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.	姜麗萍, 張龍, 陳麗莉, 等. 應用Braden量表聯合近紅外光譜儀評估ICU患者壓瘡發生的研究[J]. 中華護理雜志, 2014, 49(8): 901-904.
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16.	魏蘇艷, 王曉鳳, 李萍. 預警管理在壓瘡管理中的效能分析[J]. 華西醫學, 2014, 29(2): 315-319.
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18.	董曉江, 呂巧蕓. 壓瘡防治新進展[J]. 護理研究, 2010, 24(6): 1516- 1517.

1. 殷磊. 護理學基礎[M]. 北京: 人民衛生出版社, 2003: 216-217.
2. 徐素佳. 改進壓瘡管理模式提高壓瘡護理質量[J]. 齊齊哈爾醫學院學報, 2015, 36(4): 621-622.
3. 邵培雙, 邵培艷, 陳麗麗, 等. 三級質量控制體系在壓瘡預防中的應用[J]. 護理管理雜志, 2012, 12(11): 801-802.
4. 王勤, 孫麗, 馮軍, 等. 老年病房壓瘡管理的三級監控[J]. 護理學雜志, 2012, 27(1): 32-34.
5. 呂冬梅. 褥瘡治療和護理的最新進展[J]. 醫學理論與實踐, 2005, 18(9): 1031-1033.
6. 楊程顯, 李戈, 張立穎. Braden評估壓瘡風險的研究進展及展望[J]. 護理學報, 2014, 21(7): 25-27.
7. 薛小玲, 劉慧, 景秀琛, 等. 3種評估表預測壓瘡效果的比較研究[J]. 中華護理雜志, 2004, 39(4): 241-243.
8. 余穎娟, 丁小容, 曾杏珍, 等. 壓瘡風險預警網絡管理系統的開發與效果評價[J]. 護理研究, 2014, 28(15): 1896-1897.
9. 廖林英, 陳佩蓮, 曾錦霞, 等. 各層次護士對壓瘡危險因素預測能力的調查分析[J]. 廣西醫學, 2009, 31(9): 1376-1378.
10. 吳茜, 龔美芳, 田梅梅, 等. 住院患者護理風險預警控制體系的建立及應用效果評價[J]. 中華護理雜志, 2015, 50(5): 581-584.
11. 封海霞, 鞠昌萍, 芮冶昊, 等. 護理人員Braden壓瘡評估準確性的要因分析及質量控制[J]. 護理學雜志, 2014, 29(24): 50-52.
12. 姜麗萍, 張龍, 陳麗莉, 等. 應用Braden量表聯合近紅外光譜儀評估ICU患者壓瘡發生的研究[J]. 中華護理雜志, 2014, 49(8): 901-904.
13. 王彩鳳. 壓瘡危險評估相關國外實踐指南比較[J]. 中國護理管理, 2011, 11(3): 80-83.
14. 涂倩, 孫艷, 張純瑜, 等. 氧合作用和血流灌注指標對ICU患者壓瘡發生的預警作用[J]. 中華護理雜志, 2011, 46(3): 285-287.
15. 鐘勤. 護理人員壓瘡高危因素評估缺陷的分析及對策[J]. 護理學雜志, 2010, 25(8): 61-63.
16. 魏蘇艷, 王曉鳳, 李萍. 預警管理在壓瘡管理中的效能分析[J]. 華西醫學, 2014, 29(2): 315-319.
17. 陳淼, 譚惠儀, 葉雪梅, 等. 專科巡查提高護理人員壓瘡風險評估能力的實踐[J]. 中華護理雜志, 2015, 50(4): 442-445.
18. 董曉江, 呂巧蕓. 壓瘡防治新進展[J]. 護理研究, 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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