Allcock N, Wharrad H, Nicolson A
Department of Nursing and Midwifery Studies, Nottingham University Medical School, Queens Medical Centre, England.
J Adv Nurs. 1994 Jul;20(1):37-45. doi: 10.1046/j.1365-2648.1994.20010037.x.
Pressure sores result in patient morbidity and mortality as well as commanding considerable resources within the British National Health Service. To assess the impact of preventive measures, accurate and reliable rates of prevalence and incidence are required. This information is likely to be used as a measure of quality of care as well being included in future purchaser/provider contracting. A number of prevalence studies have been carried out in the United Kingdom using a variety of populations and different methods. The methods employed in these studies need to be considered before any meaningful comparisons can be drawn. In particular, there are variations in the reported rates possibly related to the under-reporting of pressure sore prevalence. This paper describes a recent point prevalence study which suggested that this may be the case. The need for caution when comparing crude rates is highlighted and the importance of standardizing the methods used for determining prevalence rates is discussed.
压疮会导致患者发病和死亡，同时在英国国家医疗服务体系中占用大量资源。为评估预防措施的效果，需要准确可靠的患病率和发病率数据。这些信息可能会被用作衡量护理质量的指标，也会被纳入未来购买方/提供方的合同中。英国已经针对不同人群采用多种方法开展了多项患病率研究。在进行任何有意义的比较之前，需要先考虑这些研究中所采用的方法。特别是，报告的发病率存在差异，这可能与压疮患病率报告不足有关。本文描述了一项近期的现患率研究，该研究表明情况可能确实如此。文中强调了比较粗发病率时需谨慎，并讨论了标准化确定患病率所用方法的重要性。
