老年患者足跟压疮的预防——从急救护理到出院：一项多中心随机对照试验
Prevention of heel pressure ulcers among older patients--from ambulance care to hospital discharge: A multi-centre randomized controlled trial.
作者信息
Bååth Carina, Engström Maria, Gunningberg Lena, Muntlin Athlin Åsa
机构信息
Faculty of Health, Sciences and Technology, Department of Health Sciences, Karlstad University, Karlstad, Sweden; County Council of Värmland, Karlstad, Sweden.
Faculty of Health and Occupational Studies, Department of Health and Caring Sciences, University of Gävle, Gävle, Sweden; Department of Public Health and Caring Sciences, Uppsala University, Uppsala, Sweden.
出版信息
Appl Nurs Res. 2016 May;30:170-5. doi: 10.1016/j.apnr.2015.10.003. Epub 2015 Oct 26.
UNLABELLED
The aim was to investigate the effect of an early intervention, a heel suspension device boot, on the incidence of heel pressure ulcers among older patients (aged 70+).
BACKGROUND
Pressure ulcers are a global healthcare issue; furthermore, the heel is an exposed location. Research indicates that preventive nursing interventions starting during the ambulance care and used across the acute care delivery chain are seldom used.
METHODS
A multi-centre randomized control study design was used. Five ambulance stations, two emergency departments and 16 wards at two Swedish hospitals participated. Altogether, 183 patients were transferred by ambulance to the emergency department and were thereafter admitted to one of the participating wards.
RESULTS
Significantly fewer patients in the intervention group (n=15 of 103; 14.6%) than the control group (n=24 of 80; 30%) developed heel pressure ulcers during their hospital stay (p=0.017).
CONCLUSIONS
Pressure ulcer prevention should start early in the acute care delivery chain to increase patient safety.
未标注
目的是研究一种早期干预措施——足跟悬吊装置靴对老年患者（70岁及以上）足跟压疮发生率的影响。
背景
压疮是一个全球性的医疗保健问题；此外，足跟是一个暴露部位。研究表明，在急救护理期间开始并在整个急性护理服务链中使用的预防性护理干预措施很少被采用。
方法
采用多中心随机对照研究设计。瑞典两家医院的五个急救站、两个急诊科和16个病房参与了研究。共有183名患者通过救护车转运至急诊科，随后被收治到其中一个参与研究的病房。
结果
干预组（103例中有15例；14.6%）在住院期间发生足跟压疮的患者明显少于对照组（80例中有24例；30%）（p = 0.017）。
结论
压疮预防应在急性护理服务链中尽早开始，以提高患者安全性。
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