摩擦所致皮肤损伤——它们是压疮吗？一份更新的美国国家压疮咨询小组白皮书。

Friction-induced skin injuries-are they pressure ulcers? An updated NPUAP white paper.

作者信息

Brienza David, Antokal Steven, Herbe Laura, Logan Susan, Maguire Jeanine, Van Ranst Jennifer, Siddiqui Aamir

机构信息

David Brienza, PhD, University of Pittsburgh, Pittsburgh, Pennsylvania. Steven Antokal RN, BSN, CWCN, CCCN, DAPWCA, Director of Enterostomal Therapy, HCR-Manorcare. Laura Herbe, Clinical Consultant at Coloplast, Akron, Ohio. Susan Logan RN, BSN, CWS, FACCWS, National Wound Clinical Content Expert, Kindred Healthcare. Jeanine Maguire MPT, CWS, Sr. Director, Skin Integrity & Wound Management, Genesis HealthCare. Jennifer Van Ranst, MBA, US Region Marketing Manager, 3M. Aamir Siddiqui, MD, Division Head Plastic Surgery, Henry Ford Hospital, Detroit, Michigan.

出版信息

J Wound Ostomy Continence Nurs. 2015 Jan-Feb;42(1):62-4. doi: 10.1097/WON.0000000000000102.

DOI:10.1097/WON.0000000000000102

PMID:25549310

Abstract

Friction injuries are often misdiagnosed as pressure ulcers. The reason for the misdiagnosis may be a misinterpretation of classic pressure ulcer literature that reported friction increased the susceptibility of the skin to pressure damage. This analysis assesses the classic literature that led to the inclusion of friction as a causative factor in the development of pressure ulcers in light of more recent research on the effects of shear. The analysis in this article suggests that friction can contribute to pressure ulcers by creating shear strain in deeper tissues, but friction does not appear to contribute to pressure ulcers in the superficial layers of the skin. Injuries to the superficial layers of the skin caused by friction are not pressure ulcers and should not be classified or treated as such.

摘要

摩擦损伤常被误诊为压疮。误诊的原因可能是对经典压疮文献的误解，该文献报道摩擦会增加皮肤对压力损伤的易感性。鉴于最近关于剪切力影响的研究，本分析评估了导致将摩擦列为压疮形成病因的经典文献。本文的分析表明，摩擦可通过在深层组织中产生剪切应变而导致压疮，但摩擦似乎不会导致皮肤表层出现压疮。由摩擦引起的皮肤表层损伤不是压疮，不应如此分类或治疗。