Pase M N, Hoffman R G
Department of Nursing, New Mexico State University, Las Cruces, New Mexico, USA.
J Wound Ostomy Continence Nurs. 1998 Jan;25(1):44-50. doi: 10.1016/s1071-5754(98)90012-2.
The purpose of this study was to investigate pressure ulcer treatment protocol selection and use by care providers in extended health care facilities.
Descriptive survey.
The target population was directors of extended health care facilities in the southwestern border region of Arizona, New Mexico, and west Texas.
Questionnaires were mailed to 427 directors of extended-care facilities, who were asked to self-report treatment selection methods. The results from 96 returned and usable questionnaires were analyzed.
Descriptive statistics were used to analyze the returned data.
Most (56.25%) of the respondents reported using a facility-developed assessment tool, 15.63% used no assessment tool at all, and less than 50% of the responding institutions reported using established protocols for pressure ulcer treatment. Although selection methods differed, most (61.46%) pressure ulcer treatments were reported to be determined by collaboration among nurses, physicians, and other health care providers.
Selection and use of pressure ulcer risk-assessment tools and treatment protocols showed a wide range of variation by extended-care facilities. A high percentage of institutions did not report the use of established, research-based protocols for pressure ulcer treatment, although interdisciplinary collaboration for treatment selection was reported.
本研究旨在调查长期护理机构中护理人员对压疮治疗方案的选择和使用情况。
描述性调查。
目标人群是亚利桑那州、新墨西哥州西南边境地区以及得克萨斯州西部的长期护理机构负责人。
向427名长期护理机构负责人邮寄问卷，要求他们自行报告治疗选择方法。对96份回收且可用的问卷结果进行分析。
采用描述性统计方法分析回收的数据。
大多数（56.25%）受访者报告使用机构自行开发的评估工具，15.63%根本不使用评估工具，不到50%的受访机构报告使用既定的压疮治疗方案。尽管选择方法不同，但大多数（61.46%）压疮治疗据报告是由护士、医生和其他医疗服务提供者共同决定的。
长期护理机构在压疮风险评估工具和治疗方案的选择与使用上差异很大。尽管报告了在治疗选择上的跨学科合作，但仍有很高比例的机构未报告使用既定的、基于研究的压疮治疗方案。
