Murphree Rose W
Wound, Ostomy, and Continence Nursing Education Center, Emory University, Nell Hodgson Woodruff School of Nursing, 1520 Clifton Road NE, Atlanta, GA 30322, USA.
Nurs Clin North Am. 2017 Sep;52(3):405-417. doi: 10.1016/j.cnur.2017.04.008.
Altered skin integrity increases the chance of infection, impaired mobility, and decreased function and may result in the loss of limb or, sometimes, life. Skin is affected by both intrinsic and extrinsic factors. Intrinsic factors can include altered nutritional status, vascular disease issues, and diabetes. Extrinsic factors include falls, accidents, pressure, immobility, and surgical procedures. Ensuring skin integrity in the elderly requires a team approach and includes the individual, caregivers, and clinicians. The twenty-first century clinician has several online, evidence-based tools to assist with optimal treatment plans. Understanding best practices in addressing skin integrity issues can promote positive outcomes with the elderly.
皮肤完整性改变会增加感染几率、导致行动不便、功能下降，甚至可能导致肢体丧失，有时还会危及生命。皮肤受内在和外在因素影响。内在因素包括营养状况改变、血管疾病问题和糖尿病。外在因素包括跌倒、事故、压力、缺乏活动以及外科手术。确保老年人的皮肤完整性需要团队协作，涉及个人、护理人员和临床医生。21世纪的临床医生有多种基于证据的在线工具来协助制定最佳治疗方案。了解处理皮肤完整性问题的最佳做法有助于为老年人带来积极的治疗结果。
