Silva Ana Júlia, Pereira Sandra Martins, Rodrigues Alexandre, Rocha Ana Paula, Varela Jesuína, Gomes Luís Miguel, Messias Norberto, Carvalhal Rosa, Luís Rui, Mendes Luís Filipe Pereira
Escola Superior de Enfermagem de Angra do Heroísmo, Universidade dos Açores, Angra do Heroísmo, Portugal,
Rev Esc Enferm USP. 2013 Aug;47(4):971-6. doi: 10.1590/S0080-623420130000400028.
The present study consisted of a theoretical approach to the problem posed by the economic costs associated with pressure ulcers (PUs). The initial aim was to assess the target problem from a conceptual perspective and then to report the results of prevalence studies that formed the basis for investigations of the disease's economic impact. The purpose of the present article is to discuss the economic costs associated with PUs from both the global point of view (appraising their financial repercussion) and the individual point of view (addressing the intangible costs). Regarding the economic impact of the costs associated with PUs, the total cost of treatment per healthcare setting was estimated relative to the Autonomous Community of Azores. The total cost of all the PU categories was EUR 7,086,415 in the homecare setting, EUR 1,723,509 in the hospital setting, and EUR 1,002,562 in older people's homes. Therefore, the estimated total treatment cost of all the PU categories was approximately EUR 9,812,486 in Azores. However, the emotional impact of this disease imposes high costs on patients and their relatives as a function of the resultant suffering. Indeed, PUs impose high costs not only related to the treatment but also related to the intangible costs of the suffering caused to patients and their caregivers.
本研究采用理论方法探讨与压疮（PU）相关的经济成本所带来的问题。最初的目标是从概念角度评估目标问题，然后报告患病率研究的结果，这些结果构成了该疾病经济影响调查的基础。本文的目的是从全球视角（评估其财务影响）和个体视角（探讨无形成本）来讨论与压疮相关的经济成本。关于与压疮相关成本的经济影响，相对于亚速尔自治区，估算了每个医疗环境下的总治疗成本。在家庭护理环境中，所有压疮类别的总成本为7,086,415欧元，在医院环境中为1,723,509欧元，在养老院中为1,002,562欧元。因此，在亚速尔群岛，所有压疮类别的估计总治疗成本约为9,812,486欧元。然而，这种疾病对患者及其亲属造成的情感影响，因其所带来的痛苦而产生了高昂成本。事实上，压疮不仅带来了与治疗相关的高昂成本，还带来了与患者及其护理人员所遭受痛苦相关的无形成本。
