The prevalence and risk factors of pressure ulcers among residents of long-term care institutions: a case study of Kazakhstan
Zhetmekova Z. Kassym L. Kussainova A. Akhmetova A. Everink I. Orazalina A. Zhanaspayeva G. Botabayeva A. Kozhakhmetova D. Olzhayeva R. Semenova Y.
December 2024Nature Research
Scientific Reports
2024#14Issue 1
Limited information is available regarding the prevalence of pressure ulcers (PUs) in residential homes in Central Asia. Therefore, the aim of this study was to identify the prevalence rates and risk factors associated with PUs among residents of long-term care medical institutions in the Republic of Kazakhstan. This cross-sectional study was conducted in four long-term care institutions in Kazakhstan. The study sample consisted of 640 patients who were assessed for the presence of PUs and associated risk factors. The evaluation was performed using the International Prevalence Measurement of Care Quality (Landelijke Prevalentiemeting Zorgkwaliteit, LPZ), the Braden scale, and the Care Dependency Score (CDS). The overall prevalence of PUs, classified as categories I–IV, was found to be 37%. When excluding category I PUs, the prevalence decreased to 35.6%. The odds ratios (ORs) for presenting with PUs were as follows: history of stroke (OR 5.22), diseases of the digestive system (OR 10.01), presence of spinal cord lesions/paraplegia (OR 20.50), recent reported confusion within the last 7 days (OR 184.00), and limited extent dependency according to the CDS (OR 4.44; 95%CI 1.31–16.1). It is imperative to establish specialized training programs aimed at equipping medical personnel, relatives, and patients themselves with the necessary skills to provide optimal care for individuals affected by PUs.
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Nursing Department, Semey Medical University, Semey, Kazakhstan
Department of General Medical Practice with a Course of Evidence-Based Medicine, Astana Medical University, Astana, Kazakhstan
Department of Infectious Diseases, Dermatovenereology and Immunology, Semey Medical University, Semey, Kazakhstan
Department of Health Services Research and Care and Public Health Research Institute (CAPHRI), Maastricht University, Maastricht, Netherlands
Department of Molecular Biology and Medical Genetics Named After the Academician of National Academy of Sciences Republic of Kazakhstan Raissov T. K., Semey Medical University, Semey, Kazakhstan
National Scientific Center of Traumatology and Orthopedics Named After Academician Batpenov N.D., Astana, Kazakhstan
Department of Internal Diseases and Rheumatology, Semey Medical University, Semey, Kazakhstan
Department of Biochemistry and Chemical Disciplines Named D.M.S., Professor Tapbergenov S.O., Semey Medical University, Semey, Kazakhstan
School of Medicine, Nazarbayev University, Astana, Kazakhstan
Nursing Department
Department of General Medical Practice with a Course of Evidence-Based Medicine
Department of Infectious Diseases
Department of Health Services Research and Care and Public Health Research Institute (CAPHRI)
Department of Molecular Biology and Medical Genetics Named After the Academician of National Academy of Sciences Republic of Kazakhstan Raissov T. K.
National Scientific Center of Traumatology and Orthopedics Named After Academician Batpenov N.D.
Department of Internal Diseases and Rheumatology
Department of Biochemistry and Chemical Disciplines Named D.M.S.
School of Medicine
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