Díaz Alonso Yolanda, Riveiro Vela Ana M, González Pérez Margarita
Hospital Universitario Central de Asturias (HUCA).
Rev Enferm. 2009 May;32(5):41-6.
The difficulty to keep our patients' skin intact combined with few articles on this topic in pediatrics led the authors to carry out a study in their Pediatrics Intensive Care Unit "UCIP" at the Central University Hospital of Asturias, HUCA. The objective of this study consisted in determining if a decrease in the appearance of bed sores in children checked into their unit after a program whose purpose was to prevent bed sores had been applied occurred. This retrospective/prospective, comparative, observational study dealt with patients checked in their UCIP from September 2004 to September 2007; patients were broken into two groups, before and after applying a protocol and comparing the following variables: the number of patients checked in during each of the periods of this study; patients who had bed sores; average time kept in this ward for each group; pathologies patients who suffered from bed sores had when checked into this ward; the site and degree of these bed sores. Although there was an increase in the number of patients checked into this unit, the number of bed sores among children in this unit decreased 24.6% during the second period after the application of the protocol. Among the study observations noted there was a reduction in the severity of lesions patients manifested, as well as important differences as to where their lesions were located. Based on the results of the authors' study, one may conclude that the measures included in the bed sore prevention protocol, as well as the use of Mepentol hyperoxygenated fatty acids, have proven effective in their UCIP leading to a decrease in the number of patients which evidenced bed sores and the severity of these lesions was much less.
由于难以保持患者皮肤完整，且儿科学领域关于该主题的文章较少，作者们在阿斯图里亚斯中央大学医院（HUCA）的儿科重症监护病房“UCIP”开展了一项研究。本研究的目的是确定在实施了一项旨在预防褥疮的计划后，入住该病房的儿童褥疮发生率是否有所降低。这项回顾性/前瞻性、对比性观察研究涉及2004年9月至2007年9月入住UCIP的患者；将患者分为两组，即实施方案前后两组，并比较以下变量：本研究各阶段的入住患者数量；发生褥疮的患者；每组在该病房的平均住院时间；入住该病房时发生褥疮的患者所患疾病；这些褥疮的部位和程度。尽管该病房的入住患者数量有所增加，但在实施方案后的第二个阶段，该病房儿童的褥疮数量减少了24.6%。在所观察到的研究结果中，患者表现出的损伤严重程度有所降低，且损伤部位也存在显著差异。根据作者的研究结果，可以得出结论，褥疮预防方案中包含的措施以及使用美喷妥高氧脂肪酸，在他们的UCIP中已被证明是有效的，这导致出现褥疮的患者数量减少，且这些损伤的严重程度也大大降低。
