Wind S, Happ E, Kerstein M D
Division of Wound Care, Allegheny Health Education Research Foundation (AHERF), Allegheny Hospitals in Philadelphia, PA, USA.
Ostomy Wound Manage. 1997 May;43(4):40-4, 46, 48-50 passim.
Pressure ulcers represent a significant impact on utilization of healthcare beds, cost for the insurer, and adverse emotional impact for the family. With this in mind, one must address in an effective fashion a method of objective assessment using the current methodology to deal with risk factors in mobility, disease states, and nutrition, as well as give significant attention to prevention protocols. One should adhere to a schedule of turning the patient, sleep surfaces, and appropriate skin care while recognizing the impact of each. Finally, treatment modalities should be undertaken, not only with cost-effective issues in mind, but with ease and convenience for the healthcare provider and the least discomfort for the patient as well. One can focus on debridement by way of enzymatic, autolytic, or surgical methods, recognizing surgery as the least effective for our goals in the management of this patient. Assessment and, finally, reassessment using the available scales will allow us to provide effective healthcare in a therapeutic fashion.
压疮对医疗病床的使用、保险公司的成本以及患者家庭产生了重大影响。考虑到这一点，必须以有效的方式采用当前方法来客观评估处理移动性、疾病状态和营养方面的风险因素，并高度重视预防方案。应坚持为患者翻身的时间表、选择合适的睡眠表面并进行适当的皮肤护理，同时认识到每一项的影响。最后，在采用治疗方式时，不仅要考虑成本效益问题，还要考虑医疗服务提供者操作的简便性和便利性以及患者的最小不适感。可以通过酶解、自溶或手术方法进行清创，同时认识到手术对于我们管理该患者的目标而言效果最差。最后，使用现有量表进行评估和重新评估将使我们能够以治疗性方式提供有效的医疗服务。
