Document Detail

Comparison of two skin examination methods for grade 1 pressure ulcers.
MedLine Citation:
PMID:  19694878     Owner:  NLM     Status:  MEDLINE    
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.
Jan Kottner; Theo Dassen; Nils Lahmann
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Publication Detail:
Type:  Comparative Study; Journal Article     Date:  2009-07-18
Journal Detail:
Title:  Journal of clinical nursing     Volume:  18     ISSN:  1365-2702     ISO Abbreviation:  J Clin Nurs     Publication Date:  2009 Sep 
Date Detail:
Created Date:  2009-08-21     Completed Date:  2009-12-28     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  9207302     Medline TA:  J Clin Nurs     Country:  England    
Other Details:
Languages:  eng     Pagination:  2464-9     Citation Subset:  N    
Department of Nursing Science, Centre for Humanities and Health Sciences, Charit??-Universit??tsmedizin Berlin, Charit??platz 1, Berlin 10117, Germany.
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MeSH Terms
Aged, 80 and over
Clinical Medicine / methods*
Middle Aged
Nursing Diagnosis*
Pressure Ulcer / classification*,  diagnosis,  nursing,  physiopathology
Skin / injuries*

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