私人民营疗养院助理护士的压力伤害预防方案的效果:组群随机对照试验

Clinical Trial Aim: To examine the effectiveness of a pressure injury prevention program for private for-profit nursing homes.
Design: This study was a two-arm cluster randomized controlled trial. Ten private for-profit nursing homes made up the clusters.
Methods: The participants were nursing home residents who aged 60 or above regardless of whether or not having pre-existing pressure injuries and also three types of nursing home assistants who provided direct care to the residents from 10 private for-profit nursing homes. These 10 nursing homes were randomly assigned to either the experimental or the control group. There were 477 and 536 resident participants and 51 and 62 nursing assistant participants in the experimental and control groups, respectively. The residents were the study participants and the nursing assistant participants were the interveners. The experimental group had the pressure injury prevention program implemented while the control group received the usual care. The primary study outcome which was the pressure injury incidence was analysed by GEE. Significance was set at a p-value of ≤.05. The data were collected between September 2017–March 2018. Result: There were significant interactive effects of time and group on the incidence of pressure injuries (p =.0015) and on the skill performance of the nursing assistant participants (p <.0001).
Conclusions: An evidence-based pressure injury prevention program reduced the development of the pressure injuries and improved the skill performance of the nursing assistant participants. It is highly recommended that private for-profit nursing homes with high proportion of non-professional nursing assistants and insufficient nurses adopt this program for improving the prevention care of pressure injuries. Impact: This research has an impact on prevention care of pressure injury in private for-profit nursing homes with high proportion non-professional nursing assistants which have the similar characteristics as the nursing homes studied in various regions and countries. Trial registration: The Controlled Trial registration ID is NCT02270385.

nursing assistants, nursing home care, pressure injury prevention

10.1111/jan.14391

0309-2402

1780-1793

Kwong, Enid W.Y.

0cfb9c39-83ec-44db-b3b3-6f69bd72e770

Chen, Liang Y.

212c8f15-6b50-4cc5-8288-632e24db7e02

Kwan, Rick Y.C.

4ad03790-4557-41c1-8584-3313a4235e51

Lee, Paul H.

02620eab-ae7f-4a1c-bad1-8a50e7e48951

1 July 2020

Kwong, Enid W.Y.

0cfb9c39-83ec-44db-b3b3-6f69bd72e770

Chen, Liang Y.

212c8f15-6b50-4cc5-8288-632e24db7e02

Kwan, Rick Y.C.

4ad03790-4557-41c1-8584-3313a4235e51

Lee, Paul H.

02620eab-ae7f-4a1c-bad1-8a50e7e48951

Kwong, Enid W.Y., Chen, Liang Y., Kwan, Rick Y.C. and Lee, Paul H. (2020) 私人民营疗养院助理护士的压力伤害预防方案的效果:组群随机对照试验. Journal of Advanced Nursing, 76 (7), 1780-1793. (doi:10.1111/jan.14391).

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Accepted/In Press date: 30 March 2020

Published date: 1 July 2020

Additional Information: Funding Information: The study was financially supported by the external funding that is Health and Medical Research Fund of the Food and Health Bureau, Hong Kong, China (project number:12131711). There was no other involvement from the funding source. Publisher Copyright: © 2020 John Wiley & Sons Ltd

Alternative titles: The effectiveness of a pressure injury prevention program for nursing assistants in private for-profit nursing homes: a cluster randomized controlled trial

Keywords: nursing assistants, nursing home care, pressure injury prevention