|
|
A survey of attendance care for high-risk patients and patients with decubitus in choice facilities in the Czech Republic and in the Federal Republic of Germany
LANGOVÁ, Petra
Current situation: Even at the present time of the 21st century, decubitus is still considered to be a serious health complication which attacks all age groups of patients and reduce their quality of life (Boughen, 2012). Aims: The main aim of the research was to find out if the nursing treatment of patients who are at risk of pressure ulcer development or patients suffering bedsores in the Czech Republic is comparable to the treatment provided to similarly ill patients in Germany. Procedure: In order to find out necessary data, the quantitative research method was selected, during which an anonymous questionnaire both in Czech and German languages was issued and consequently submitted to general stuff nurses working at standard hospital departments. Research area: During the research survey, the general stuff nurses working in internal, surgery and rehabilitation departments in three Czech hospitals and two German hospitals. Results: The survey results showed that in the Czech Republic the Norton Scale for predicting the pressure ulcer risk is used most often, while in Germany the Braden Scale is most frequent method. The respondents, however, are equally convinced that regular inspections of skin as well as active searching for causation factors are far more suitable and helpful. Moreover, the survey revealed that the German colleagues determine the risk of developing bedsores by using the scale more frequently compared to the nurses in the Czech Republic. Significant differences in statistics were obvious in the frequency of the individual treatment interventions, especially in the areas of turning and repositioning the patient according to Bobath concept, self-dependence training, the skin assessment, as well as in the area of education. The research results showed the fact that Czech nurses statistically far more often use antiducubitus tools and materials, which are considered unsuitable or are not recommended by foreign guidelines. It was as well obvious from the research survey that the Czech nurses use compensational tools and devices when treating their patients more often compared to German hospitals. The survey results further showed that the choice of local therapeutic material used in particular working places vary considerably. While there is a more numerous utilization of materials containing silver and Tender Wet hydro-active super absorb cushions in the Czech Republic, stuff nurses in Germany prefer transparent polyurethane covers, secondary absorbing covers and polyurethane foams. Conclusions and suggestions for the practice: As far as the material availability is concerned, we are still far behind the advanced countries. However, we excel in quality as well as in the professional qualification of the nursing stuff. Prevention measures in the area of pressure ulcers are on the same level. Suggested changes and recommendations are: Suitable choice of the equipment, tools and devices. Immediately start with the self-dependence training within the rehabilitation treatment exercises and to use suitable compensational aids and utilities. It is as well advisable to create an individual body movement plan. To engage the whole multi-discipline team in the treating process for the patient. To educate the patient correctly. To ensure precise treatment documentation. Not to focus only on the assessment scale for prediction pressure ulcer risk but to carry out regular inspections of skin and search for the causation factors actively. To carry out the fading hyperaemia test in practice. Not to confuse sitting in a wheelchair and mobilisation. Verify and legalise the recommended procedures with the support of audits on pressure ulcer prevention and treatment.
|
guest ::
