Ratliff Catherine R, Rodeheaver George T
Department of Plastic Surgery Reserach, University of Virginia Health System, Charlottesville, VA 22908, USA.
Ostomy Wound Manage. 2005 May;51(5):58-60, 62-3.
Currently, no instrument is available to provide an accurate and simple method of monitoring venous ulcer healing in clinical practice. The Pressure Ulcer Scale for Healing (PUSH) tool was developed and validated to monitor the healing of pressure ulcers. During a 2-month study involving 27 venous ulcer patients visiting a chronic wound clinic of a major university, the feasibility of using the PUSH tool to monitor healing was evaluated. The patients were assessed by two Wound Ostomy Continence Nurses using the PUSH tool, where 0 = healed and 17 = worst possible score. The mean score at the initial clinic visit was 12. One month and 2 months later, the mean scores were 9 and 8, respectively. Of the 27 participating patients, 23 had a decrease in their PUSH score over the 2-month period of the study; four of the 23 patients had PUSH scores of zero after 2 months because their venous ulcers had healed. One ulcer did not change and three ulcers worsened and their PUSH scores increased. Based on this study, the PUSH tool appears to be an effective way to monitor healing trends in venous ulcers as well as pressure ulcers.
目前，在临床实践中，尚无仪器可提供准确且简便的方法来监测静脉性溃疡的愈合情况。愈合期压疮量表（PUSH）工具已被开发并验证可用于监测压疮的愈合。在一项为期2个月的研究中，对27名前往某主要大学慢性伤口诊所就诊的静脉性溃疡患者进行了研究，评估了使用PUSH工具监测愈合情况的可行性。由两名伤口造口失禁护士使用PUSH工具对患者进行评估，其中0分表示愈合，17分为可能的最差分数。在初次诊所就诊时的平均分数为12分。1个月和2个月后，平均分数分别为9分和8分。在参与研究的27名患者中，有23名患者在研究的2个月期间PUSH分数下降；23名患者中有4名在2个月后PUSH分数为零，因为他们的静脉性溃疡已经愈合。有1例溃疡情况未变，3例溃疡恶化且PUSH分数增加。基于这项研究，PUSH工具似乎是监测静脉性溃疡以及压疮愈合趋势的有效方法。
