Current situation and influencing factors of outcome of pressure injuries brought in from outside the hospital

ObjectiveTo provide reference for clinical nursing by analyzing the injury outcome status and influencing factors of patients with pressure injuries (PIs) brought in from outside the hospital.

MethodsA total of 118 hospitalized patients with PIs were selected by convenience sampling method for retrospective analysis.And the retated data of cases and PIs were collected to determine the impact of outcome.

ResultsA total of 277 PIs were brought into the 118 patients, including 26 in stage 1 (9.38%), 125 in stage 2 (45.13%), 36 in stage 3 (13.00%), 1 in stage 4 (0.36%), 32 in deep injury stage (11.55%) and 57 in non-staging stage (20.58%).There were 82 sacral tail (29.60%), 51 hips (18.41%), 32 buttocks (11.55%), 36 heels (13.00%), 21 back (7.58%), 16 foot (except heel part) (5.78%), 13 external ankle (9.39%) and 26 other parts (4.69%).There were 54 patients (45.76%) with one PIs and 64 patients (54.24%) with multiple PIs.Univariate analysis showed that there were statistically significant differences on length of stay, albumin levels after admission, Braden score, combined with diabetes mellitus and cerebral infarction, body mass index, Barthel index (BI), injury area (P < 0.05 to P < 0.01).The improved group was mainly stage 1 and stage 2 (total component ratio 67.97%), while the non-improved group was mainly stage 3 and above (total component ratio 62.10%).Logistic regression analysis showed that high Braden score, high albumin after admission, long hospital stay and high BI score were protective factors for the outcome of PIs(P < 0.05 to P < 0.01).

ConclusionsPressure injuries brought in from outside the hospital are complicated and multiple.Braden score, albumin levels after admission, length of stay and BI are the influencing factors of outcome of PIs brought in from outside the hospital.