Keen Delia Catherine
Tissue Viability, Powys Local Health Board, Bronllys Hospital, South Powys.
Br J Nurs. 2009;18(20):S4, S6, S8, passim. doi: 10.12968/bjon.2009.18.sup7.45130.
A static-led approach refers to the provision of high-specification foam mattresses for the whole of a population at risk of pressure damage. Such mattresses have been found to reduce the risk of pressure ulceration and cost less overall than standard mattresses, even in populations where only 1 in 100 patients develops a pressure ulcer. Reduced pressure ulcer prevalence and reduced costs resulting from decreased expenditure on dynamic mattresses following the implementation of a static-led approach have been reported. Pressure ulcers cause pain, a reduced quality of life, loss of independence, depression and social isolation for those in whom they develop. Organizations are increasingly having to pay out large sums of money following litigation surrounding pressure ulcers. This article explains why NHS healthcare providers and private care organizations need to work together to consider implementing a static-led approach to pressure ulcer prevention within care homes in order to reduce pressure ulcer incidence cost-effectively within their local populations.
静态主导的方法是指为所有有发生压疮风险的人群提供高规格泡沫床垫。已发现此类床垫可降低压疮风险，且总体成本低于标准床垫，即使在每100名患者中只有1人发生压疮的人群中也是如此。据报道，采用静态主导的方法后，压疮患病率降低，因动态床垫支出减少而带来成本降低。压疮会给患者带来疼痛、生活质量下降、失去独立性、抑郁以及社交孤立。围绕压疮的诉讼使得各机构越来越多地不得不支付巨额款项。本文解释了为什么英国国家医疗服务体系（NHS）医疗服务提供者和私人护理机构需要共同努力，考虑在养老院实施静态主导的压疮预防方法，以便在其当地人群中以具有成本效益的方式降低压疮发生率。
