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Relationship between cleaning frequency and pressure ulcer healing time in older people receiving home care.
- Source :
- Journal of Wound Care; Jun2024, Vol. 33 Issue 6, p418-424, 7p
- Publication Year :
- 2024
-
Abstract
- Objective: The relationship between the healing time of pressure ulcers (PUs) and wound cleaning frequency among older people in homecare settings was investigated. Method: This single-centre, prospective cohort study was conducted from April 2018 to March 2019. Patients who used home-visit nursing services, had National Pressure Ulcer Advisory Panel classification stage 2 PUs, and had their wounds cleaned at least twice a week were enrolled in the study. Wound cleaning was performed using tap water and a weakly acidic cleanser. Participants were divided into two groups, determined by the frequency of wound cleaning (twice weekly versus ≥3 times weekly). Duration of PU healing and the increase in care insurance premiums were compared in both groups. Results: A total of 12 patients were included in the study. The mean healing period of PUs cleaned ≥3 times per week (65.3±24.8 days) was significantly shorter than that of PUs cleaned twice a week (102.6±19.2 days; p<0.05). Furthermore, the increase in care insurance premiums for PUs cleaned ≥3 times per week (¥122,497±105,660 Yen per six months) was significantly lower than that for PUs cleaned twice a week (¥238,116±60,428 per six months) (p<0.05). Conclusion: Our results suggest that frequent cleaning of PUs by health professionals in homecare settings not only shorten PU healing period but also reduces care insurance premiums for PU care. [ABSTRACT FROM AUTHOR]
- Subjects :
- WOUND healing
HOME care services
HOME nursing
PEARSON correlation (Statistics)
HEALTH insurance reimbursement
BODY mass index
T-test (Statistics)
BANDAGES & bandaging
SCIENTIFIC observation
BODY weight
PILOT projects
DESCRIPTIVE statistics
AGE distribution
CHI-squared test
LONGITUDINAL method
STATURE
IRRIGATION (Medicine)
SURGICAL dressings
PRESSURE ulcers
TIME
MEDICAL care costs
OLD age
Subjects
Details
- Language :
- English
- ISSN :
- 09690700
- Volume :
- 33
- Issue :
- 6
- Database :
- Complementary Index
- Journal :
- Journal of Wound Care
- Publication Type :
- Academic Journal
- Accession number :
- 177721615
- Full Text :
- https://doi.org/10.12968/jowc.2021.0152