 95%:7.2-13.02),and that in females was 12.8%(CI 95%:8.1-17.3).The total prevalence estimates of stage I to IV postoperative pressure ulcers were 17.02%(CI 95%:11.06-22.09),6.7%(CI 95%:3.76-9.69),0.9%(CI 95%:0.21-1.26)and 0.4%(CI 95%:-0.05-0.8),respectively.[Conclusions]The prevalence of postoperative pressure ulcers is generally *** prevalence of postoperative pressure ulcers in females is higher than that in males,and the prevalence of stage I pressure ulcers is higher than that of other stages,which is related to age,gender and other related risk factors.

关键词： pressure ulcers Prevalence Meta-analysis Risk factors Surgery patients

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Application Experience of Moist Wound Healing Theory Combined with Modern New Dressings in the Treatment of pressure ulcers

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Journal of Clinical and Nursing Research 2021年第4期5卷 119-123页

作者： Na Zhao Mingjuan Zhao Yulan Zhao Shandong Tai'an Municipal Hospital Tai'an 271000Shandong ProvinceChina

Objective:Research on the effect of moist wound healing theory in a combination with modern new dressing treatment in patients diagnosed with pressure ***:Selected 30 patients with pressure ulcers from our hospital,which is Shandong Tai an Municipal Hospital,from January 2019 to January 2021 were divided into experimental group(15 cases,treated with moist wound healing theory combined with modern new dressings)and control group(15 cases,applied conventional treatments).The treatment effect,time of wound edema subsidence,wound healing time,number of dressing changes,granulation tissue growth time,and diameter reduction time were compared between the two ***:The total effective rate of the experimental group(93.33%,14/15)was higher than that of the control group(53.33%,8/15),Ppressure ulcers,the effective combination of moist healing theory and modern new dressing therapy has significant effects,whereby it speeds up the healing process of the pressure ulcers,and it is proven to be worthy to be promoted for usage.

关键词： Moist wound healing theory Modern new dressing pressure ulcers Application

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Improving pressure ulcer care in intensive care units:Evaluating the impact of bundled care and silver nanoparticle dressings

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World Journal of Clinical Cases 2024年第19期12卷 3873-3881页

作者： Hong Yu Department of Intensive Care Unit The First People's Hospital of ZiyangZiyang 641300Sichuan ProvinceChina

BACKGROUND pressure ulcer(PU)are prevalent among critically ill trauma patients,posing substantial *** care strategies and silver nanoparticle dressings offer potential solutions,yet their combined effectiveness and impact on patient satisfaction remain insufficiently *** To assess the impact of bundled care along with silver nanoparticle dressing on PUs management and family satisfaction in critically ill trauma *** A total of 98 critically ill trauma patients with PUs in intensive care unit(ICU)were included in this *** were randomly assigned to either the control group(conventional care with silver nanoparticle dressing,n=49)or the intervention group(bundled care with silver nanoparticle dressing,n=49).The PU Scale for Healing(PUSH)tool was used to monitor changes in status of pressure injuries over *** were conducted at various time points:Baseline(day 0)and subsequent assessments on day 3,day 6,day 9,and day *** satisfaction was assessed using the Family Satisfaction ICU 24 *** No significant differences in baseline characteristics were observed between the two *** the intervention group,there were significant reductions in total PUSH scores over the assessment ***,surface area,exudate,and tissue type parameters all showed significant improvements compared to the control *** satisfaction with care and decision-making was notably higher in the intervention *** family satisfaction was significantly better in the intervention *** Bundled care in combination with silver nanoparticle dressings effectively alleviated PUs and enhances family satisfaction in critically ill trauma *** approach holds promise for improving PUs management in the ICU,benefiting both patients and their families.

关键词： pressure ulcers Silver nanoparticle dressings Bundled care pressure ulcer scale for healing tool Family satisfaction

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MRI analysis and clinical significance of lower extremity muscle cross-sectional area after spinal cord injury

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Neural Regeneration Research 2017年第5期12卷 714-722页

作者： Robert M.Lester Kori Johnson Refka E.Khalil Rehan Khan Ashraf S.Gorgey Spinal Cord Injury and Disorders Center Hunter Holmes McGuire Veterans Administration Medical Center (VAMC) Richmond VA USA Department of Physical Medicine and Rehabilitation Virginia Commonwealth University Richmond VA USA Radiology Service Hunter Holmes McGuire Veterans Administration Medical Center (VAMC) Richmond VA USA

Shortly after spinal cord injury（SCI）, the musculoskeletal system undergoes detrimental changes in size and composition, predominantly below the level of injury. The loss of muscle size and strength, along with increased immobility, predisposes persons with SCI to rapid and severe loss in bone mineral density and other health related consequences. Previous studies have highlighted the significance of measuring thigh muscle cross-sectional area, however, measuring the size and composition of muscles of the lower leg may provide insights on how to decrease the risk of various comorbidities. The purpose of the current review was to summarize the methodological approach to manually trace and measure the muscles of the lower leg in individuals with SCI, using magnetic resonance imaging. We also intend to highlight the significance of analyzing lower leg muscle cross-sectional area and its relationship to musculoskeletal and vascular systems in persons with SCI.

关键词： spinal cord injury magnetic resonance imaging pressure ulcers venous thromboembolism cardiovascular disease bone health

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Validation of LPD Scale for the Assessment of pressure Ulcer at Home

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Open Journal of Nursing 2023年第5期13卷 267-282页

作者： Renzo Zanotti Maddalena Segala Anna Bovo Dpartment of Medicine-DIMED University of Padova Padova Italy Az ULSS 5 Polesana Rovigo Italy

Objectives: This study was designed to test and validate the new LPD scale in a home care setting. The specific objectives are to validate the LPD scale for subjects cared for at home;and to compare LPD to the Braden scale for internal validity. Method: This multicenter, cross-sectional study was conducted in the domestic environment of subjects cared for Home Care services from North to South of Italy. Data collection lasted 8 months, between June 2018 and September 2020, and consisted of the simultaneous compilation of the new LPD, and the Braden scale. Home Care Expert nurses could interface with the recruited subjects and/or caregivers. The parameters considered to validate the new scale were sensitivity (Se), specificity (Sp), positive predictive values (PPV), odds ratio (OR), and the area under the receiver operating characteristic (ROC) curve. Results: Of the 679 recruited subjects, 63.2% were women, and more than 50% did not have a pressure ulcer. 48.2% of the sample aged over 85 years old;69% was affected by multiple disease, and 76.6% took a lot of drugs. 91.6% of the subjects were affected by a partial or total functional dependency. Around 50% of subjects presented double incontinence, and 43% were conscious and collaborated. 85.4% of subjects lived in a healthy environment. The predictive validity parameters showed: Se 77.25%, Sp 84.04%, PPV 91.37%, and the area under the curve (AUC) 0.88% with a confidence interval (CI) 95%. These values mean a moderately accuracy of the test. Conclusions: The new LPD scale has demonstrated a good capacity for identifying the subjects at risk of pressure ulcer and had a better discriminatory power rather than Braden scale.

关键词： pressure ulcers Sores Home Care Validation Measurement Scale

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