Construction and Effect Evaluation of Case Management Model in Prevention of High Risk Pressure Injury in Elderly Inpatients

Jun DA; Chen XIN; Dou-yan LI; Lin CHEN; Ming-ying YANG

doi:10.12259/j.issn.2095-610X.S20211004

Volume 42 Issue 10

Oct. 2021

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Jun DA, Chen XIN, Dou-yan LI, Lin CHEN, Ming-ying YANG. Construction and Effect Evaluation of Case Management Model in Prevention of High Risk Pressure Injury in Elderly Inpatients[J]. Journal of Kunming Medical University, 2021, 42(10): 178-184. doi: 10.12259/j.issn.2095-610X.S20211004

Citation:

Jun DA, Chen XIN, Dou-yan LI, Lin CHEN, Ming-ying YANG. Construction and Effect Evaluation of Case Management Model in Prevention of High Risk Pressure Injury in Elderly Inpatients[J]. Journal of Kunming Medical University, 2021, 42(10): 178-184. doi: 10.12259/j.issn.2095-610X.S20211004

Citation:

Jun DA, Chen XIN, Dou-yan LI, Lin CHEN, Ming-ying YANG. Construction and Effect Evaluation of Case Management Model in Prevention of High Risk Pressure Injury in Elderly Inpatients[J]. Journal of Kunming Medical University, 2021, 42(10): 178-184. doi: 10.12259/j.issn.2095-610X.S20211004

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Construction and Effect Evaluation of Case Management Model in Prevention of High Risk Pressure Injury in Elderly Inpatients

doi: 10.12259/j.issn.2095-610X.S20211004

Jun DA^{1, 2},
Chen XIN³,
Dou-yan LI⁴,
Lin CHEN¹,
Ming-ying YANG^{2
,
,}

1.
Orthopedics Department，The First Affiliated Hospital of Southwest Medical University，Luzhou Sichuan 646000
2.
Dept. of Gastroenterology，The Affiliated Hospital of Southwest Medical University，Luzhou Sichuan 646000
3.
Nursing Department，The Second Affiliated Hospital of Kunming Medical University，Kunming Yunnan 650101
4.
Nursing Department，The Second Affiliated Hospital of Kunming Medical University，Kunming Yunnan 650101，China

Received Date: 2021-07-11
Available Online: 2021-10-29
Publish Date: 2021-10-30

Abstract

Abstract

Objective To establish a high-risk pressure Injury prevention case management model for the elderly inpatients, and evalutate the effect of the high-risk pressure injury prevention case management model for the elderly inpatients. Methods A case management and nursing plan for the prevention of high-risk stress injury in elderly hospitalized patients was developed through the Delphi method. 100 patients with high incidence of pressure injury in a third-A-grade hospital were selected from May to November 2018. The patients in each department were randomly divided into two groups, with 50 patients in each group. The control group implemented a routine care regimen.The experimental group implemented the high-risk pressure Injury prevention case management model for the elderly inpatients based on the routine nursing program. On the day of hospitalization, on the fourth day after hospitalization, and before the discharge, the nursing problems were found and improved, evaluated from three aspects of Knowledge-Behavior-Status （knowledge-behavior-status, K-B-S）. On the day of hospitalization, on the fourth day after hospitalization, and before the discharge, the investigators used Pressure Ulcer Scale for Healing （pressure ulcer scale for healing, PUSH）, the Braden evaluation form, Nutrition Risk Screening 2002 （NRS-2002） for evaluation. Observe the occurrence of pressure injury, hemoglobin （HB）, serum albumin （serum albumin, ALB） detection indicators. Results There were no significant differences in baseline data of age, sex, education, family economic income between the two groups （P > 0.05）. The experimental group had 503 nursing problems during hospitalization.There were 11 common nursing problems （incidence rate≥30%）. The experimental group performed better than the control group （P < 0.05）. Conclusions The research confirms that the case management model can analyze nursing problems, and objectively evaluate the effectiveness of interventions.The case management model can reduce the incidence of pressure injuries in elderly inpatients with high-risk pressure injuries.
- Elderly inpatients,
- High-risk pressure injury,
- Case management model

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References(25)

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