The intervention of Specialist Nurses in Rehabilitation Nursing in the risk of pressure ulcers
DOI:
https://doi.org/10.33194/rper.2025.376Keywords:
pressure ulcer, Rehabilitation Nursing, Self care, RisksAbstract
Introduction: The Integrated Continuing Care Teams respond to dependent people who do not move autonomously. Mobility and activity are areas of attention for nurses specialized in rehabilitation nursing and factors related to the risk of pressure ulcers. This study aimed to evaluate the influence of the intervention of specialist nurses in rehabilitation nursing in reducing the risk of pressure ulcers, assessed using the Braden scale, in patients integrated in an Integrated Continuing Care Teams in a rehabilitation program.
Methodology: Observational, descriptive, exploratory, retrospective study, carried out on a sample of 60 patients followed in an Integrated Continuing Care Teams from northern Portugal, referred for rehabilitation, discharged in the period between January 1, 2021 and December 31, 2022.
Results: The participants were on average 78 years old, with more frequent medical diagnoses: cerebrovascular disease, diseases of the nervous system and osteoarticular system. There was an improvement in the mean values of the Braden scale, from 14.7 (high risk) to 17.7 (low risk) (t(58) = 8.267, p<.001, d Cohen = 1.06) and in the National Table of Functionality, from 126 at admission to 104 at discharge. There is also a very strong statistical relationship between the improvement in the value of the Braden subscales activity (r(58) = 0.867, p <.001) and mobility (r(58) = .820, p <.001) with the final value of the Braden Scale at the time of discharge.
Discussion: The results revealed a very strong and positive correlation between the improvement of the activity and mobility subscales, areas that were the target of intervention by the nurses specialized in rehabilitation nursing intervention, with the final value of the Braden Scale.
Conclusion: This study revealed that the interventions implemented by the nurses specialized in rehabilitation nursing had an influence on the improvement of functionality, mobility and activity, factors intrinsically linked to the intervention of the nurses specialized in rehabilitation nursing. Since mobility and activity are two of the six parameters evaluated by the Braden scale, it is thus inferred that gains were obtained in the prevention of pressure ulcers, reflected in gains for the user, family members, caregivers and the National Health Service.
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