Conference presentation
Older Patients’ Perceptions of Participation in Pressure Injury Prevention: A Cross-Sectional Study
Abstract Book EPUAP2025, pp.1-219
EPUAP2025 Annual Meeting (Helsinki, Finland, 24/09/2025–26/09/2025)
25/09/2025
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Abstract
Introduction: Older patients over aged 65 face increased risk of hospital-acquired pressure injury (HAPI), leading to personal, psychological [1] and financial burden, with close to 60,000 early deaths worldwide annually [2]. Unique risk factors for the over-65 population include impaired mobility, compromised skin integrity, fragility,
comorbidities and frailty [2]. Understanding patient perceptions of their role in their own pressure injury prevention (PIP) care during hospitalisation is essential given the delivery rates of preventative PIP education vary between 1.4-37% [2]. However, education delivery rates to the over 65 population remains unclear. This study aims to understand the perceptions of patients aged <65 years regarding their participation in their PIP care during hospitalisation.
Methods: Our sample comprised of 157 participants. This cross-sectional sub-study was drawn from a larger multi-site randomised control trial (ACTRESN12619000763145). Participants were recruited between July 2020 and August 2023 from 20 surgical and medical wards at two large hospitals in Australia. Participants were over 65 years and assessed ‘at-risk’ of PI using the risk score* of >10. The validated Patient Participation in Pressure Injury Prevention (PPPIP) scale [5] was administered to participants who were randomly assigned to the control group across both sites. Control group participants received standard care and patient
education. The validated scale measures patients’ PIP participation across seven scale items. Based on a four-point response scale (1=strongly disagree to 4=strongly agree), higher scores (7-28) indicate increased patient participation in PIP. The PPPIP was administered to participants within 72 hours of admission. Clinical and demographic data were also collected.
Results: In total, 157 participants (Hospital A; n=79 (50.3%), Hospital B; n=78 (49.7%) were recruited with an average age of 73.0 (SD 6.2) years; with more males n=100 (63.7%) than females. There were more surgical participants n=105 (66.9%), than medical, with a mean Waterlow © risk score of 16 (SD 3.5) considered “at high-risk”. The mean number of co-morbidities was 2.2 (SD 1.3), and participants’ hospital length of stay was 7.3 (SD 13.1) days. The mean PPPIP scale score across the sample was 21.4 (SD 4.5) and scores ranged from 10-28, indicating patients were satisfied with their PIP participation.
Conclusions: Our study highlights adults over the age of 65 are satisfied with their participation in PIP during hospitalisation. Whilst patients believe the PIP care received was right for them, further research is needed to understand how active patients over age 65 years are in participating in their PIP care on or soon after admission for this vulnerable population
Details
- Title
- Older Patients’ Perceptions of Participation in Pressure Injury Prevention: A Cross-Sectional Study
- Creators
- Jodie Deakin - Griffith UniversitySharon Latimer - Griffith UniversityRachel Walker - Griffith UniversityBrigid Gillespie - Griffith University
- Publication Details
- Abstract Book EPUAP2025, pp.1-219
- Conference
- EPUAP2025 Annual Meeting (Helsinki, Finland, 24/09/2025–26/09/2025)
- Identifiers
- 991013325628602368
- Academic Unit
- Nursing; Faculty of Health
- Language
- English
- Resource Type
- Conference presentation