一项在急性护理环境中压力性损伤愈合率、时间及其影响因素的前瞻性研究。

A Prospective Study of Pressure Injury Healing Rate and Time and Influencing Factors in an Acute Care Setting.

机构信息

YoungMin Seo, PhD, RN, is Manager, Team of Core Medical Assessment and Build Standard, Inha University Hospital, Joong Gu, Incheon, Republic of Korea. HyunSoo Oh, PhD, RN, is Professor, Department of Nursing, Inha University, Incheon. YoungSun Na, BSN, RN, is Graduate Student, Department of Nursing, Inha University, and Wound Ostomy Care Nurse, Inha University Hospital. Also at Inha University Hospital, MiJin Kim, MSN, RN, is Wound Ostomy Care Nurse, and WhaSook Seo, PhD, is Professor, Department of Nursing, Inha University.

出版信息

Adv Skin Wound Care. 2022 Dec 1;35(12):1-9. doi: 10.1097/01.ASW.0000892488.90282.a4.

DOI:10.1097/01.ASW.0000892488.90282.a4

PMID:36409189

Abstract

OBJECTIVE

To determine pressure injury (PI) healing rate and time and identify influencing factors.

METHODS

A prospective cohort research design was used. Data collection was performed between May 2015 and August 2018. The study participants were 77 inpatients who developed at least one PI during their stay in a university hospital. Researchers assessed participants' demographic (age, sex); physical (incontinence, activity of daily living, and nutrition status); physiologic (serum total protein, albumin, and creatinine, blood glucose, and hemoglobin levels); and disease- (diagnosis, number of comorbidities, and cardiovascular comorbidity), wound- (PI stage and size at first detection, and Pressure Ulcer Scale for Healing score), and treatment-related (IV nutrition supply and albumin infusion) factors.

RESULTS

Across the 77 patients, 91 PIs developed. Of these, 54 (59.3%) healed with a mean healing time of 17.63 days. The healing rate was better, and the healing time was shorter for stage 2 PIs compared with unstageable or deep-tissue PIs. Factors influencing PI healing rate were number of comorbidities, cardiovascular comorbidity, incontinence, PI stage at first detection, IV nutrition supply, and mean serum creatinine level. Factors influencing PI healing time were number of comorbidities, cardiovascular comorbidity, and PI stage at first detection.

CONCLUSIONS

To reduce hospital stays, PI-related complications, and mortality, evidence-based management strategies for PIs are needed. The findings of the present study may contribute to the development of such strategies.

摘要

目的

确定压力性损伤（PI）的愈合率和时间，并确定影响因素。

方法

采用前瞻性队列研究设计。数据收集时间为 2015 年 5 月至 2018 年 8 月。研究对象为在一所大学医院住院期间至少发生 1 处 PI 的 77 名住院患者。研究人员评估了参与者的人口统计学特征（年龄、性别）；身体状况（失禁、日常生活活动和营养状况）；生理状况（血清总蛋白、白蛋白和肌酐、血糖和血红蛋白水平）；疾病状况（诊断、共病数量和心血管共病）、伤口状况（PI 分期和首次发现时的大小以及压疮愈合量表评分）和治疗相关因素（静脉营养供应和白蛋白输注）。

结果

在 77 名患者中，共发生 91 处 PI。其中，54 处（59.3%）愈合，平均愈合时间为 17.63 天。与无法分期或深部组织 PI 相比，2 期 PI 的愈合率更高，愈合时间更短。影响 PI 愈合率的因素有共病数量、心血管共病、失禁、首次发现时的 PI 分期、静脉营养供应和平均血清肌酐水平。影响 PI 愈合时间的因素有共病数量、心血管共病和首次发现时的 PI 分期。