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[卧床患者的皮肤护理与压疮预防]

[Skin care and prevention of bed sores in bedridden patients].

作者信息

Martínez Cuervo Fernando, Soldevilla Agreda J Javier, Verdú Soriano José, Segovia Gómez Teresa, García Fernández Francisco Pedro, Pancorbo Hidalgo Pedro Luís

机构信息

Residencia Mixta de Ancianos del ERA.

出版信息

Rev Enferm. 2007 Dec;30(12):9-12, 14, 16-7.

Abstract

The aging process and environmental aggressions will leave their imprints on the state of a person's skin, possibly compromising some of its functions. Age is a risk factor for the development of bed sores, but not the only factor nor the most important one; therefore, we need to develop prevention programs directed to all patients who spend long periods of time sedentary or bedridden. Prevention programs for bed sores must be based on the best evidence available and include a risk evaluation on these factors: suffering a lesion due to pressure, specific skin treatment, incontinence control, excessive humidity posture changes and the use of special surfaces to manage pressure during an increase in mobility or activity by the patient, local pressure reducing devices as well as paying attention to special situations. All of these care measures have to be developed based on a continuity of treatment among the institutions and caretakers involved with treating each patient.

摘要

衰老过程和环境侵害会在人的皮肤状态上留下印记,可能损害其某些功能。年龄是褥疮形成的一个风险因素,但不是唯一因素,也不是最重要的因素;因此,我们需要针对所有长期久坐或卧床的患者制定预防方案。褥疮预防方案必须基于现有最佳证据,包括对以下因素进行风险评估:因压力导致损伤、特定皮肤治疗、失禁控制、过度潮湿、体位改变,以及在患者活动或运动量增加时使用特殊表面来管理压力、局部减压装置,同时要关注特殊情况。所有这些护理措施都必须基于参与治疗每位患者的机构和护理人员之间治疗的连续性来制定。

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