Preventive nursing care in pressure ulcers in ۲۰۲۲

A pressure ulcer (PU) is a localized skin injury that is one of the most important and frequent complications of hospitalization. PU leads to complications for patients, with increased morbidity and mortality rates. Nurses are the most effective healthcare professionals in outcomes. Prevention of PUs, which can have serious physiological, psychological and economic effects on individuals and their families, is a major concern in health care and the primary professional responsibility of nurses. Education of health care workers is an important component of PU prevention, educational programs should include a wide range of factors that reflect the multifactorial nature of PU period. Nursing personnel should have sufficient preparation for the prevention of PU in order to avoid heavy treatment costs and patient suffering, more attention should be paid to the training of nurses and increasing their level of awareness to prevent the development of PUs. In a study, the knowledge, attitude and behavior of nurses in the field of prevention of pressure injuries were investigated, which was at a relatively good and moderate level, but still far from the desired level. Considering the importance of patient safety and its promotion, it is necessary to pay attention to the training of people in healthcare services in the field of pressure injury prevention standards and necessary measures to overcome problems, including the availability of stress reduction equipment in all cases. Centers, nursing motivation, solving the shortage of capable nurses and holding educational workshops should be considered. Considering that pressure injury is one of the most dangerous threats to the safety of patients, it is necessary to hold continuous training courses to increase awareness and strengthen their positive attitude and correct some wrong actions caused by false beliefs for nurses and other medical personnel in hospitals. It is very important to motivate nurses with different management methods and coordination between doctors and nursing colleagues in treatment programs on the one hand and putting pressure injury prevention training and care on the agenda on the other hand. It is essential to have a good level of knowledge in the prevention and management of PU. Therefore, several different interventions: risk assessment, position changes, skin care, nutrition and documentation have been developed with the aim of improving knowledge about PU prevention.

کلیدواژه ها:

Pressure ulcer ، nursing care ، nursing education ، prevention