长期护理机构皮肤撕裂伤的发生率。

Prevalence of skin tears in a long-term care facility.

机构信息

Kimberly LeBlanc, MN, RN, CETN(C), Advanced Practice Nurse, KDS Professional Consulting Ottawa, Ontario, Canada. Dawn Christensen, MHSc(N), RN, CETN(C), Advanced Practice Nurse, KDS Professional Consulting Ottawa, Ontario, Canada. Jocelyn Cook, PhD, Executive Director, Canada FASD Research Network, Ottawa, Ontario, Canada. Bernadette Culhane, RN, Wound Care Champion, Longfields Manor Ottawa, Ontario, Canada. Olivia Gutierrez, RPN, staff nurse, Longfields Manor Ottawa, Ontario, Canada.

出版信息

J Wound Ostomy Continence Nurs. 2013 Nov-Dec;40(6):580-4. doi: 10.1097/WON.0b013e3182a9c111.

DOI:10.1097/WON.0b013e3182a9c111

PMID:24097069

Abstract

PURPOSE

The purpose of this study was to collect baseline data of the prevalence of skin tears in a Canadian long-term care (LTC) facility.

SUBJECTS AND SETTING

The research setting was a 114-bed long-term care facility located in Eastern Ontario, Canada. The sample population comprised 113 residents from the facility.

DESIGN

A cross-sectional, quantitative study design was used to gather baseline data on the prevalence of skin tears in the Canadian population living in LTC.

METHODS

Residents were assessed for presence of skin tears, the number of skin tears, and location. Skin tears were categorized according to the validated Payne Martin Classification system. Data were collected using a predetermined data collection sheet developed for this study. A certified enterostomal therapy nurse with previous experience with the assessment of skin tears collected the data along with 1 nurse employed by the facility. Data were collected on a single day over a 6-hour period.

RESULTS

Twenty-five of the 113 participating residents in the LTC facility had skin tears, yielding a prevalence of 22%. Category I accounted for 51% of skin tears, 16% were category II, and 33% were category III. Individuals who were found to have more than 1 skin tear had at least 1 category III skin tear. The most common anatomical locations were arms (48%), lower legs (40%), and hands (12%). Possible etiologic factors included blunt trauma such as banging into objects (44%), trauma associated with activities of daily living (20%), and falls (12%); 24% were categorized as idiopathic.

CONCLUSION

Study findings highlight gaps in our knowledge of skin tears and the need for additional studies to more clearly define their epidemiology.

摘要

目的

本研究旨在收集加拿大长期护理（LTC）机构中皮肤撕裂的患病率的基线数据。

对象和设置

研究地点是位于加拿大安大略省东部的一家 114 床位的长期护理机构。样本人群包括该机构的 113 名居民。

设计

采用横断面、定量研究设计，收集加拿大 LTC 人群皮肤撕裂的患病率基线数据。

方法

对居民的皮肤撕裂情况、撕裂数量和部位进行评估。皮肤撕裂按照经过验证的 Payne Martin 分类系统进行分类。使用专门为此研究制定的预定数据收集表收集数据。一名具有皮肤撕裂评估经验的认证造口治疗护士和该机构雇用的 1 名护士共同收集数据。在 6 小时内的一天内收集数据。

结果

113 名参与 LTC 机构的居民中有 25 人患有皮肤撕裂，患病率为 22%。第 I 类占 51%，第 II 类占 16%，第 III 类占 33%。发现有不止一处皮肤撕裂的个体至少有一处第 III 类皮肤撕裂。最常见的解剖部位是手臂（48%）、小腿（40%）和手（12%）。可能的病因因素包括撞击物体等钝性创伤（44%）、与日常生活活动相关的创伤（20%）和跌倒（12%）；24%的病例被归类为特发性。