Brown D S
Ostomy Wound Manage. 1995 Nov-Dec;41(10):46-8, 50, 52-3.
As part of a larger study previously published in December of 1994, the question was asked whether commonly used pressure ulcer assessment tools (the Braden and Medley) were applicable to a broader definition of "skin risk assessment" and altered skin integrity related to perineal dermatitis (PD), and, if so, which risk factors were actually related to PD. The three site randomized clinical trial compared the use of diapers and underpads for 166 adult patients hospitalized on medical and surgical floors who were incontinent of urine and/or feces. Variables related to skin breakdown were the number of incontinence episodes, fecal incontinence, poor skin condition, pain, poor oxygenation, fevers, and mobility problems. Results also suggest that older patients may not have the sensory perception to experience discomfort in the same intensity as younger patients. Based on the findings of this study, pressure ulcer risk assessment tools are not good risk assessment tools for PD. The previously published conceptual framework for PD was modified and validated to form a basis for preventive measures.
作为先前于1994年12月发表的一项更大规模研究的一部分，研究人员提出了这样一个问题：常用的压疮评估工具（Braden和Medley）是否适用于更广泛的“皮肤风险评估”定义，以及与会阴皮炎（PD）相关的皮肤完整性改变；如果适用，哪些风险因素实际上与PD相关。这项三部位随机临床试验比较了166名因尿失禁和/或大便失禁而住院在内科和外科病房的成年患者使用尿布和衬垫的情况。与皮肤破损相关的变量包括失禁发作次数、大便失禁、皮肤状况差、疼痛、氧合不良、发热和活动问题。结果还表明，老年患者可能没有与年轻患者相同强度的不适感。基于这项研究的结果，压疮风险评估工具不是用于PD的良好风险评估工具。先前发表的PD概念框架经过修改和验证，为预防措施奠定了基础。
