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Assessment of risk of pressure ulcers in elderly in long-term care

*Markéta Biskupová, **Lenka Šáteková, ***Renáta Zeleníková
Municipal Hospital in Odry
** Palacký University Olomouc, Faculty of Health Sciences, Department of Nursing
*** University of Ostrava, Faculty of Medicine, Department of Nursing and Midwifery

Abstract

BISKUPOVÁ, M. – ŠÁTEKOVÁ, L. – ZELENÍKOVÁ, R. Assessment of risk of pressure ulcers in elderly in long-term care. In Ošetrovateľstvo: teória, výskum, vzdelávanie [online], 2019, vol. 9, no. 1, pp. 23-30. Available on: http://www.osetrovatelstvo.eu/archiv/2018-rocnik-9/cislo-1/posouzeni-rizika-vzniku-dekubitu-u-senioru-v-dlouhodobe-peci.

Aim: The main aim of the research study was to evaluate the correlations between selected tools (Braden scale, Norton scale) evaluating the risk of pressure ulcers in seniors in long-term care and selected variables (self-care, nutritional status) and compare predictive validity of these scales.

Methods: The research sample consisted of 104 seniors hospitalized in long-term care facility. Braden scale and Norton scale were used to assess the risk of pressure ulcers. The scales ADL – Activity Daily Living and IADL – Instrumental Activity Daily Living were used to assess the self-care ability. MNA – Mini Nutritional Assessment was used to assess the nutritional status. Data were collected from April to November 2014.

Results: The strongest positive correlation (0.9531) was found between Braden scale and ADL. The Braden scale demonstrated 100% sensitivity and 40.9% specificity. The Norton scale demonstrated 100% sensitivity but lower values of 20.5% specificity.

Conclusion: Statistically significant dependence between the risk of pressure ulcers and self-care as well as between the risk of pressure ulcers and nutritional status was found. Sensitivity of both scales was high.

Key words: risk of pressure ulcers, senior, assessment tools, nutrition, predictive validity

Full text (Slovak language)

Contact

Mgr. Markéta Biskupová
Městská nemocnice v Odrách
Nadační 1
742 35 Odry
Česká republika
E-mail: Marketa.Biskupova@seznam.cz

Received: 18. 12. 2018
Accepted: 19. 2. 2019