Krouskop T, van Rijswijk L
Ostomy Wound Manage. 1995 Jan-Feb;41(1):34-6, 38, 40-5.
Due to the sparsity of prospective, controlled, clinical studies on the efficacy of and the lack of standardized information about support surfaces, current literature does not clearly define how these surfaces address patient needs. Standardization would help healthcare professionals make better informed decisions about the use of support surfaces. Standardization would also help researchers design and implement controlled, clinical studies by defining characteristics of surface evaluation, making it possible to replicate research activities. The first step toward standardization is to develop a performance-based set of criteria for classifying these surfaces. With respect to the three purposes identified: comfort, postural control and pressure management, only parameters that can be measured noninvasively, have been considered. The nine parameters are life expectancy of the surface, skin moisture control, skin temperature control, redistribution of pressure, product service requirements, fail safety, infection, flammability, and patient/product friction. Specific guidelines for each of these nine parameters are discussed in depth. With testing and evaluation of support surfaces standardized, clinicians will be able to choose a surface to meet the needs of patients the same way they make other treatment decisions: based on outcomes and the results of controlled, clinical studies.
由于前瞻性、对照性临床研究关于支撑面功效的资料稀少，且缺乏关于支撑面的标准化信息，当前文献并未明确界定这些支撑面如何满足患者需求。标准化将有助于医疗保健专业人员在使用支撑面方面做出更明智的决策。标准化还将有助于研究人员通过定义表面评估特征来设计和实施对照性临床研究，从而使重复研究活动成为可能。迈向标准化的第一步是制定一套基于性能的标准来对这些支撑面进行分类。对于所确定的三个目的：舒适度、姿势控制和压力管理，仅考虑了可以无创测量的参数。这九个参数分别是支撑面的预期寿命、皮肤湿度控制、皮肤温度控制、压力再分布、产品服务要求、故障安全、感染、易燃性以及患者/产品摩擦力。对这九个参数中的每一个都进行了深入讨论，并给出了具体指南。随着支撑面测试和评估的标准化，临床医生将能够像做出其他治疗决策一样，基于结果和对照性临床研究的结果来选择满足患者需求的支撑面。
