Warren Diana V
University Hospitals Coventry and Warwickshire NHS Trust, Walsgrave, Coventry.
Br J Nurs. 2010;19(6):S9-10, S12. doi: 10.12968/bjon.2010.19.Sup2.47245.
Grade 4 pressure ulceration is a common and often unavoidable secondary complication for patients who have sustained a traumatic spinal cord injury. Pressure ulcer management involves treating infection, providing a moist wound-healing environment and choosing the appropriate dressing. However, the case of Mr M highlights other issues such as pain, a poor appetite and sleep disturbance, which all delay wound healing. This article discusses ulcer prevention, from the initial assessment of the spinal injury to patient repositioning using the 'log-rolling' technique. Although this technique is not effective in providing prolonged pressure relief, it did reduce Mr M's pain. This article also suggests recommendations for future practice, including the need to relate to patients on a personal level, which should reduce mental health deterioration and increase the patient's quality of life, and to take a multidisciplinary approach to managing and treating pressure ulceration.
4期压疮是脊髓损伤患者常见且往往难以避免的继发性并发症。压疮管理包括治疗感染、提供湿润的伤口愈合环境以及选择合适的敷料。然而，M先生的病例凸显了其他问题，如疼痛、食欲不振和睡眠障碍，这些都会延迟伤口愈合。本文讨论了溃疡预防，从脊髓损伤的初始评估到使用“翻身”技术进行患者重新定位。尽管该技术在提供长期压力缓解方面效果不佳，但确实减轻了M先生的疼痛。本文还提出了未来实践的建议，包括需要在个人层面与患者建立联系，这应能减少心理健康恶化并提高患者生活质量，以及采取多学科方法来管理和治疗压疮。
