[德国养老院中的压疮：发生率、分级及成因]
[Pressure ulcers in German nursing homes: frequencies, grades, and origins].
作者信息
Kottner J, Dassen T, Lahmann N A
机构信息
Institut für Medizin-/Pflegepädagogik und Pflegewissenschaft, Zentrum 1 für Human- und Gesundheitswissenschaften, Charité - Universitätsmedizin Berlin, Augustenburger Platz 1, 13353, Berlin, Deutschland.
出版信息
Z Gerontol Geriatr. 2011 Oct;44(5):318-22. doi: 10.1007/s00391-011-0179-0.
BACKGROUND
The occurrence of pressure ulcers in long-term care facilities is regarded as a nursing-sensitive indicator of care. The aim of this study was to measure the frequency, categories, and points of origin of pressure ulcers in German nursing homes.
METHODS AND SAMPLE
In spring 2010, a nationwide prevalence study was conducted in 52 nursing homes (n=3610 residents). According to a standardized study protocol, trained nurses collected data about pressure ulcer risk and pressure ulcers.
RESULTS
The prevalence of pressure ulcers was 3.9% (95% CI 3.3-4.6). Excluding skin redness, the proportion of pressure ulcers of nursing home origin was 1.2% (95% CI 0.9-1.6). Risk-adjusted (adjusted for immobility) results showed no statistically significant differences between institutions.
CONCLUSION
Compared to international figures, the prevalence of pressure ulcers in German nursing homes is very low.
背景
长期护理机构中压疮的发生被视为护理质量的一项护理敏感指标。本研究旨在测量德国养老院中压疮的发生率、类别及起源部位。
方法与样本
2010年春季，在52所养老院（n = 3610名居民）开展了一项全国性患病率研究。按照标准化研究方案，经过培训的护士收集了有关压疮风险和压疮的数据。
结果
压疮患病率为3.9%（95%置信区间3.3 - 4.6）。排除皮肤发红情况后，养老院源性压疮的比例为1.2%（95%置信区间0.9 - 1.6）。风险调整后（针对活动能力受限进行调整）的结果显示，各机构之间无统计学上的显著差异。
结论
与国际数据相比，德国养老院中压疮的患病率非常低。
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