Conference presentation
Patient Pressure Injury Prevention Education on Hospitalisation. A Cross-Sectional Study of Patients Aged over 65years
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: HAPI risk factors include limited mobility, incontinence, malnutrition, and hospitalisation [2]. Patients aged over 65 years, face increased morbidity and mortality due to frailty, comorbidities, and compromised skin integrity [2] with many developing a HAPI on or soon after admission [5]. Pressure injury prevention (PIP) is a healthcare priority and involves implementing strategies including patient education. Globally, 1.4-37% of hospitalised patients receive PIP education [1], but the delivery rates for older people is unknown. Our study aimed to determine PIP education delivery to patients over age 65 years in their first 24 hours of hospitalisation.
Methods: This cross-sectional sub-study was drawn from a larger multi-site randomised control trial (ACTRESN12619000763145). A consecutive subsample of 170 randomly assigned control group participants over 65 years were recruited from 20 surgical and medical wards at two tertiary hospitals in Australia were recruited between July 2020 and August 2023. Participants were assessed ‘at-risk’ of PI using the Waterlow © risk score of >10. Clinical and demographic data collection included chart audits, field notes and semi-structured observations. Descriptive statistics were used.
Results: Our sub-sample of 170 participants (Hospital A; n=87 (51.2%), Hospital B; n=83 (48.8%) comprised of mainly males (n=111; 64.9%) with a mean age of 73.36 (SD 6.3) years and a Waterlow © risk score of 15.35 (SD 3.7) considered “at high-risk”. There were more surgical admissions n= 114 (67.2%), than medical, with participants’ body mass index considered “overweight” at 28.57 (SD 5.6). The mean number of comorbidities were 2.2 (SD 1.2), including n=143 (83.6%) participants with at least one high-risk medication. Only six (3.5%) of participants received PIP education within the first 24hours of hospital admission.
Conclusions: Our study found that PIP education was delivered to only 3.5% of hospital patients over 65 within the first 24 hours of admission. Given PI develop on or soon after admission with this vulnerable population, further research is required to understand the barriers and facilitators to delivery of PIP education.
Details
- Title
- Patient Pressure Injury Prevention Education on Hospitalisation. A Cross-Sectional Study of Patients Aged over 65years
- 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
- 991013325628702368
- Academic Unit
- Nursing; Faculty of Health
- Language
- English
- Resource Type
- Conference presentation