Michocki R J, Lamy P P
J Am Geriatr Soc. 1976 Jul;24(7):323-8. doi: 10.1111/j.1532-5415.1976.tb06804.x.
This study on 93 patients was conducted at a skilled nursing facility. Twenty-two of the 93 patients had pressure sores; 34 of the 54 sores were present when the patients were admitted and 20 developed after admission. Only 5 of the 54 sores healed. Healing times ranged from 15 to 55 days after the beginning of treatment. Thirteen deaths occurred among the 71 patients without sores, and 17 deaths among the 22 patients with sores. Specific treatment regimens varied (cleaning solutions, antimicrobial drugs, heat, enzymatic debridement) but always included frequent changes in the position of the patient. Ten of the 22 patients with sores were anemic vs. 19 of the 71 patients without sores. Half of the patients with sores were maintained with tube feedings whereas more than half of the patients without sores received regular house diets. Pressure sores are a serious problem among geriatric patients in nursing homes. All those who care for the aged should be fully aware of the procedures involved in the prevention and management of these sores.
这项针对93名患者的研究在一家专业护理机构进行。93名患者中有22人患有压疮；54处压疮中，34处在患者入院时就已存在，20处是入院后出现的。54处压疮中只有5处愈合。治疗开始后，愈合时间为15至55天。71名无压疮患者中有13人死亡，22名有压疮患者中有17人死亡。具体治疗方案各不相同（清洁溶液、抗菌药物、热敷、酶促清创），但始终包括频繁改变患者体位。22名有压疮患者中有10人贫血，而71名无压疮患者中有19人贫血。有压疮的患者中有一半通过鼻饲维持营养，而无压疮的患者中有一半以上接受常规饮食。压疮是养老院老年患者中的一个严重问题。所有照顾老年人的人都应充分了解预防和处理这些压疮所涉及的程序。
