Riordan Jennifer, Voegeli David
University of Southampton, School of Health Sciences, Southampton.
Br J Nurs. 2009;18(20):S20, S22, S24-7. doi: 10.12968/bjon.2009.18.Sup7.45132.
The prevention and treatment of pressure ulcers continues to present a challenge across acute and long-term care settings, and costs the NHS up to pound2.64 billion annually. As well as causing a reduced quality of life for sufferers, they can prove to be fatal. The complexity of the exact causes of skin breakdown and accurate risk assessment has proved problematic to fully understanding this common nursing problem, yet despite limited evidence clear guidelines on best practice exist, suggesting that prevention strategies should encompass interventions in three areas: risk assessment; relief of pressure, and education. Evidence exists that where these strategies are adopted at an organizational level, and strong leadership provided, the outcomes can be remarkable. This article outlines effective prevention and risk-reduction strategies, together with interventions that can promote healing.
在急症护理和长期护理环境中，压疮的预防和治疗仍是一项挑战，每年给英国国家医疗服务体系（NHS）造成高达26.4亿英镑的损失。压疮不仅会降低患者的生活质量，还可能是致命的。皮肤破损的确切原因复杂，准确的风险评估也存在问题，这使得全面理解这一常见的护理问题颇具难度。然而，尽管证据有限，但关于最佳实践的明确指南依然存在，表明预防策略应涵盖三个方面的干预措施：风险评估、减压以及教育。有证据表明，在组织层面采用这些策略并提供强有力的领导，会取得显著成效。本文概述了有效的预防和风险降低策略，以及能够促进伤口愈合的干预措施。
