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一种预防压疮的压力监测方法。

A pressure monitoring approach for pressure ulcer prevention.

作者信息

Osuagwu Bethel, McCaughey Euan, Purcell Mariel

机构信息

Biomedical Engineering Research Division, School of Engineering, University of Glasgow, Glasgow, UK.

Scottish Centre for Innovation in Spinal Cord Injury, Queen Elizabeth National Spinal Injuries Unit, Queen Elizabeth University Hospital, Glasgow, UK.

出版信息

BMC Biomed Eng. 2023 Aug 11;5(1):8. doi: 10.1186/s42490-023-00074-6.

Abstract

BACKGROUND

A pressure ulcer (PU) is a debilitating condition that disproportionately affects people with impaired mobility. PUs facilitate tissue damage due to prolonged unrelieved pressure, degrading quality of life with a considerable socio-economic impact. While rapid treatment is crucial, an effective  prevention strategy may help avoid the development of PUs altogether. While pressure monitoring is currently used in PU prevention, available monitoring approaches are not formalised and do not appropriately account for accumulation and relief of the effect of an applied pressure over a prolonged duration. The aim of this study was to define an approach that incorporates the accumulation and relief of an applied load to enable continuous pressure monitoring.

RESULTS

A tunable continuous pressure magnitude and duration monitoring approach that can account for accumulated damaging effect of an applied pressure and pressure relief over a prolonged period is proposed. Unlike classic pressure monitoring approaches, the presented method provides ongoing indication of the net impact of a load during and after loading.

CONCLUSIONS

The tunable continuous pressure magnitude and duration monitoring approach proposed here may further development towards formalised pressure monitoring approaches that aim to provide information on the risk of PU formation in real-time.

摘要

背景

压疮(PU)是一种使人衰弱的病症,对行动不便者的影响尤为严重。由于长时间压力未得到缓解,压疮会导致组织损伤,降低生活质量,并产生相当大的社会经济影响。虽然快速治疗至关重要,但有效的预防策略可能有助于完全避免压疮的发生。虽然目前压力监测用于压疮预防,但现有的监测方法尚未规范化,且未适当考虑长时间施加压力的累积和缓解效果。本研究的目的是定义一种方法,该方法结合施加负荷的累积和缓解情况,以实现连续压力监测。

结果

提出了一种可调谐的连续压力大小和持续时间监测方法,该方法可以考虑长时间施加压力和压力缓解的累积损伤效应。与传统的压力监测方法不同,所提出的方法提供了加载期间和加载后负荷净影响的持续指示。

结论

本文提出的可调谐连续压力大小和持续时间监测方法可能会进一步推动旨在实时提供压疮形成风险信息的规范化压力监测方法的发展。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/64ac/10416505/4849adfe1b52/42490_2023_74_Fig1_HTML.jpg

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