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住院患者的压疮:发病率及危险因素

Pressure ulcers in hospital patients: incidence and risk factors.

作者信息

Rapetti Roberta, Pansera Antonio, Visca Simona, Martolini Manuela, Antoniotti Sara, Bertoncini Fabio, Cirone Monica, Visca Sara

机构信息

Territorial Assistance Organization Health Professions Directorate, Azienda Sociosanitaria Ligure 2, Savona, Italy.

Primary Care Department CoordinatorTerritorial Assistance Organization Health Professions Directorate, Azienda Sociosanitaria Ligure 2, Savona, Italy.

出版信息

J Wound Care. 2023 Jan 2;32(1):29-34. doi: 10.12968/jowc.2023.32.1.29.

Abstract

OBJECTIVE

With an ageing population and a rising number of people with chronic conditions and disabilities, pressure ulcers (PUs) are a frequent problem. Prevention and treatment, especially targeted at older people, frail and non-self-sufficient patients, are central to care provided by nurses. The objective of this study is to establish the incidence of PUs in hospital inpatients and identify possible associated risk factors.

METHOD

A clinical observational study was conducted from May to November 2019 in a sample of patients admitted to Azienda Sociosanitaria Ligure 2 in Italy. Clinical and sociodemographic data were collected at admission and at discharge, through a questionnaire or collection card. The analysis was done using SAS 9.4 2017 software.

RESULTS

In 7% of the 515 participating patients, PUs occurred during hospitalisation; PUs at stages I and II were predominantly in the coccyx, heels and malleolus.

CONCLUSION

Significant associations were found between the development of lesions and age, certain pathologies, the degree of patient autonomy and the level of skin integrity.

摘要

目的

随着人口老龄化以及慢性病和残疾人数的增加,压疮是一个常见问题。预防和治疗,尤其是针对老年人、体弱和生活不能自理的患者,是护士护理工作的核心。本研究的目的是确定医院住院患者中压疮的发生率,并识别可能的相关危险因素。

方法

2019年5月至11月,对意大利利古里亚第二社会卫生机构收治的患者样本进行了一项临床观察研究。通过问卷或收集卡,在入院时和出院时收集临床和社会人口学数据。使用SAS 9.4 2017软件进行分析。

结果

在515名参与研究的患者中,7%在住院期间发生了压疮;I期和II期压疮主要出现在尾骨、足跟和踝部。

结论

发现损伤的发生与年龄、某些疾病、患者自主程度和皮肤完整性水平之间存在显著关联。

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