| Comparison of two skin examination methods for grade 1 pressure ulcers. | |
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MedLine Citation:
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PMID: 19694878 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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AIMS AND OBJECTIVES: The purpose of this study was to find out whether the application of a transparent device for diagnosing grade 1 pressure ulcers influences grade 1 pressure ulcer prevalence rates and the total number of observed grade 1 pressure ulcers. BACKGROUND: It is assumed that the accuracy of visual grade 1 pressure ulcer diagnosis is enhanced if a transparent device is used. DESIGN: Quasi-experimental. METHOD: Within a pressure ulcer prevalence study participating institutions were divided into groups at random. Data collecting nurses of the intervention group (n = 4667) applied a transparent disc. Data collecting nurses of the control group (n = 5095) conducted skin inspection using the 'finger-method'. Group comparisons were conducted. Relations between skin assessment methods and grade 1 pressure ulcer prevalence was analysed by logistic regressions. RESULTS: Both groups were comparable regarding demographic characteristics. Grade 1 pressure ulcer prevalence in the intervention group was 3.9% and 7.1% in the control group (p<0.001). The total number of observed grade 1 pressure ulcers was 282 (intervention group) and 555 (control group). The chance to identify at least one grade 1 pressure ulcer increased when the 'finger method' was used (p<0.001). CONCLUSIONS: The use of a transparent disc influences the grade 1 pressure ulcer prevalence rates and the total number of observed grade 1 pressure ulcers. RELEVANCE TO CLINICAL PRACTICE: Accurate identification of grade 1 pressure ulcers is important, because the development of those skin alterations indicate an urgent need for preventive measures. As the diagnosis of grade 1 pressure ulcers seems to be affected by the observation method, it is unknown which method is the more accurate. A study of diagnostic accuracy is needed to answer this question. It is recommended to report pressure ulcer prevalence rates including and excluding grade 1. |
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Authors:
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Jan Kottner; Theo Dassen; Nils Lahmann |
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Publication Detail:
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Type: Comparative Study; Journal Article Date: 2009-07-18 |
Journal Detail:
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Title: Journal of clinical nursing Volume: 18 ISSN: 1365-2702 ISO Abbreviation: J Clin Nurs Publication Date: 2009 Sep |
Date Detail:
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Created Date: 2009-08-21 Completed Date: 2009-12-28 Revised Date: - |
Medline Journal Info:
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Nlm Unique ID: 9207302 Medline TA: J Clin Nurs Country: England |
Other Details:
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Languages: eng Pagination: 2464-9 Citation Subset: N |
Affiliation:
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Department of Nursing Science, Centre for Humanities and Health Sciences, Charit??-Universit??tsmedizin Berlin, Charit??platz 1, Berlin 10117, Germany. jan.kottner@charite.de |
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| MeSH Terms | |
Descriptor/Qualifier:
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Aged Aged, 80 and over Clinical Medicine / methods* Female Germany Humans Male Middle Aged Nursing Diagnosis* Pressure Ulcer / classification*, diagnosis, nursing, physiopathology Skin / injuries* |
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