A randomized clinical trial on preventing pressure ulcers with wheelchair seat cushions.
A randomized clinical trial on preventing pressure ulcers with wheelchair seat cushions.
复制标题
DOI：
10.1111/j.1532-5415.2010.03168.x
复制
发表时间：
2010-12
影响因子：
6.3
通讯作者：
Holm M
中科院分区：
文献类型：
--
作者：
Brienza D;Kelsey S;Karg P;Allegretti A;Olson M;Schmeler M;Zanca J;Geyer MJ;Kusturiss M;Holm M
为了确定皮肤保护轮椅坐垫预防老年人压疮的功效，养老院人群进行临床试验，随机分配受试者使用皮肤保护坐垫或分段泡沫坐垫。在2004年6月至2008年5月期间招募了232名参与者，随访6个月或直到出现压疮。12家养老院老年人年龄≥65岁，使用轮椅≥6小时/天，Braden评分≤18，Braden活动能力综合评分≤5。参与者是从参考样本中招募的。所有参与者都配备了轮椅，并随机分为皮肤保护（SPC）组或分段泡沫（SFC）缓冲组。SPC组使用空气、粘性流体/泡沫或凝胶/泡沫缓冲垫。SFC组给予7.6 cm横切泡沫垫。测量坐骨结节附近伤口（IT溃疡）在6个月内的压疮发生率。对合并IT和骶骨/尾骨溃疡进行二次分析。180名参与者达到了研究终点，42人失去了随访。其中10个没有接受干预。SFC组有8/119（6.7%）例IT溃疡，SPC组有1/113（0.9%）例IT溃疡（p<0.04）。在合并IT和骶/尾骨溃疡组中，SFC组有21/119例（17.6%），SPC组有12/113例（10.6%）（p=0.14）。与轮椅配套使用的皮肤保护垫可降低老年人和养老院居民的压疮发生率，并应用于帮助预防压疮。
To determine the efficacy of skin protection wheelchair seat cushions in preventing pressure ulcers in the elderly, nursing home population Clinical trial with participants assigned at random to either a skin protection or segmented foam cushion. Two hundred thirty two participants were recruited between June 2004 and May 2008 and followed for 6 months or until pressure ulcer incidence. Twelve nursing homes Nursing home residents’ age ≥ 65, using wheelchairs ≥6 hours/day, Braden score ≤ 18, and combined Braden activity and mobility score ≤ 5. Participants were recruited from a referred sample. All participants were provided a fitted wheelchair and randomized into skin protection (SPC) or segmented foam (SFC) cushion groups. The SPC group received an air, viscous fluid/foam, or gel/foam cushion. The SFC group received a 7.6 cm crosscut foam cushion. Pressure ulcer incidence over 6 months for wounds near the ischial tuberosities (IT ulcers) were measured. Secondary analysis was performed on combined IT and sacral/coccyx ulcers. One hundred eighty participants reached a study endpoint and 42 were lost to follow-up. Ten did not receive the intervention. There were 8/119 (6.7%) IT ulcers in the SFC group and 1/113 (0.9%) in the SPC group (p<0.04). In the group of combined IT and sacral/coccyx ulcers, there were 21/119 pressure ulcers (17.6%) in the SFC group and 12/113 (10.6%) in the SPC group (p=0.14). Skin protection cushions used with fitted wheelchairs lower pressure ulcer incidence for elderly, nursing home residents and should be used to help prevent pressure ulcers.