The Utilization Of Nursing Standard for Pressure Ulcer Prevention in Respiratory Care Unit (RCU), Sisaket Hospital

Abstract

Problem: Risk factors of pressure deer in RCU, Sisaket hospital were immobilization, decreased sensory perception, loss of activity, poor nutrition increased body temperature and elderly. Nursing care practice standard of 14th public health region was therefore adopted for pressure ulcer prevention in RCU, Sisaket hospital. The outcome of practice standard was therefore evaluated.
Objectives:
1) to study the incidence of pressure ulcer after practice standard intervention
2) to evaluate nursing care practice standard for pressure deer prevention
Study Design: Descriptive study
Methods: The study conducted in RCU Sisaket hospital during February-November 2007. Sample group was 23 RCU nurses and 50 patients admitted in RCU who aged over sixty years with Braden score <16 and serum albumin < 3.5 mg/dl. Data was analyzed and presented in percentage.
Result: The incidence of pressure ulcers after nursing practice standard intervention was 13.99 per 1,000 patient-days which higher than before the practice standard was adopted. Pressure ulcer found in males 47.1%. Pressure deer from grade 1-3 was found 7.7%, 84.6% and 7.7% respectively. The nursing practice standard had brought to practice completely 69%, incomplete 29% and totally neglected 2%.
Conclusion: Since RCU nurses adopted the standard nursing practice not completely. Consequently the outcome of practice standard for pressure ulcer prevention could not be evaluated in this setting.
Key words: Pressure ulcer, Standard Nursing for Pressure Ulcer Intervention