Thomas D R, Rodeheaver G T, Bartolucci A A, Franz R A, Sussman C, Ferrell B A, Cuddigan J, Stotts N A, Maklebust J
Division of Gerontology/Geriatric Medicine, University of Alabama at Birmingham, USA.
Adv Wound Care. 1997 Sep;10(5):96-101.
Measuring progress toward healing is fundamental to the management of pressure ulcers. A method to assess progress of an individual ulcer over time is lacking. Given the limitations of currently available instruments and the need for a precise and practical method of monitoring healing in clinical practice, the National Pressure Ulcer Advisory Panel initiated the development of a new tool for measuring pressure ulcer healing. The key elements in developing an instrument include simplicity of use in clinical settings, validity for measuring whether ulcers are improving or worsening, and sensitivity to changes in the ulcer between observations. A new tool incorporating surface area, exudate amount, and surface appearance is proposed. Content validity, correlation validity, prospective validity, and sensitivity to change can be met by the proposed Pressure Ulcer Scale for Healing instrument.
评估压疮愈合进展对于压疮管理至关重要。目前缺乏一种评估单个溃疡随时间进展的方法。鉴于现有工具的局限性以及临床实践中对精确实用的愈合监测方法的需求，国家压疮咨询小组启动了一种用于测量压疮愈合的新工具的研发。开发一种工具的关键要素包括在临床环境中使用简便、测量溃疡是否好转或恶化的有效性以及对观察期间溃疡变化的敏感性。本文提出了一种包含表面积、渗出量和表面外观的新工具。所提出的压疮愈合量表工具能够满足内容效度、关联效度、前瞻性效度以及对变化的敏感性要求。
