Apostoli Alberto, Calosso Aldo, Bellingeri Andrea
Infermiere, Gruppo di Ricerca Geriatria, Consigliere A.I.S.Le.C., Brescia.
Prof Inferm. 2003 Jul-Sep;56(3):163-72.
The problem of the pressure ulcers is today one of the critical and controversial appearance of nursing. To use A.H.C.P.R. Practice Guideline like tool clinician of "evidence" is tightly recommended in this field. The validity of the Practice Guidelines is guaranteed if the knowledge on that base themselves the enunciations are updated and base themselves on independent studies and methodologically correct. Across the bibliographical research in Mediline, CINAHL and Embase, the Authors have chosen 31 randomized controlled trials (RCTs) turns in the last two years on the prevention and treatment of the pressure ulcers. They have defined a series of structural and methodologically standards, and were appraised the individuals studies confronting the results obtained. In relationship to the quality and importance of the results of the researches, the Authors define what enunciations of A.H.C.P.R. Practice Guidelines should be reviewed.
压疮问题是当今护理领域中一个关键且存在争议的现象。在该领域强烈推荐使用美国卫生保健政策与研究机构（A.H.C.P.R.）实践指南作为“循证”临床工具。如果实践指南所依据的知识是最新的，且基于独立研究并在方法上正确，那么其有效性就能得到保证。通过对医学数据库（Mediline）、护理学与健康领域数据库（CINAHL）和荷兰医学文摘数据库（Embase）的文献检索，作者选取了过去两年中关于压疮预防和治疗的31项随机对照试验（RCTs）。他们定义了一系列结构和方法标准，并对各项研究的结果进行了评估。根据研究结果的质量和重要性，作者确定了A.H.C.P.R.实践指南中哪些阐述需要修订。
