Chan Adrian, Siu Henry Yu-Hin
Toronto General Research Institute, Toronto, ON, Canada.
Department of Family Medicine, McMaster University, Hamilton, ON, Canada.
J Am Coll Clin Wound Spec. 2016 Nov 17;7(1-3):30-34. doi: 10.1016/j.jccw.2016.11.001. eCollection 2015 Dec.
Pressure injuries increase morbidity and mortality in geriatric patients by 400%. Residents in long-term care (LTC) are at high risk of developing pressure injuries because of limited mobility, poor nutritional status, impaired cognition, and incontinence. This study aims to determine whether a no-sting barrier film (NSBF) treatment protocol is more effective than current physician practices for treating stage 1 and 2 pressure injuries in LTC. A retrospective cohort study of 129 residents from one LTC facility was performed after a six-month implementation trial of a NSBF treatment protocol. The six-month incidence rate of stage 1 and 2 pressure injuries was 9% and 38% respectively. There was a statistically significant reduction in healing time in those treated with the NSBF protocol. In summary, the NSBF protocol reduces healing time of stage 1 and 2 pressure injuries; this protocol could be easily incorporated into existing pressure injury treatment strategies in LTC.
压疮使老年患者的发病率和死亡率增加了400%。长期护理机构（LTC）中的居民由于活动能力有限、营养状况差、认知障碍和失禁，发生压疮的风险很高。本研究旨在确定无刺痛屏障膜（NSBF）治疗方案在治疗LTC机构中1期和2期压疮方面是否比目前医生的治疗方法更有效。在对一项NSBF治疗方案进行了为期六个月的实施试验后，对来自一个LTC机构的129名居民进行了回顾性队列研究。1期和2期压疮的六个月发病率分别为9%和38%。采用NSBF方案治疗的患者愈合时间有统计学意义的缩短。总之，NSBF方案缩短了1期和2期压疮的愈合时间；该方案可以很容易地纳入LTC现有的压疮治疗策略中。
