Department of Rehabilitation, Faculty of Health Sciences, Nara Gakuen University, Nara-shi, Nara 631-8524, Japan.
Department of Rehabilitation Science, Kobe University Graduate School of Health Sciences, Suma-ku, Kobe 654-0142, Japan.
J Wound Care. 2024 Jun 2;33(6):418-424. doi: 10.12968/jowc.2021.0152.
The relationship between the healing time of pressure ulcers (PUs) and wound cleaning frequency among older people in homecare settings was investigated.
This single-centre, prospective cohort study was conducted from April 2018 to March 2019. Patients who used home-visit nursing services, had National Pressure Ulcer Advisory Panel classification stage 2 PUs, and had their wounds cleaned at least twice a week were enrolled in the study. Wound cleaning was performed using tap water and a weakly acidic cleanser. Participants were divided into two groups, determined by the frequency of wound cleaning (twice weekly versus ≥3 times weekly). Duration of PU healing and the increase in care insurance premiums were compared in both groups.
A total of 12 patients were included in the study. The mean healing period of PUs cleaned ≥3 times per week (65.3±24.8 days) was significantly shorter than that of PUs cleaned twice a week (102.6±19.2 days; p<0.05). Furthermore, the increase in care insurance premiums for PUs cleaned ≥3 times per week (¥122,497±105,660 Yen per six months) was significantly lower than that for PUs cleaned twice a week (¥238,116±60,428 per six months) (p<0.05).
Our results suggest that frequent cleaning of PUs by health professionals in homecare settings not only shorten PU healing period but also reduces care insurance premiums for PU care.
调查家庭护理环境中老年人的压疮（PU）愈合时间与伤口清洁频率之间的关系。
这是一项单中心前瞻性队列研究，于 2018 年 4 月至 2019 年 3 月进行。研究纳入了使用家庭访视护理服务、患有国家压疮咨询小组分类 2 期 PU 且每周至少清洁两次伤口的患者。伤口清洁使用自来水和弱酸性清洁剂进行。根据伤口清洁频率（每周两次与≥3 次/周）将参与者分为两组。比较两组患者的 PU 愈合时间和护理保险费的增加。
本研究共纳入 12 例患者。每周清洁≥3 次的 PU 平均愈合期（65.3±24.8 天）明显短于每周清洁 2 次的 PU（102.6±19.2 天；p<0.05）。此外，每周清洁≥3 次的 PU 护理保险费增加额（每六个月 122,497±105,660 日元）明显低于每周清洁 2 次的 PU（每六个月 238,116±60,428 日元）（p<0.05）。
我们的研究结果表明，家庭护理环境中专业人员频繁清洁 PU 不仅可以缩短 PU 的愈合时间，还可以降低 PU 护理的护理保险费。
