Division of Occupational Science and Occupational Therapy, University of Southern California, Los Angeles, USA.
Adv Skin Wound Care. 2011 Jun;24(6):275-84; quiz 285-6. doi: 10.1097/01.ASW.0000398663.66530.46.
The objectives of the study were to sensitize practitioners working with individuals with spinal cord injury (SCI) to the complex life circumstances that are implicated in the development of pressure ulcers (PrUs) and to document the ways that interventions can be adapted to target individual needs.
This study was a content analysis of weekly fidelity/quality control meetings that were undertaken as part of a lifestyle intervention for PrU prevention in community-dwelling adults with SCI.
Four types of lifestyle-relevant challenges to ulcer prevention were identified: risk-elevating life circumstances, communication difficulties, equipment problems, and individual personality issues. Intervention flexibility was achieved by changing the order of treatment modules, altering the intervention content or delivery approach, or going beyond the stipulated content.
Attention to recurrent types of individual needs, along with explicit strategies for tailoring interventions published in a manual, has the potential to enhance PrU prevention efforts for adults with SCI.
本研究旨在使从事脊髓损伤（SCI）患者护理工作的医护人员关注可能导致压疮（PrU）的复杂生活状况，并记录可以针对个体需求调整干预措施的方法。
本研究对每周开展的生活方式干预预防社区居住的 SCI 成人 PrU 的一致性/质量控制会议进行了内容分析。
确定了四种与生活方式相关的预防溃疡挑战类型：风险提升的生活环境、沟通困难、设备问题和个体人格问题。通过改变治疗模块的顺序、改变干预内容或提供方法，或者超出规定内容，实现了干预的灵活性。
关注个体需求的常见类型，以及在手册中公布的定制干预策略，有可能增强对 SCI 成人 PrU 预防工作。
