Byers P H, Carta S G, Mayrovitz H N
Classic Health Concepts, St Petersburg, FL, USA.
Adv Skin Wound Care. 2000 May-Jun;13(3 Pt 1):115-21.
This paper focuses on key pressure ulcer research issues in surgical patients pertaining to incidence, risk assessment, temporality, methodology, and interpretation and utilization of findings. The recent emphasis on the effect of intraoperative events on pressure ulcer occurrence is discussed in terms of the underlying conceptualization, theoretical and empirical evidence, and consequences for research. The ongoing quest for predictors of pressure ulcers in surgical patients and the results of clinical studies in this population illustrate the limitations of current pressure ulcer risk assessment instruments; therefore, an example of an alternative risk assessment strategy for surgical patients is presented. Addressing these issues in a timely fashion is important given their potential impact on future research and the growing interest in studying pressure ulcers in surgical patients.
本文聚焦于外科患者压疮研究的关键问题，涉及发病率、风险评估、时间性、方法学以及研究结果的解读与应用。从潜在概念化、理论和实证证据以及对研究的影响等方面，讨论了近期对术中事件对压疮发生影响的关注。对外科患者压疮预测因素的持续探索以及该人群临床研究的结果，说明了当前压疮风险评估工具的局限性；因此，给出了一个针对外科患者的替代风险评估策略示例。鉴于这些问题对未来研究的潜在影响以及对外科患者压疮研究兴趣的不断增加，及时解决这些问题很重要。
