Bours G J, Halfens R J, Lubbers M, Haalboom J R
Maastricht University, Department of Nursing Science, The Netherlands.
Ostomy Wound Manage. 1999 Nov;45(11):28-33, 36-8, 40.
To gain insight into the prevalence of pressure ulcers in Dutch healthcare institutions, a national registration form to measure the prevalence of pressure ulcers annually in different healthcare settings was developed based on a literature study and responses from a Delphi panel. The reliability and the feasibility of the form devised were tested in a pilot study conducted in a university hospital, a nursing home, and in a home healthcare setting. Interrater reliability of the grading system varied between the institutions from 0.49 to 0.97 (Cohen's Kappa). In the home healthcare setting, interrater reliability was 0.80 (Pearson correlation coefficient) for the total score on the Braden scale. The prevalence rates were 10.1% (n = 368) in the university hospital, 12.7% (n = 1,541) in the home healthcare setting, and 83.6% (n = 122) in the nursing home, although the latter figure seemed to be somewhat exaggerated. The most common lesions were found on the sacrum and below the knee (heel and malleolus). The pilot study concluded that it is possible to collect accurate and reliable data on the scope and severity of pressure ulcers with a uniform instrument in different healthcare settings.
为深入了解荷兰医疗机构中压疮的患病率，在文献研究和德尔菲专家组反馈的基础上，开发了一种全国性登记表，用于每年测量不同医疗环境中压疮的患病率。所设计表格的可靠性和可行性在一家大学医院、一家疗养院和家庭医疗环境中进行的一项试点研究中进行了测试。各机构间分级系统的评分者间信度在0.49至0.97之间（科恩kappa系数）。在家庭医疗环境中，Braden量表总分的评分者间信度为0.80（皮尔逊相关系数）。大学医院的患病率为10.1%（n = 368），家庭医疗环境中为12.7%（n = 1541），疗养院中为83.6%（n = 122），不过后者的数据似乎有些夸张。最常见的损伤部位是骶骨和膝盖以下（足跟和内、外踝）。试点研究得出结论，使用统一的工具可以在不同医疗环境中收集关于压疮范围和严重程度的准确可靠数据。
