Department of Nursing and Midwifery, School of Human and Health Sciences, University of Huddersfield, Huddersfield, England.
Nurs Stand. 2024 Jan 31;39(2):45-49. doi: 10.7748/ns.2023.e12066. Epub 2023 Nov 13.
Skin tears, defined as traumatic wounds caused by mechanical forces, can be debilitating for individuals, causing pain and reduced mobility. Although skin tears can develop throughout the lifespan, older age can make the skin increasingly susceptible to this type of injury. Studies have found wide variation in the incidence and prevalence of skin tears, in part because of suboptimal recognition and reporting practices among healthcare professionals. Effective prevention of skin tears requires a standardised approach to risk assessment, prevention, recognition and classification, such as that offered by the International Skin Tear Advisory Panel (ISTAP) best practice recommendations. This article examines the literature on the incidence, prevalence, prevention and recognition of skin tears, and outlines some of the ISTAP best practice recommendations on risk assessment, prevention and recognition. The authors also consider the need for patient and healthcare professional education to optimise the prevention of skin tears.
皮肤撕裂,定义为机械力引起的创伤性伤口,可能使个体衰弱,导致疼痛和活动能力降低。尽管皮肤撕裂可能在整个生命周期中发生,但随着年龄的增长,皮肤会越来越容易受到这种类型的损伤。研究发现,皮肤撕裂的发生率和患病率存在广泛差异,部分原因是医疗保健专业人员对其识别和报告的做法欠佳。皮肤撕裂的有效预防需要对风险评估、预防、识别和分类采用标准化方法,例如国际皮肤撕裂咨询小组(ISTAP)的最佳实践建议所提供的方法。本文研究了关于皮肤撕裂的发生率、患病率、预防和识别的文献,并概述了 ISTAP 关于风险评估、预防和识别的最佳实践建议。作者还考虑了对患者和医疗保健专业人员进行教育的必要性,以优化皮肤撕裂的预防。