Ballard-Krishnan S, van Rijswijk L, Polansky M
J Wound Ostomy Continence Nurs. 1994 Jan;21(1):4-11. doi: 10.1097/00152192-199401000-00007.
A survey including 15 extended care facilities with access to ET nurse consulting services was conducted to assess current wound care protocols, practices, and educational backgrounds as well as requirements. Sixty-seven percent of facilities surveyed used a system to describe pressure ulcers. Wound care was provided by licensed practical nurses in 90% of the institutions and product decisions were made by the physician in 65% of facilities surveyed. Gauze-type dressings were used most frequently on all stages and types of pressure ulcers. A significant correlation between ulcer type and dressings used was found for stage II pressure ulcers only. Hydrocolloid and polyurethane film dressings were more likely to be used on stage II ulcers without exudate than on any other type of ulcer (p < 0.001). The ET nurse and a variety of other professionals, including product manufacturer representatives, were consulted to assess complicated wounds. In 9 of 15 instances, the ET nurse was rated as the best source of practical wound care information. Respondents preferred wound care meetings that were practical, included all levels of health care providers, focused equally on treatment and prevention, and were not expensive to attend.
开展了一项针对15家可获得造口治疗师护士咨询服务的长期护理机构的调查，以评估当前的伤口护理方案、实践、教育背景以及相关要求。接受调查的机构中有67%使用了一种系统来描述压疮。90%的机构由执业护士提供伤口护理，65%接受调查的机构中产品决策由医生做出。在所有阶段和类型的压疮中，纱布类敷料使用最为频繁。仅在II期压疮中发现溃疡类型与所用敷料之间存在显著相关性。对于无渗出液的II期溃疡，水胶体敷料和聚氨酯薄膜敷料比其他任何类型的溃疡更有可能被使用（p < 0.001）。咨询了造口治疗师护士和包括产品制造商代表在内的各种其他专业人员，以评估复杂伤口。在15个案例中的9个案例中，造口治疗师护士被评为实际伤口护理信息的最佳来源。受访者更喜欢实用的伤口护理会议，这些会议包括各级医疗保健提供者，同样注重治疗和预防，而且参会成本不高。
