Epidemiology of skin tears in general hospitals with long-term care beds

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  • 療養病床を有する一般病院におけるスキン-テアの実態

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The present study investigated the prevalence of skin tears（tears）, their estimated incidence, and the circumstances of patients with tears in general hospitals with long-term care beds.<BR>　General hospitals with long-term care beds in Prefecture A were surveyed on one, randomly selected day. A nurse responsible for the survey at the institution with knowledge about tears identified the injuries and recorded information about the hospital and patients. The analysis included bed classification and the presence or absence of tears and wound, ostomy, and continence nurses（WOCN）. Nine hospitals participated, with 1,626 patients in 390 regular beds and 1,236 long-term care beds. Sixteen patients had tears, making the prevalence of tears 0.98%. Tears were found in three patients in regular beds and ten patients in long-term care beds, for a total, estimated incidence of 0.80%. The prevalence of tears was two of 632 patients in hospitals with a WOCN and 11 of 994 patients at hospitals without a WOCN, showing a tendency towards a lower incidence at hospitals with a WOCN（p=0.081）. At hospitals with a WOCN, tears resulted from the patients’ own actions while at hospitals without a WOCN, tears resulted from both the patient’s actions and care by medical staff.<BR>　Our findings showed that the presence of a WOCN with expertise in preventing tears may help reduce their incidence.

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