Xakellis G C, Frantz R A
Ford Motor Co., Dearborn, Mich., USA.
Adv Wound Care. 1997 Sep;10(5):20-6.
Defining healing requires a set of measurements that quantify the physical factors that change during healing. Such a list of measures gives a de facto definition of what constitutes pressure ulcer healing and what influences it. This paper attempts to answer a more specific question: Which measurements are strong candidates for inclusion in a tool for monitoring pressure ulcer healing? Three sets of clinical measurements are analyzed--the assessment proposed by the Agency for Health Care Policy and Research Guideline Development Panel for the Treatment of Pressure Ulcers; the recommendations of the Wound Healing Society; and the Pressure Sore Status Tool. The validity of the 11 clinical measures common across these assessment methods is examined using empiric evidence from studies of wound healing.
定义愈合需要一系列能够量化愈合过程中发生变化的物理因素的测量方法。这样一组测量方法事实上就给出了什么构成压疮愈合以及什么对其有影响的定义。本文试图回答一个更具体的问题:哪些测量方法很有可能被纳入用于监测压疮愈合的工具中?分析了三组临床测量方法——医疗保健政策与研究机构压疮治疗指南制定小组提出的评估方法;伤口愈合协会的建议;以及压疮状况工具。利用伤口愈合研究的实证证据,检验了这些评估方法中共同的11项临床测量方法的有效性。