Special Toplcs：Nursing of Skin Tears
Multi-center study on prevention condition of skin tears in level-III hospitals
Qixia Jiang, Yanxia Guo, Zhixia Jiang, Meichun Zheng, Yuexiang Wu, Yongli Tang, Hongying Fu, Lijuan Chen, Yuhong Li, Haixia Feng, Yupan Chen, Dingyu Shen, Yingchun Pan, Jing Jia, Yajun Zhu
Published 2016-08-26
Cite as Chin J Mod Nurs, 2016, 22(24): 3410-3414. DOI: 10.3760/cma.j.issn.1674-2907.2016.24.002
Abstract
ObjectiveTo analyze the prevention condition of skin tears of inpatients in level-III hospitals, so as to provide basis for making prevention strategies.
Methods14 level-III hospitals were involved in the cross-section survey. Within the same time period, using the same research tools, methods and procedure, 964 trained nurses inspected patients from head to toes, who were selected by convenience sampling, with hospital stay ≥ 24 h, with age ≥ 18 years old, and with signature on the informed consent documents, and also investigated implementation of prevention measures.
ResultsA total of 18 806 effective cases were obtained, with 238 locations of skin tears in 199 patients found. Incidence of hospital-acquired skin tears was 1.06%. Implementation rate of risk assessment and nutrients and water supplement was 3.92% and 10.35%. Implementation rate of prevention of falling and falling down from bed was 51.58% and 47.20%. Usage of assistant tools and emollients accounted for 28.23% and 2.69%. Adopting suitable moving techniques and wearing long sleeves, trousers or long stockings accounted for 8.07% and 6.95%. Differences of incidence rate, risk assessment and implementation of prevention measures of skin tears among teaching hospitals, comprehensive hospitals and specialty hospitals were statistically meaningful (P<0.05 for all).
ConclusionsRisk assessment and prevention of skin tears in these 14 level-III hospitals were not satisfactory. Prevention measures vary from different types of the hospitals. In future, nurses should be trained to strengthen awareness of risk assessment and prevention, and implementation rate and consistency of preventive measures should be improved.
Key words:
Skin tears; Prevention; Cross-section study
Contributor Information
Qixia Jiang
Wound Care Center, Outpatient Service, Nanjing General Hospital, Nanjing Military Region, Nanjing 210002 China
Yanxia Guo
Wound Care Center, Outpatient Service, Nanjing General Hospital, Nanjing Military Region, Nanjing 210002 China
Zhixia Jiang
Nursing Department, Affiliated Hospital of Zunyi Medical College, Zunyi 563003, China
Meichun Zheng
Nursing Department, Sun Yat-sen University Cancer Center, Guangzhou 510060, China
Yuexiang Wu
Outpatient Service of Wound, General Hospital of Ningxia Medical University, Yinchuan 750004, China
Yongli Tang
Orthopedics Department, the First Affiliated Hospital of Chongqing Medical University, Chongqing 630014, China
Hongying Fu
Department of Surgery, Guizhou Provincial People′s Hospital, Guiyang 550002, China
Lijuan Chen
Department of Surgery, Zhongshan Hospital Xiamen University, Xiamen 361004, China
Yuhong Li
Oncology Department, Tangshan Worker′s Hospital, Tangshan 063000, China
Haixia Feng
Department of Internal Medicine, Zhongda Hospital Southeast University, Nanjing 210000, China
Yupan Chen
Department of Surgery, Hu′nan Cancer Hospital, Changsha 410000, China
Dingyu Shen
Nursing Department, Suzhou Municipal Hospital, Suzhou 215001, China
Yingchun Pan
Nursing Department, Anqing First People′s Hospital, Anqing 246004, China
Jing Jia
Nursing Department, Zhenjiang First People′s Hospital, Zhenjiang 212002, China
Yajun Zhu
Nursing Department, Jingjiang First People′s Hospital, Taizhou 214500, China
