Van Tiggelen Hanne, Van Damme Nele, Theys Sofie, Vanheyste Eline, Verhaeghe Sofie, LeBlanc Kimberly, Campbell Karen, Woo Kevin, Van Hecke Ann, Beeckman Dimitri
Skin Integrity Research Group (SKINT), University Centre for Nursing and Midwifery, Department of Public Health and Primary Care, Ghent University, Ghent, Belgium.
University Centre for Nursing and Midwifery, Department of Public Health and Primary Care, Ghent University, Ghent, Belgium; Department Health Care, VIVES University College, Roeselare, Belgium.
J Tissue Viability. 2019 May;28(2):100-106. doi: 10.1016/j.jtv.2019.01.003. Epub 2019 Feb 7.
Although skin tears are among the most prevalent acute wounds in nursing homes, their recognition as a unique condition remains in its infancy. Elderly patients are at risk of developing skin tears due to increased skin fragility and other contributing risk factors. In order to provide (cost-) effective prevention, patients at risk should be identified in a timely manner.
(1) To determine the point prevalence of skin tears and (2) to identify factors independently associated with skin tear presence in nursing home residents.
A cross-sectional observational study was set up, including 1153 residents in 10 Belgian nursing homes. Data were collected by trained researchers and study nurses using patient records and skin observations. A multiple binary logistic regression model was designed to explore independent associated factors (significance level α < 0.05).
The final sample consisted of 795 nursing home residents, of which 24 presented with skin tears, resulting in a point prevalence of 3.0%. Most skin tears were classified as category 3 (defined as complete flap loss) according to the International Skin Tear Advisory Panel (ISTAP) Classification System and 75.0% were located on the lower arms/legs. Five independent associated factors were identified: age, history of skin tears, chronic use of corticosteroids, dependency for transfers, and use of adhesives/dressings.
This study revealed a skin tear prevalence of 3.0% in nursing home residents. Age, history of skin tears, chronic use of corticosteroids, dependency for transfers, and use of adhesives/dressings were independently associated with skin tear presence.
尽管皮肤撕裂伤是养老院中最常见的急性伤口之一，但作为一种独特病症，对其的认知仍处于起步阶段。由于皮肤脆弱性增加及其他相关风险因素，老年患者有发生皮肤撕裂伤的风险。为了提供（具有成本效益的）有效预防措施，应及时识别有风险的患者。
（1）确定皮肤撕裂伤的现患率；（2）识别养老院居民中与皮肤撕裂伤存在独立相关的因素。
开展一项横断面观察性研究，纳入比利时10所养老院的1153名居民。由经过培训的研究人员和研究护士通过患者记录和皮肤观察收集数据。设计一个多元二元逻辑回归模型来探索独立相关因素（显著性水平α<0.05）。
最终样本包括795名养老院居民，其中24人出现皮肤撕裂伤，现患率为3.0%。根据国际皮肤撕裂伤咨询小组（ISTAP）分类系统，大多数皮肤撕裂伤被归类为3级（定义为完全皮瓣缺失），75.0%位于上臂/腿部。确定了五个独立相关因素：年龄、皮肤撕裂伤病史、长期使用皮质类固醇、转移依赖以及使用粘合剂/敷料。
本研究显示养老院居民中皮肤撕裂伤的患病率为3.0%。年龄、皮肤撕裂伤病史、长期使用皮质类固醇、转移依赖以及使用粘合剂/敷料与皮肤撕裂伤的存在独立相关。
