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提供者对脊髓损伤退伍军人获得性压疮预防的看法。

Provider perspectives of community-acquired pressure injury prevention in veterans with spinal cord injury.

机构信息

Louis Stokes Cleveland VA Medical Center, Cleveland, OH, USA.

Department of Physical Medicine and Rehabilitation, Case Western Reserve University, Cleveland, OH, USA.

出版信息

J Spinal Cord Med. 2024 Jan;47(1):168-180. doi: 10.1080/10790268.2022.2088505. Epub 2022 Jul 7.

Abstract

CONTEXT/OBJECTIVE: Community-acquired pressure injuries (CAPrI) are a common and costly complication of spinal cord injury (SCI). Most studies and interventions focus on the prevention of pressure injuries acquired in the hospital. The goal of this study is to better understand SCI provider perspectives of the risks, actions and resources needed to prevent CAPrIs.

DESIGN

Qualitative descriptive, semi-structured interviews of SCI providers analyzed using a deductive-inductive approach.

SETTING

Three geographically different veteran health administration spinal cord injury/disorder centers.

PARTICIPANTS

30 interprofessional SCI providers.

INTERVENTIONS

Not applicable.

OUTCOME MEASURES

Provider perspective of risks, actions and resources for CAPrI prevention in veterans with SCI.

RESULTS

30 interviews revealed a model of provider perspectives of CAPrI prevention including veteran risk characteristics, veteran preventive activities and provider, family, community caregiving resources.

CONCLUSION

Understanding provider perspectives of Veteran CAPrI preventive risks, actions and resources guides more appropriate interventions to prevent CAPrIs in individuals living with SCI.

摘要

背景/目的:社区获得性压疮(CAPrI)是脊髓损伤(SCI)的一种常见且代价高昂的并发症。大多数研究和干预措施都集中在预防医院获得的压疮。本研究的目的是更好地了解 SCI 护理人员对预防 CAPrI 所需的风险、措施和资源的看法。

设计

对 SCI 护理人员进行定性描述性、半结构化访谈,采用演绎-归纳方法进行分析。

地点

三个地理位置不同的退伍军人健康管理脊髓损伤/障碍中心。

参与者

30 名跨专业 SCI 护理人员。

干预措施

不适用。

结果测量

退伍军人 SCI 患者 CAPrI 预防的提供者观点中的风险、措施和资源。

结果

30 次访谈揭示了一种 CAPrI 预防提供者观点的模型,包括退伍军人的风险特征、退伍军人的预防活动以及提供者、家庭、社区护理资源。

结论

了解提供者对退伍军人 CAPrI 预防风险、措施和资源的看法,有助于为生活在 SCI 中的个体预防 CAPrI 提供更合适的干预措施。

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