Danchaivijitr S, Suthisanon L, Jitreecheue L, Tantiwatanapaibool Y
Department of Medicine, Siriraj Hospital, Mahidol University, Bangkok, Thailand.
J Med Assoc Thai. 1995 Jul;78 Suppl 1:S1-6.
A controlled study was done to evaluate the efficacy of written guidelines on the prevention of pressure sores. Thirty-three hospitals in Thailand were enrolled from February to April 1991. The incidence of pressure sores in the 6 week control period was 8.7 per cent compared to 6.5 per cent in the study phase. Reduction of the complication was found in all medical, surgical and intensive care departments. Practices on the prevention of pressure sores by nurses were significantly improved regarding: positioning, seating, not pulling, and bed-bathing of patients. Massaging the immobilized parts and the application of supporting devices were not increased by the education programme. This method of education is simple and appropriate for hospitals in Thailand.
一项对照研究旨在评估预防压疮书面指南的效果。1991年2月至4月，泰国33家医院参与了该研究。在为期6周的对照期内，压疮发生率为8.7%，而在研究阶段为6.5%。在所有内科、外科和重症监护科室，并发症均有所减少。护士在预防压疮方面的做法在患者体位摆放、就坐、避免拉扯和床上擦浴等方面有显著改善。教育项目并未增加对固定部位的按摩和支撑设备的使用。这种教育方法简单，适用于泰国的医院。
