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重症监护患者压疮预防的最佳实践。

Best Practice in Pressure Injury Prevention Among Critical Care Patients.

机构信息

University of Utah College of Nursing, 10 2000 East, Salt Lake City, UT 84112, USA.

Faculty of Nursing, King Abdulaziz University, P.O.Box 42828, Jeddah 21551, Saudi Arabia.

出版信息

Crit Care Nurs Clin North Am. 2020 Dec;32(4):489-500. doi: 10.1016/j.cnc.2020.08.001. Epub 2020 Oct 7.

Abstract

Pressure injuries are areas of damage to the skin and underlying tissue caused by pressure or pressure in combination with shear. Pressure injury prevention in the critical care population necessitates risk assessment, selection of appropriate preventive interventions, and ongoing assessment to determine the adequacy of the preventive interventions. Best practices in preventive interventions among critical care patients, including skin and tissue assessment, skin care, repositioning, nutrition, support surfaces, and early mobilization, are described. Unique considerations in special populations including older adults and individuals with obesity are also addressed.

摘要

压力性损伤是由于压力或压力联合剪切力导致的皮肤和皮下组织的损伤。在重症监护人群中预防压力性损伤需要进行风险评估、选择适当的预防干预措施,并进行持续评估以确定预防干预措施的充分性。本文描述了重症监护患者预防干预措施的最佳实践,包括皮肤和组织评估、皮肤护理、翻身、营养、支撑面和早期活动。本文还讨论了包括老年人和肥胖人群在内的特殊人群中的特殊考虑因素。

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