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[压疮管理——基于证据的干预措施]

[Pressure ulcer management--Evidence-based interventions].

作者信息

Rocha J A, Miranda M J, Andrade M J

机构信息

Serviço de Fisiatria, Hospital Geral de Santo António, S. A. Porto.

出版信息

Acta Med Port. 2006 Jan-Feb;19(1):29-38. Epub 2006 Apr 30.

Abstract

Despite improved awareness and quality of care among health care personnel, pressure ulcers prevalence remains high especially in the inpatient setting. Pressure ulcers are associated with increased morbidity and mortality, affecting the quality of life of patients and their caregivers, and significantly increasing direct and indirect healthcare costs. Early risk assessment for developing a pressure ulcer is essential to decide on the appropriate preventive measures and for initiation of a tailored therapeutic approach. Interventions include strategies to reduce extrinsic and intrinsic risk factors associated with tissue ischemia, optimization of patient's nutritional status, and local wound care. This revision intends to review current evidence-based therapeutic interventions in pressure ulcer care, and support implementation of management protocols in an inpatient ward.

摘要

尽管医护人员的意识有所提高,护理质量也有所改善,但压疮的患病率仍然很高,尤其是在住院环境中。压疮与发病率和死亡率的增加相关,影响患者及其护理人员的生活质量,并显著增加直接和间接的医疗费用。对压疮发生进行早期风险评估对于确定适当的预防措施和启动量身定制的治疗方法至关重要。干预措施包括减少与组织缺血相关的外在和内在风险因素的策略、优化患者的营养状况以及局部伤口护理。本次修订旨在回顾目前基于证据的压疮护理治疗干预措施,并支持在住院病房实施管理方案。

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