Saunders Lee L, Krause James S
Department of Health Sciences and Research, College of Health Professions, Medical University South Carolina, Charleston, South Carolina.
Top Spinal Cord Inj Rehabil. 2010 Fall;16(2):61-71. doi: 10.1310/sci1602-61.
To assess the relationship of psychological, environmental, and behavioral factors with pressure ulcers (PUs) in persons with spinal cord injury (SCI). METHODS: A total of 1,549 participants from a large rehabilitation hospital in the southeast United States answered questions regarding outcomes after SCI. Variables from each set of factors were entered sequentially into the model: (1) psychological and environmental, and (2) behavioral. RESULTS: Forty-eight percent of participants reported having a PU in the past year. After entering behavioral variables into the model, all environmental and psychological variables became nonsignificant. Odds of having a PU increased 28% with each psychotropic medication taken weekly. Persons who smoked one or more packs of cigarettes daily had 2.82 times the odds of having a PU than persons who did not smoke. Increased hours out of bed were protective against PUs. CONCLUSION: This study demonstrated the importance of health behaviors in the occurrence of PUs after SCI. These health behaviors provide important targets for intervention for health care providers.
评估心理、环境和行为因素与脊髓损伤（SCI）患者压疮（PU）之间的关系。方法：来自美国东南部一家大型康复医院的1549名参与者回答了有关脊髓损伤后结局的问题。每组因素中的变量依次输入模型：（1）心理和环境因素，以及（2）行为因素。结果：48%的参与者报告在过去一年中有压疮。将行为变量输入模型后，所有环境和心理变量均变得无统计学意义。每周服用每种精神药物，发生压疮的几率增加28%。每天吸烟一包或多包的人发生压疮的几率是不吸烟者的2.82倍。起床时间增加对预防压疮有保护作用。结论：本研究证明了健康行为在脊髓损伤后压疮发生中的重要性。这些健康行为为医疗保健提供者提供了重要的干预目标。
