Bours Gerrie J J W, Halfens Ruud J G, Abu-Saad Huda Huijer, Grol Richard T P M
Department of Nursing Science, Maastricht University, The Netherlands.
Res Nurs Health. 2002 Apr;25(2):99-110. doi: 10.1002/nur.10025.
The purpose of the present study was to assess the prevalence of pressure ulcers and the use of Dutch guidelines for the prevention and treatment of pressure ulcers. A survey of 16,344 patients in 89 health care institutions on 1 day showed a mean prevalence of pressure ulcers of 23.1%. It was found that Dutch guidelines on some aspects of prevention and treatment of pressure ulcers were not being followed. Only 53% of the patients who should have been positioned on a support surface were positioned on such a device. Fewer than one-third of the patients who should have been repositioned, should have received nutritional support, or should have been educated received these interventions, and only 33.6% of all pressure ulcers were dressed as recommended. More attention to the dissemination and implementation of the guidelines is needed to reduce this high prevalence of pressure ulcers.
本研究的目的是评估压疮的患病率以及荷兰压疮预防和治疗指南的使用情况。对89家医疗机构的16344名患者在某一天进行的一项调查显示，压疮的平均患病率为23.1%。结果发现，荷兰关于压疮预防和治疗某些方面的指南未得到遵循。本应使用支撑面的患者中，只有53%使用了此类设备。本应进行重新定位、应接受营养支持或应接受教育的患者中，接受这些干预措施的不到三分之一，并且所有压疮中只有33.6%按照建议进行了敷料处理。需要更加关注指南的传播和实施，以降低这种压疮的高患病率。
