Volume 20 Issue 8
Aug.  2022
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Article Navigation >  Chinese Journal of General Practice  > 2022  >  20(8): 1438-1441
FENG Chun, WANG Jing-nan, CHEN Ping. Early warning of the Braden individual score in the prevention of hospital pressure injury[J]. Chinese Journal of General Practice, 2022, 20(8): 1438-1441. doi: 10.16766/j.cnki.issn.1674-4152.002617
Citation: FENG Chun, WANG Jing-nan, CHEN Ping. Early warning of the Braden individual score in the prevention of hospital pressure injury[J]. Chinese Journal of General Practice, 2022, 20(8): 1438-1441. doi: 10.16766/j.cnki.issn.1674-4152.002617
shu

Early warning of the Braden individual score in the prevention of hospital pressure injury

doi: 10.16766/j.cnki.issn.1674-4152.002617

  • Department of Nursing, Hwamei Hospital, University of Chinese Academy of Sciences, Ningbo, Zhejiang 315010, China

Funds:

 2022KY1131

 2021HMKY24

  • Received Date: 2022-03-07
    Available Online: 2022-09-26
    Abstract
  •   Objective  To explore the effect of Braden's individual score in the prevention of hospital pressure injury (PI) to reduce the incidence of PI.  Methods  A grid management team composed of experts from the nursing department, the head nurses of the section, wound ostomy specialist nurses, the head nurses and the PI quality controller was established to monitor and track PI events in the whole hospital by dividing the team into three grid levels. We analysed Braden's individual score, the locations of PI, and the causes of PI in 81 cases reported by the office automation (OA) adverse event system in our hospital from January to December in 2020. We also calculated the Braden scores of moisture, activity and mobility less than 3 points in the medical benefit system in 2021; carried out preventive measures according to Braden's individual score management warning system; and observed PI events.  Results  After the implementation of individual scoring management, the incidence of in-hospital PI decreased from 0.125% in 2020 to 0.085% in 2021. The number of PI patients with one or two aspects less than 3 points amongst moisture, activity and mobility scorings decreased from 33 in 2020 to 15 in 2021, with a statistically significant difference between the two groups (P < 0.05). Stage three PI and deep tissue pressure injury were significantly reduced, and the healing rate of patients with PI increased dramatically.  Conclusion  Early intervention through Braden's individual score management and implementation of preventive measures to patients with mid-low and no risk through Braden's scoring can effectively reduce the incidence of in-hospital PI.

     

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