Lee Eunhee
Division of Nursing/Research Institute of Nursing Science, Hallym University, 1 Hallymdaehak-gil, Chuncheon, Gangwon-do, 24252 Republic of Korea.
Res Nurs Health. 2017 Jun;40(3):255-262. doi: 10.1002/nur.21793. Epub 2017 May 4.
Home care provides preventive, support, and treatment services to economically vulnerable community populations. In this study, we examined the outcomes of a home care program for pressure ulcers (PrUs) in an economically vulnerable group. The 184 participants were admitted with PrUs and received services from a home care agency in South Korea during a study window of 5 years. The changes in PrU staging over time were analyzed in relation to the agency's home care data and the participants' health data. At enrollment, approximately 60% had a single ulcer; 40% had two or more. Most patients' ulcers were at stages 3 or 4, and most patients were bedridden. The maximum odds of reduced ulcer size from one measurement point to the next was estimated at 14.3% for ulcers in stages 1 and 2, 33.4% of those in stage 3, and 25.5% of those in stage 4; more than 10% of ulcers healed completely within a year. PrUs were a serious problem in this community-dwelling economically vulnerable group, and home care played a critical role in providing health care to this population. © 2017 Wiley Periodicals, Inc.
居家护理为经济上较为脆弱的社区人群提供预防、支持和治疗服务。在本研究中，我们调查了一项针对经济脆弱群体压疮（PrU）的居家护理项目的效果。184名参与者因压疮入院，并在5年的研究期间接受了韩国一家居家护理机构的服务。根据该机构的居家护理数据和参与者的健康数据，分析了压疮分期随时间的变化情况。在入组时，约60%的人有单个溃疡；40%的人有两个或更多溃疡。大多数患者的溃疡处于3期或4期，且大多数患者卧床不起。从一个测量点到下一个测量点溃疡尺寸减小的最大几率估计为：1期和2期溃疡为14.3%，3期溃疡为33.4%，4期溃疡为25.5%；超过10%的溃疡在一年内完全愈合。在这个居住在社区的经济脆弱群体中，压疮是一个严重问题，而居家护理在为这一人群提供医疗保健方面发挥了关键作用。© 2017威利期刊公司
