Reference Nurse Program for Pressure Ulcers in Primary Care
Reference Nurse Program for Pressure Ulcers in Primary Care
Introduction: Pressure ulcers (PU) are the most common chronic wounds in all levels of care
 in health centers. The chronic wound care by skilled personnel is key to healing and
 management of these injuries. An inter-clinical telematic program for PU in Primary Care (PC)
 can improve the effectiveness of interventions and cost savings.

 Objective: To evaluate the effectiveness and costs reduction after the implementation in PC
 setting of a chronic wounds reference nurse and a teleconsultation program aimed to nurses
 for the management of PU in patients in home care setting.

 Methodology: A prospective pilot clinical trial in which 46 primary care nurses in Osakidetza
 will be randomly assigned to two parallel groups: experimental group and control group. Each
 nurse will recruit at least 1 new patient in home care with PU in stage II-III. The
 intervention will consist of a telematic advice from the reference nurse regarding chronic
 wound management in relation to a specific PU. Patients will be monitored for 8 weeks with a
 minimum of 4 repeated measurements of the Resvech Index 2.0. To evaluate the effectiveness of
 the intervention, multilevel models or linear mixed models to take into account the
 auto-correlation at the individual level and nurse, will be used
Inclusion Criteria:

 -  New cases of PU in Stage II-III, treated by the same nurse over time at patient's
 home. (Stage II: Partial loss of skin thickness that affects the epidermis, dermis, or
 both. Ulcer surface that looks like abrasion, blister, or shallow crater; Stage III:
 Full thickness loss of skin involving damage or necrosis of subcutaneous tissue that
 may extend down to but not through the underlying fascia)

 Exclusion Criteria:

 -  Patients with chronic wounds that are not PU

 -  PU in patients with plastic surgery

 -  Patients who move periodically

 -  Patients requiring hospitalization during follow-up

 -  Patients in which nurse is expected to be changed during follow-up

 -  Terminal patients