Evaluation of clinical features and the factors related to nutrition in home care patients with pressure ulcer

Mustafa Çetiner; Selma Akkaya Arı; Neslihan Eşkut; Özgül Ocak; Sibel Canbaz Kabay; Handan Işın Özışık Karaman

doi:10.22391/fppc.776139

Research Article

Basınç ülseri olan evde bakim hizmeti alan hastaların klinik özellikleri ve beslenme ile ilişkili faktörlerin değerlendirmesi

Year 2021, Volume: 6 Issue: 1, 7 - 12, 03.04.2021

Mustafa Çetiner , Selma Akkaya Arı , Neslihan Eşkut , Özgül Ocak , Sibel Canbaz Kabay , Handan Işın Özışık Karaman

https://doi.org/10.22391/fppc.776139

Cited By: 2

Abstract

Giriş: Bu çalışmada, Kütahya ilinde evde sağlık hizmeti alan basınç ülserli hastaların demografik ve klinik özelliklerini belirlemenin yanında beslenme ile ilişkili olan faktörlerin basınç ülser dereceleriyle ilişkisinin incelenmesi amaçlandı.
Yöntem: Bu çalışma retrospektif ve kesitsel niteliktedir. Aralık 2016 ve Mayıs 2017 tarihleri arasında Kütahya Sağlık Bilimleri Üniversitesi Evliya Çelebi Eğitim ve Araştırma Hastanesi evde sağlık hizmetleri biriminde kayıtlı ve düzenli olarak evde sağlık hizmeti sunulan 500 hastanın dosyaları retrospektif olarak tarandı. Bunlardan basınç ülserli olan 63 hasta çalışmaya dahil edildi.
Bulgular: Çalışmaya 26 (%41,3) erkek ve 37 (%58,7) kadın olmak üzere toplam 63 hasta dahil edildi. Basınç ülseri olan hastaların yaş ortalamaları 74,41±12,30 (yıl) bulundu. Hastaların 36’sı (%57,1) serebrovasküler hastalığa, 5’i (%7,9) demansa, 9’u (%14,3) maligniteye, 8’i (%12,7) osteoartrite, 4’ü (%6,3) periferik vasküler hastalığa, 1’i (%1,6) geçirilmiş trafik kazasına sahip olup, büyük kısmı (%62,1) nörolojik hastalık sekeli nedeni ile bakım hastası olan gruptur. Tüm hastalar incelendiğinde en fazla bası yeri olan bölge sakrumdu (%35,3). Laboratuvar değerlerinden hemoglobin düzeyinin bası derecesi ile ilişkili olduğu görüldü (Tek yönlü varyans analizi, p=0,019). Beslenme ile ilişkili diğer parametreler ile basınç ülser evresi arasında anlamlı ilişki saptanmadı.
Sonuç: Serebrovasküler hastalık sekelli hastalar evde bakım hizmeti alan hastaların önemli bir kısmını oluşturmaktadır. Düşük hemoglobin basınç ülser şiddetini arttırmaktadır. Bu nedenle basınç ülseri oluşumuna katkıda bulunan risk faktörlerinin belirlenmesi ve bunların önlenmesine yönelik çabalar evde sağlık hizmeti biriminin öncelikli hedefi olmalıdır.

Keywords

Bası ülser , evde bakım hizmetleri , beslenme durumu

References

1. Ozturk A, Gurlek A, Arslan A, Fırat C, Fariz A. [Our Clinical Experiences in Pressure Sore in a period of 10 years] (in Turkish). Turgut Ozal Tıp Merk Derg. 2006; 13(4):243-8. https://dergipark.org.tr/tr/pub/totm/issue/13111/157965
2. Bergquist S. Pressure ulcer prediction in older adults receiving home health care: implications for use with the OASIS. Adv Skin Wound Care. 2003;16(3):132-9. http://doi.org/10.1097/00129334-200305000-00011
3. Allman RM. Pressure ulcer prevalence, incidence, risk factors, and impact. Clin Geriatr Med. 1997;13(3):421-36 https://www.ncbi.nlm.nih.gov/pubmed/9227937
4. Lyman V. Successful heel pressure ulcer prevention program in a long-term care setting. J Wound Ostomy Continence Nurs. 2009;36(6):616-21 http://doi.org/10.1097/WON.0b013e3181bd813e
5. Demirci Sahin A, Seyrek S, Erturk A, Bayındır Artantas A. [Pressure ulcers among home care patients and their demographic features] (in Turkish). Konuralp Med J. 2017;9(1):14-8 http://doi.org/10.18521/kts.286610
6. Capon A, Pavoni N, Mastromattei A, Di Lallo D. Pressure ulcer risk in long-term units: prevalence and associated factors. J Adv Nurs 2007;58(3):263-72 http://doi.org/10.1111/j.1365-2648.2007.04232.x
7. Khor HM, Tan J, Saedon NI, Kamaruzzaman SM, Chin AV, Poi PJ, et al. Determinants of mortality among older adults with pressure ulcers. Arch Gerontol Geriatr. 2014;59(3):536-41 https://doi.org/10.1016/j.archger.2014.07.011
8. Ferrell BA, Josephson K, Norvid P, Alcorn H. Pressure ulcers among patients admitted to home care. J Am Geriatr Soc. 2000; 48(9):1042-7 https://doi.org/10.1111/j.1532-5415.2000.tb04778.x
9. Landi F, Onder G, Russo A, Bernabei R. Pressure ulcer and mortality in frail elderly people living in community. Arch Gerontol Geriatr. 2007;44(1):217-23 https://doi.org/10.1016/j.archger.2007.01.030
10. Sikar Akturk A, Atmaca E, Zengin S, Bayramgurler D. [Prevalence and clinical features of pressure ulcers in patients receiving home health care services in the city of Kocaeli] (in Turkish). Turk derm. 2010;44:128-31 https://doi.org/10.4274/turkderm.44.128
11. Cayır Y, Avsar UZ, Avsar U, Cansever Z, Khan AS. [Characteristics of patients who receive home health services and expectations of caregivers] (in Turkish). Konuralp Med J. 2013;5(3):9-12 https://doi.org/10.18521/ktd.56044
12. Horn SD, Bender SA, Ferguson ML, Smout RJ, Bergstrom N, Taler G, et al. The national pressure ulcer long-term care study: pressure ulcer development in long-term care residents. J Am Geriatr Soc. 2004;52(3):359–67 https://doi.org/10.1111/j.1532-5415.2004.52106.x
13. Soini H, Routasalo P, Lagstrom H. Characteristics of the mini-nutritional assessment in elderly home-care patients. Eur J Clin Nutr. 2004;58(1):64–70 https://doi.org/10.1038/sj.ejcn.16017448
14. Eglseer D, Manuela Hödl M, Lohrmann C. Nutritional management of older hospitalised patients with pressure injuries. Int Wound J. 2019;16(1): 226-32 https://doi.org/10.1111/iwj.13016
15. Citty SW, Cowan LJ, Wingfield Z, Stechmiller J. Optimizing Nutrition Care for Pressure Injuries in Hospitalized Patients. Adv Wound Care (New Rochelle). 2019; 8(7): 309-22 https://doi.org/10.1089/wound.2018.0925
16. Iizaka S, Okuwa M, Sugama J, Sanada H. The impact of malnutrition and nutrition-related factors on the development and severity of pressure ulcers in older patients receiving home care. Clin Nutr. 2010;29(1):47-53 https://doi.org/10.10196/j.clnu.2009.05.018
17. Saghaleini HD, Dehghan K, Shadvar K, Sanaie S, Mahmoodpoor A, Ostadi Z. Pressure ulcer and nutrition. Indian J Crit Care Med. 2018;22(4):283-9 https://doi.org/10.4103/ijccm.IJCCM_277_17
18. Beger T. [Decubitus ulcers in intensive care: prevention of risk factors] (in Turkish). Intensive Care J. 2004;4(4):244-53 http://www.yogunbakimdergisi.org/managete/fu_folder/2004-04/2004-4-4-244-253.pdf
19. Artico M, Dante A, D’Angelo D, Lamarca L, Mastroianni C, Petitti T, et al. Prevalence, incidence and associated factors of pressure ulcers in home palliative care patients: a retrospective chart review. Palliat Med. 2018;32(1):299-7 https://doi.org/10.1177/0269216317737671
20. Alves AGP, Borges JWP, Brito MA. Assessment of risk for pressure ulcers in intensive care units: an integrative review. Rev Pesqui Cuid Fundam. 2014;6(2):793-4 https://doi.org/10.9789/2175-5361.2014v6n2p793
21. Neloska L, Damevska K, Nikolchev A, Pavleska L, Petreska-Zovic B, KostovM. The association between malnutrition and pressure ulcers in Elderly in long-term care facility. Open Access Maced J Med Sci. 2016;4(3):423-27 https://doi.org/10.3889/oamjms.2016.094
22. Karahan A, A Abbasoğlu A, Işık SA, Çevik B, Saltan Ç, Elbaş NO, et a. Factors affecting wound healing in individuals with pressure ulcers: a retrospective study. Ostomy Wound Manage. 2018;64:32-9 https://doi.org/10.25270/owm.2018.2.3239
23. Anthony D, Alosaimi D, Shiferaw WS, Korsah K, Safari R. Prevalence of pressure ulcers in Africa: A systematic review and meta-analysis. J Tissue Viability 2021;30(1):137-45 https://doi.org/10.1016/j.jtv.2020.10.003
24. Cevik A, Basat O, Ucak S. [Evaluation of nutritional status and its effect on biochemical parameters in elderly people admitted to home health care services] (in Turkish). SEEAH. Med Bull 2014;48(2):132-9 https://doi.org/10.5350/SEMB.20140507030931
25. Saghaleini SH, Dehghan K, Shadvar K, Sanaie S, Mahmooodpoor A, Ostadi Z. Pressure ulcer and nutrition. Indian J Crit Care Med. 2018;22(4):283-9 https://doi.org/10.4103.ijccm.IJCCM_277_17
26. Taylor C. Importance of nutrition in preventing and treating pressure ulcers. Nurs Older People. 2017;29(6):33-9 https://doi.org/10.7748/nop.2017.e910
27. Bergquist-Beringer S, Gajewski BJ. Outcome and assessment information set data that predict pressure ulcer develop¬ment in older adult home health patients. Adv Skin Wound Care. 2011;24(9):404-14 https://doi.org/10.1097/01.ASW.0000405215.4992.a9
28. Mathus-Vliegen EM. Old age, malnutrition, and pressure sores: an ill-fated alliance. J Gerontol A Biol Sci Med Sci. 2004; 59(4): 355-60 https://doi.org/10.1093/gerona/859.4.M355
29. Kurtulus Tosun Z, Boluktas RP. [Pressure ulser prevelance and effecting factors among eldery patients in invasive care units] (in Turkish. J Turk Soc Crit Care Nurs. 2015;19(2):43-53 https://dergipark.org.tr/tr/pub/ybhd/issue/26493/278797
30. Ulker Efteli E, Yapucu Gunes U. A prospective, descriptive study of risk factors related to pressure ulcer development among patients in intensive care units. Ostomy Wound Manage. 2013;59(7):22-7 https://www.ncbi.nlm.nih.gov/pubmed/23846003

Evaluation of clinical features and the factors related to nutrition in home care patients with pressure ulcer

Year 2021, Volume: 6 Issue: 1, 7 - 12, 03.04.2021

Mustafa Çetiner , Selma Akkaya Arı , Neslihan Eşkut , Özgül Ocak , Sibel Canbaz Kabay , Handan Işın Özışık Karaman

https://doi.org/10.22391/fppc.776139

Cited By: 2

Abstract

Introduction: In this study, we aimed to determine the demographic and clinical characteristics of patients with pressure ulcers who received home health care in Kutahya city and to investigate the relationship between the factors related to nutrition and pressure ulcer grades.
Methods: This study is designed as a retrospective and cross-sectional. The files of 500 patients who were registered at home health services unit of Kutahya Health Sciences University Training and Research Hospital between December 2016 and May 2017 were reviewed retrospectively. Of these, sixty-three patients with pressure ulcers were included in the study.
Results: In this study, 26 (41.3%) were male and 37 (58.7%) were female. The mean age of the patients with pressure ulcers was 74.41 ± 12.30 (years). 36 patients (57.1%) had cerebrovascular disease, 5 patients (7.9%) had dementia, 9 patients (14.3%) had malignancy, 8 patients (12.7%) had osteoarthritis, 4 patients 6.3%) had peripheral vascular disease, and 1 patient (1.6%) had previous traffic accident. The majority (62.1%) were neurological disease-sequenced and nursing-care group. When all the patients were examined, the region with the most pressure was the sacrum (35.3%). Hemoglobin level was found to be related to pressure ulcer grade (One-way ANOVA, p = 0.019). There was no significant relationship between other nutrition-related parameters and pressure ulcer stage.
Conclusion: Patients with cerebrovascular disease constitute a significant proportion of patients receiving home care services. Low hemoglobin increases the severity of the pressure ulcer. Therefore, determining risk factors that contribute to pressure ulcer formation and efforts to prevent them should be the primary target of the home health care unit.

Keywords

Pressure ulcer , home care services , nutrional status

References

1. Ozturk A, Gurlek A, Arslan A, Fırat C, Fariz A. [Our Clinical Experiences in Pressure Sore in a period of 10 years] (in Turkish). Turgut Ozal Tıp Merk Derg. 2006; 13(4):243-8. https://dergipark.org.tr/tr/pub/totm/issue/13111/157965
2. Bergquist S. Pressure ulcer prediction in older adults receiving home health care: implications for use with the OASIS. Adv Skin Wound Care. 2003;16(3):132-9. http://doi.org/10.1097/00129334-200305000-00011
3. Allman RM. Pressure ulcer prevalence, incidence, risk factors, and impact. Clin Geriatr Med. 1997;13(3):421-36 https://www.ncbi.nlm.nih.gov/pubmed/9227937
4. Lyman V. Successful heel pressure ulcer prevention program in a long-term care setting. J Wound Ostomy Continence Nurs. 2009;36(6):616-21 http://doi.org/10.1097/WON.0b013e3181bd813e
5. Demirci Sahin A, Seyrek S, Erturk A, Bayındır Artantas A. [Pressure ulcers among home care patients and their demographic features] (in Turkish). Konuralp Med J. 2017;9(1):14-8 http://doi.org/10.18521/kts.286610
6. Capon A, Pavoni N, Mastromattei A, Di Lallo D. Pressure ulcer risk in long-term units: prevalence and associated factors. J Adv Nurs 2007;58(3):263-72 http://doi.org/10.1111/j.1365-2648.2007.04232.x
7. Khor HM, Tan J, Saedon NI, Kamaruzzaman SM, Chin AV, Poi PJ, et al. Determinants of mortality among older adults with pressure ulcers. Arch Gerontol Geriatr. 2014;59(3):536-41 https://doi.org/10.1016/j.archger.2014.07.011
8. Ferrell BA, Josephson K, Norvid P, Alcorn H. Pressure ulcers among patients admitted to home care. J Am Geriatr Soc. 2000; 48(9):1042-7 https://doi.org/10.1111/j.1532-5415.2000.tb04778.x
9. Landi F, Onder G, Russo A, Bernabei R. Pressure ulcer and mortality in frail elderly people living in community. Arch Gerontol Geriatr. 2007;44(1):217-23 https://doi.org/10.1016/j.archger.2007.01.030
10. Sikar Akturk A, Atmaca E, Zengin S, Bayramgurler D. [Prevalence and clinical features of pressure ulcers in patients receiving home health care services in the city of Kocaeli] (in Turkish). Turk derm. 2010;44:128-31 https://doi.org/10.4274/turkderm.44.128
11. Cayır Y, Avsar UZ, Avsar U, Cansever Z, Khan AS. [Characteristics of patients who receive home health services and expectations of caregivers] (in Turkish). Konuralp Med J. 2013;5(3):9-12 https://doi.org/10.18521/ktd.56044
12. Horn SD, Bender SA, Ferguson ML, Smout RJ, Bergstrom N, Taler G, et al. The national pressure ulcer long-term care study: pressure ulcer development in long-term care residents. J Am Geriatr Soc. 2004;52(3):359–67 https://doi.org/10.1111/j.1532-5415.2004.52106.x
13. Soini H, Routasalo P, Lagstrom H. Characteristics of the mini-nutritional assessment in elderly home-care patients. Eur J Clin Nutr. 2004;58(1):64–70 https://doi.org/10.1038/sj.ejcn.16017448
14. Eglseer D, Manuela Hödl M, Lohrmann C. Nutritional management of older hospitalised patients with pressure injuries. Int Wound J. 2019;16(1): 226-32 https://doi.org/10.1111/iwj.13016
15. Citty SW, Cowan LJ, Wingfield Z, Stechmiller J. Optimizing Nutrition Care for Pressure Injuries in Hospitalized Patients. Adv Wound Care (New Rochelle). 2019; 8(7): 309-22 https://doi.org/10.1089/wound.2018.0925
16. Iizaka S, Okuwa M, Sugama J, Sanada H. The impact of malnutrition and nutrition-related factors on the development and severity of pressure ulcers in older patients receiving home care. Clin Nutr. 2010;29(1):47-53 https://doi.org/10.10196/j.clnu.2009.05.018
17. Saghaleini HD, Dehghan K, Shadvar K, Sanaie S, Mahmoodpoor A, Ostadi Z. Pressure ulcer and nutrition. Indian J Crit Care Med. 2018;22(4):283-9 https://doi.org/10.4103/ijccm.IJCCM_277_17
18. Beger T. [Decubitus ulcers in intensive care: prevention of risk factors] (in Turkish). Intensive Care J. 2004;4(4):244-53 http://www.yogunbakimdergisi.org/managete/fu_folder/2004-04/2004-4-4-244-253.pdf
19. Artico M, Dante A, D’Angelo D, Lamarca L, Mastroianni C, Petitti T, et al. Prevalence, incidence and associated factors of pressure ulcers in home palliative care patients: a retrospective chart review. Palliat Med. 2018;32(1):299-7 https://doi.org/10.1177/0269216317737671
20. Alves AGP, Borges JWP, Brito MA. Assessment of risk for pressure ulcers in intensive care units: an integrative review. Rev Pesqui Cuid Fundam. 2014;6(2):793-4 https://doi.org/10.9789/2175-5361.2014v6n2p793
21. Neloska L, Damevska K, Nikolchev A, Pavleska L, Petreska-Zovic B, KostovM. The association between malnutrition and pressure ulcers in Elderly in long-term care facility. Open Access Maced J Med Sci. 2016;4(3):423-27 https://doi.org/10.3889/oamjms.2016.094
22. Karahan A, A Abbasoğlu A, Işık SA, Çevik B, Saltan Ç, Elbaş NO, et a. Factors affecting wound healing in individuals with pressure ulcers: a retrospective study. Ostomy Wound Manage. 2018;64:32-9 https://doi.org/10.25270/owm.2018.2.3239
23. Anthony D, Alosaimi D, Shiferaw WS, Korsah K, Safari R. Prevalence of pressure ulcers in Africa: A systematic review and meta-analysis. J Tissue Viability 2021;30(1):137-45 https://doi.org/10.1016/j.jtv.2020.10.003
24. Cevik A, Basat O, Ucak S. [Evaluation of nutritional status and its effect on biochemical parameters in elderly people admitted to home health care services] (in Turkish). SEEAH. Med Bull 2014;48(2):132-9 https://doi.org/10.5350/SEMB.20140507030931
25. Saghaleini SH, Dehghan K, Shadvar K, Sanaie S, Mahmooodpoor A, Ostadi Z. Pressure ulcer and nutrition. Indian J Crit Care Med. 2018;22(4):283-9 https://doi.org/10.4103.ijccm.IJCCM_277_17
26. Taylor C. Importance of nutrition in preventing and treating pressure ulcers. Nurs Older People. 2017;29(6):33-9 https://doi.org/10.7748/nop.2017.e910
27. Bergquist-Beringer S, Gajewski BJ. Outcome and assessment information set data that predict pressure ulcer develop¬ment in older adult home health patients. Adv Skin Wound Care. 2011;24(9):404-14 https://doi.org/10.1097/01.ASW.0000405215.4992.a9
28. Mathus-Vliegen EM. Old age, malnutrition, and pressure sores: an ill-fated alliance. J Gerontol A Biol Sci Med Sci. 2004; 59(4): 355-60 https://doi.org/10.1093/gerona/859.4.M355
29. Kurtulus Tosun Z, Boluktas RP. [Pressure ulser prevelance and effecting factors among eldery patients in invasive care units] (in Turkish. J Turk Soc Crit Care Nurs. 2015;19(2):43-53 https://dergipark.org.tr/tr/pub/ybhd/issue/26493/278797
30. Ulker Efteli E, Yapucu Gunes U. A prospective, descriptive study of risk factors related to pressure ulcer development among patients in intensive care units. Ostomy Wound Manage. 2013;59(7):22-7 https://www.ncbi.nlm.nih.gov/pubmed/23846003

There are 30 citations in total.

Details

Primary Language	English
Subjects	Health Care Administration
Journal Section	Original Research
Authors	Mustafa Çetiner 0000-0002-4420-6452 Selma Akkaya Arı 0000-0003-2021-5802 Neslihan Eşkut 0000-0003-1882-8992 Özgül Ocak 0000-0001-8276-0174 Sibel Canbaz Kabay 0000-0003-4808-2191 Handan Işın Özışık Karaman
Publication Date	April 3, 2021
Submission Date	September 19, 2020
Acceptance Date	January 7, 2021
Published in Issue	Year 2021 Volume: 6 Issue: 1

Cite

APA	Çetiner, M., Akkaya Arı, S., Eşkut, N., … Ocak, Ö. (2021). Evaluation of clinical features and the factors related to nutrition in home care patients with pressure ulcer. Family Practice and Palliative Care, 6(1), 7-12. https://doi.org/10.22391/fppc.776139
AMA	Çetiner M, Akkaya Arı S, Eşkut N, Ocak Ö, Canbaz Kabay S, Özışık Karaman HI. Evaluation of clinical features and the factors related to nutrition in home care patients with pressure ulcer. Fam Pract Palliat Care. April 2021;6(1):7-12. doi:10.22391/fppc.776139
Chicago	Çetiner, Mustafa, Selma Akkaya Arı, Neslihan Eşkut, Özgül Ocak, Sibel Canbaz Kabay, and Handan Işın Özışık Karaman. “Evaluation of Clinical Features and the Factors Related to Nutrition in Home Care Patients With Pressure Ulcer”. Family Practice and Palliative Care 6, no. 1 (April 2021): 7-12. https://doi.org/10.22391/fppc.776139.
EndNote	Çetiner M, Akkaya Arı S, Eşkut N, Ocak Ö, Canbaz Kabay S, Özışık Karaman HI (April 1, 2021) Evaluation of clinical features and the factors related to nutrition in home care patients with pressure ulcer. Family Practice and Palliative Care 6 1 7–12.
IEEE	M. Çetiner, S. Akkaya Arı, N. Eşkut, Ö. Ocak, S. Canbaz Kabay, and H. I. Özışık Karaman, “Evaluation of clinical features and the factors related to nutrition in home care patients with pressure ulcer”, Fam Pract Palliat Care, vol. 6, no. 1, pp. 7–12, 2021, doi: 10.22391/fppc.776139.
ISNAD	Çetiner, Mustafa et al. “Evaluation of Clinical Features and the Factors Related to Nutrition in Home Care Patients With Pressure Ulcer”. Family Practice and Palliative Care 6/1 (April2021), 7-12. https://doi.org/10.22391/fppc.776139.
JAMA	Çetiner M, Akkaya Arı S, Eşkut N, Ocak Ö, Canbaz Kabay S, Özışık Karaman HI. Evaluation of clinical features and the factors related to nutrition in home care patients with pressure ulcer. Fam Pract Palliat Care. 2021;6:7–12.
MLA	Çetiner, Mustafa et al. “Evaluation of Clinical Features and the Factors Related to Nutrition in Home Care Patients With Pressure Ulcer”. Family Practice and Palliative Care, vol. 6, no. 1, 2021, pp. 7-12, doi:10.22391/fppc.776139.
Vancouver	Çetiner M, Akkaya Arı S, Eşkut N, Ocak Ö, Canbaz Kabay S, Özışık Karaman HI. Evaluation of clinical features and the factors related to nutrition in home care patients with pressure ulcer. Fam Pract Palliat Care. 2021;6(1):7-12.