Sleight Alix G, Cogan Alison M, Hill Valerie A, Pyatak Elizabeth A, Díaz Jesus, Floríndez Lucía I, Blanchard Jeanine, Vigen Cheryl, Garber Susan L, Clark Florence A
National Cancer Institute, Rockville, Maryland.
Washington DC VA Medical Center, Washington, DC.
Top Spinal Cord Inj Rehabil. 2019 Winter;25(1):31-40. doi: 10.1310/sci2501-31.
Pressure injuries negatively impact quality of life and participation for individuals with spinal cord injury (SCI). To examine the factors that may protect against the development of medically serious pressure injuries in adults with SCI. A qualitative analysis was conducted using treatment notes regarding 50 socioeconomically disadvantaged individuals who did not develop medically serious pressure injuries during a 12-month pressure injury prevention intervention program. Eight types of potentially protective factors were identified: meaningful activity, motivation to prevent negative health outcomes, stability/resources, equipment, communication and self-advocacy skills, personal traits, physical factors, and behaviors/activities. Some protective factors (eg, personal traits) may be inherent to certain individuals and nonmodifiable. However, future interventions for this population may benefit from a focus on acquisition of medical equipment and facilitation of sustainable, health-promoting habits and routines. Substantive policy changes may be necessary to facilitate access to adequate resources, particularly housing and equipment, for socioeconomically disadvantaged individuals with SCI. Further research is needed to understand the complex interplay of risk and protective factors for pressure injuries in adults with SCI, particularly in underserved groups.
压疮会对脊髓损伤（SCI）患者的生活质量和参与度产生负面影响。为了探究可能预防成年SCI患者发生严重医学压疮的因素，我们对50名社会经济地位不利的个体的治疗记录进行了定性分析，这些个体在为期12个月的压疮预防干预项目中未发生严重医学压疮。我们确定了八种潜在的保护因素：有意义的活动、预防负面健康结果的动机、稳定性/资源、设备、沟通和自我倡导技能、个人特质、身体因素以及行为/活动。一些保护因素（如个人特质）可能是某些个体所固有的，且无法改变。然而，针对这一人群的未来干预措施可能会受益于对获取医疗设备以及促进可持续的、健康促进习惯和日常活动的关注。可能需要进行实质性的政策变革，以促进社会经济地位不利的SCI个体获得充足的资源，特别是住房和设备。需要进一步的研究来了解成年SCI患者压疮风险和保护因素的复杂相互作用，尤其是在服务不足的群体中。
