瑞典县级和市级议会的首次全国压疮患病率调查。
The first national pressure ulcer prevalence survey in county council and municipality settings in Sweden.
机构信息
Associate Professor, Department of Public Health and Caring Sciences, Uppsala University and Uppsala University Hospital, Uppsala, Sweden and Adjunct Assistant Professor, School of Nursing, University of California, San Francisco, CA, USA Assistant Professor, Lund University and Skåne University Hospital, Lund, Sweden Assistant Professor, Karlstad University and County Council of Värmland, Karlstad, Sweden Professor, Faculty of Health and Society, Malmö University and Skåne University Hospital, Malmö, Sweden.
出版信息
J Eval Clin Pract. 2013 Oct;19(5):862-7. doi: 10.1111/j.1365-2753.2012.01865.x. Epub 2012 May 29.
AIM
To report data from the first national pressure ulcer prevalence survey in Sweden on prevalence, pressure ulcer categories, locations and preventive interventions for persons at risk for developing pressure ulcers.
METHODS
A cross-sectional research design was used in a total sample of 35,058 persons in hospitals and nursing homes. The methodology used was that recommended by the European Pressure Ulcer Advisory Panel.
RESULTS
The prevalence of pressure ulcers was 16.6% in hospitals and 14.5% in nursing homes. Many persons at risk for developing pressure ulcers did not receive a pressure-reducing mattress (23.3-27.9%) or planned repositioning in bed (50.2-57.5%).
CONCLUSIONS
Despite great effort on the national level to encourage the prevention of pressure ulcers, the prevalence is high. Public reporting and benchmarking are now available, evidence-based guidelines have been disseminated and national goals have been set. Strategies for implementing practices outlined in the guidelines, meeting goals and changing attitudes must be further developed.
目的
报告瑞典首次全国压疮患病率调查的数据，包括压疮类别、发生部位以及预防干预措施，以了解易发生压疮人群的患病情况。
方法
采用横断面研究设计，对医院和养老院的 35058 名患者进行了调查。研究方法采用了欧洲压疮咨询小组推荐的方法。
结果
医院压疮患病率为 16.6%，养老院为 14.5%。许多有压疮风险的患者未使用减压床垫（23.3%-27.9%）或未进行计划翻身（50.2%-57.5%）。
结论
尽管在国家层面上做出了巨大努力来鼓励预防压疮，但患病率仍然很高。现在可以进行公开报告和基准测试，已传播了基于证据的指南，并设定了国家目标。必须进一步制定实施指南中概述的实践、实现目标和改变态度的策略。
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