Search

Introduction: Pressure ulcers pose a significant challenge to the healthcare system. Nurses can contribute to reducing the frequency of pressure ulcers if they possess up-to-date knowledge in this area. The use of a reliable research tool to assess nurses' knowledge of pressure ulcer prevention and treatment provides opportunities to identify knowledge deficits in this area, leading to the implementation of evaluative actions. Aim of the research: Evaluation of the psychometric properties of the Pressure Ulcer Knowledge Test (PZ-PUKT) in a group of nurses. Material and methods: The study included 82 nurses practicing in primary healthcare settings during postgraduate training sessions. The PZ-PUKT, developed by Pieper and Zulkowski in the 2021 version, was utilised. The test was translated into Polish by 2 independent translators and subsequently evaluated for content validity based on Polish and international guidelines (the Polish Wound Management Society (PTLR) and the National Pressure Injury Advisory Panel (NPIAP)). Results: The level of knowledge among the participants was assessed as above average, with the accuracy of responses in the test exceeding 60%. The psychometric properties of the PZ-PUKT test were determined, and an analysis of item and internal consistency was conducted (Cronbach's α = 0.726). Conclusions: The PZ-PUKT questionnaire meets the basic norms regarding the consistency and quality of question construction. It is recommended that the PZ-PUKT questionnaire be used for assessing the knowledge of nursing students and practicing nurses. [ABSTRACT FROM AUTHOR]

Pressure injuries are a serious medical problem that both negatively affects the patient's quality of life and results in significant healthcare costs. In cases where a patient doesn’t receive appropriate treatment and care, death may result. Nurses play critical roles in the prevention, care, and treatment of pressure injuries as members of the healthcare team who closely monitor the health status of the patient. Today, the use of artificial intelligence is becoming more prevalent in healthcare, as in many other areas. Artificial intelligence is a method that aims to solve complex problems by using computers to mathematically simulate the way the brain works. In this article, we compile and share information about a deep learning model developed for the detection and classification of pressure injuries. Deep learning can operate on many types of data. Convolutional Neural Networks (CNN) prefer images because they can handle 2D arrays. In this case, the images, annotated according to the National Pressure Injury Advisory Panel pressure injury classification system, have been fed into a deep learning model using CNN. The developed CNN model has a 97% success in detecting and classifying pressure injuries, and as more images are collected and fed into the CNN, the prediction accuracy will increase. This deep learning model allows for the automatic detection and classification of pressure injuries, an indicator of health outcomes, at an early stage and for quick and accurate intervention. In this context, it is expected that the quality of nursing care will increase, the prevalence of pressure injury will decrease, and the economic burden of this health problem will decrease.

Copyright of Health Problems of Civilization is the property of Termedia Publishing House and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

Aim of the study: To evaluate the impact of selected factors on the risk of the development of pressure ulcers and their incidence in the perioperative period in patients treated with hip joint alloplasty. Material and methods: A total of 105 patients aged 42-90 years were qualified for proper studies according to the selection criteria. The patients underwent hip joint alloplasty. The method employed in the study was observing and estimating with the use of our own research protocol designed for the purposes of gathering information about the patients and their health conditions. This data was obtained from the medical records. The following clinical scales were used: ASA, Carpini, Waterlow, Torrance, and NPUAP. The differences between the variables were estimated using the 2 test of independence, Mann-Whitney test, and Kruskal-Wallis test. p < 0.05 was considered statistically significant. Results: The risk of pressure ulcers development, assessed by Waterlow score, concerned 41% of the entire grou The risk of pressure ulcer development in the postoperative period was determined according to the Waterlow scale and concerned all the patients. The postoperative examination confirmed stage I/II pressure ulcers in 32.4% of the patients. Conclusions: The surgery procedure and the waiting time determine the risk of development of pressure ulcers and their location. Pressure ulcers were more common in patients who had undergone urgent surgery due to injury and in patients operated two days or more following admission than in patients who had planned surgery and waited no longer than a day for the operation. [ABSTRACT FROM AUTHOR]

Aim of the study: The aim of this work was the identification of chosen bedsores risk factors among patients in whom bedsores developed during hospitalisation. Material and methods: The tests were carried in four chosen hospital wards. The tested group constituted of 95 patients among whom bedsores developed during hospitalisation, and 683 patients from the risk group among whom bedsores did not develop. The analysis underwent registers of all patients endangered with bedsore development and their medical documentation. The criterion for introducing to the test were: bedsore development risk in the Norton scale, bedsores developed during hospitalisation, and an observation period of at least five days. Results: Among patients with bedsores there were significantly more people with hypertension, diabetes, chronic obstructive pulmonary disease, asthma, arteriosclerosis, limited movement condition, higher temperature, and oedema (p < 0.05). Among constant variables the significant factors protecting from bedsore development were higher concentration of protein and haemoglobin. In terms of physical and mental state, mobility, and total Norton scale points, patients with bedsores that developed during hospitalisation achieved significantly lower results (p < 0.05). Conclusions: Occurrence of concurrent diseases (hypertension, diabetes, asthma, chronic obstructive pulmonary disease) and symptoms connected with health state (higher temperature, oedema, limited movement) significantly influenced bedsore development among patients during hospitalisation. Low laboratory parameter values (protein and haemoglobin concentration) are risk factors for bedsore development. The risk of bedsore development decreases with the increase of point parameter values assessed in the Norton scale. [ABSTRACT FROM AUTHOR]

In the past two decades, the incidence of pressure ulcers has dramatically increased, and health care workers have dif- ficulties in providing effective preventive and curative measures, especially in the case of elderly, chronically and terminally ill patients. Currently, medical care emphasises the use of "evidence-based practice." Both in Poland and throughout the world, care guidelines are being elaborated. All of them emphasise the importance of identifying patients who are at risk of development of pressure ulcers and placing them under comprehensive prevention. The literature lists over 100 different risk factors for developing pressure sores. Diagnosis of a patient who is at risk of pressure ulcers should be based primarily on the SIA independent predictors specified on the basis of surveys of the literature and meta-analyses. In this paper, selected risk factors and recommendations for comprehensive care of patients at risk and with bedsores have been discussed. [ABSTRACT FROM AUTHOR]

Aim of this study is to assess the nurses' knowledge in the field of pressure ulcers prevention and treatment, while taking into consideration level of their qualifications. Material and methods: The study consisted of 400 nurses participating in postgraduate training organized by OKPPiP in the Podkarpackie, Małopolskie and Mazowieckie vivoidships. Calculations were performed using IBM SPSS Statistics 20. The reliability of the scales was rated using α Cronbach coefficient, and the verification of differences between variables were performed using the Mann-Whitney and Kruskal-Wallis tests. The level of significance α = 0.05 (p < 0.05). Results: A "Wounds treatment" specialist course was completed by 31.8% of respondents. Respondents' knowledge, concerning the treatment of chronic wounds, assessed on a 0-10 scale amounted to an average of 5.85 point. Nurses with higher education, who have completed the "Wounds treatment" course received significantly higher scores (p = 0.0351) compared to the group with secondary education (p = 0.0317). The general level of knowledge about bedsores among the respondents was 24.40 ±6.72, with a range-point scale from 0 to 49 points. Conclusions: The studied group present unsatisfactory level of knowledge about wounds' prevention and treatment in relation to the PTLR recommendations. Completing the "Wound treatment" course had a significant impact on the level of knowledge respondents. [ABSTRACT FROM AUTHOR]

Negative-pressure wound therapy (NPWT) is a therapeutic technique using a vacuum dressing to promote healing in acute or chronic wounds. In this article and an illustrative case series, author introduce this method for bedsores treatment at the home hospice. It shows, that NPWT may be valuable and possible cure at patient's house. [ABSTRACT FROM AUTHOR]

Bedsores are a common complication occurring in chronically and terminally ill people. The aim of the study was to assess the impact of some risk factors on bedsores formation in the patients of Palliative Care Unit on the basis of the analysis of Standard of Bedsores Prevention and Treatment documentation. Data analysis was carried out on the basis of the questionnaire comprising information from case histories of 100 consecutively admitted patients. To analyse the risk of bedsores formation Waterlow scale was used. The study results were subjected to statistical analysis with the use of U Mann- Whitney test. Spearman's coefficient of correlation was also measured. Among 10 assessed factors having the impact on the occurrence of the risk of bedsores in the group of patients with new bedsores the most common were: lowered motor activity (11 patients), improper skin condition (11 patients), urinary and fecal incontinence (9 patients), and undertreated pain and/ or dyspnoea (9 patients). None of the factors were gender-dependent. Significant positive correlation between age and bedsores was determined. [ABSTRACT FROM AUTHOR]