Faculty of Health, Queensland University of Technology, Kelvin Grove, Queensland, Australia.
Institute of Health & Biomedical Innovation, Queensland University of Technology, Kelvin Grove, Queensland, Australia.
Int Wound J. 2020 Jun;17(3):650-659. doi: 10.1111/iwj.13325. Epub 2020 Feb 14.
The prevalence of wounds and comorbidities such as dementia increase with age. With an ageing population, the likelihood of overlap of these conditions is strong. This study aimed to determine the prevalence of wound types and current management strategies of wound care for people with dementia in long-term care (LTC). A scoping literature review, a cross-sectional observational and chart audit study of residents in dementia specific facilities in LTC were conducted. The scoping review indicated that people with dementia/cognitive impairment are often excluded from wound related studies andof the nine studies included in this review, none looked at the prevalence of types of wounds other then pressure injuries. In the skin audit, skin tears were noted as the most common wound type with some evidence-based practice strategies in place for residents. However, documentation of current wound occurred in less than a third of residents with wounds. This is the first study to note the prevalence of different wound types in people with dementia and current management strategies being used across two dementia-specific facilities and a lack of research in this area limits evidence in guiding practice.
随着人口老龄化，伤口和痴呆等合并症的患病率也随之增加。患有这些疾病的重叠的可能性很大。本研究旨在确定长期护理（LTC）中痴呆患者的伤口类型和当前伤口护理管理策略的流行率。进行了范围广泛的文献回顾、对 LTC 中痴呆特定设施居民的横断面观察性和图表审计研究。范围综述表明，患有痴呆/认知障碍的人经常被排除在与伤口相关的研究之外，在本综述中纳入的九项研究中，没有一项研究关注除压力性损伤以外的其他类型伤口的患病率。在皮肤审计中，皮肤撕裂被认为是最常见的伤口类型，为居民提供了一些基于证据的实践策略。然而，只有不到三分之一有伤口的居民记录了当前的伤口情况。这是第一项研究，记录了两个痴呆症特定设施中患有痴呆症的人不同类型的伤口的患病率以及当前使用的管理策略，而该领域的研究不足限制了指导实践的证据。
