Prevalence, prevention, and treatment of pressure ulcers: descriptive study in 89 institutions in the Netherlands.
The purpose of the present study was to assess the prevalence of pressure ulcers and the use of Dutch guidelines for the prevention and treatment of pressure ulcers. A survey of 16,344 patients in 89 health care institutions on 1 day showed a mean prevalence of pressure ulcers of 23.1%. It was found that Dutch guidelines on some aspects of prevention and treatment of pressure ulcers were not being followed. Only 53% of the patients who should have been positioned on a support surface were positioned on such a device. Fewer than one-third of the patients who should have been repositioned, should have received nutritional support, or should have been educated received these interventions, and only 33.6% of all pressure ulcers were dressed as recommended. More attention to the dissemination and implementation of the guidelines is needed to reduce this high prevalence of pressure ulcers.
Bours
Gerrie J J W
GJ
Department of Nursing Science, Maastricht University, The Netherlands.
Halfens
Ruud J G
RJ
Abu-Saad
Huda Huijer
HH
Grol
Richard T P M
RT
D000368:Aged; D000369:Aged, 80 and over; D001458:Bandages / Q000592:standards; D001513:Beds / Q000592:standards; D019983:Guideline Adherence / Q000592:standards* / Q000706:statistics & numerical data; D006699:Home Care Services; D006769:Hospitals, General; D006785:Hospitals, University; D006801:Humans; D008875:Middle Aged; D020380:Needs Assessment; D009426:Netherlands / Q000453:epidemiology; D009730:Nursing Assessment / Q000379:methods / Q000592:standards; D009732:Nursing Care / Q000379:methods / Q000592:standards* / Q000706:statistics & numerical data; D015403:Nursing Evaluation Research; D009735:Nursing Homes; D010353:Patient Education as Topic / Q000592:standards; D011159:Population Surveillance; D017410:Practice Guidelines as Topic / Q000592:standards*; D003668:Pressure Ulcer / Q000145:classification / Q000453:epidemiology* / Q000628:therapy*; D015995:Prevalence; D012114:Residential Treatment; D012720:Severity of Illness Index; D011795:Surveys and Questionnaires