Revised National Pressure Ulcer Advisory Panel Pressure Injury Staging System: Revised Pressure Injury Staging System.
Revised National Pressure Ulcer Advisory Panel Pressure Injury Staging System: Revised Pressure Injury Staging System.
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DOI：
10.1097/won.0000000000000281
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发表时间：
2016
期刊：
影响因子：
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通讯作者：
Sieggreen M
中科院分区：
文献类型：
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作者：
Edsberg LE;Black JM;Goldberg M;McNichol L;Moore L;Sieggreen M
近年来，通过研究、临床专业知识和全球跨学科专家合作，我们对压力损伤病因学和发展的理解有所增长。因此，国家压疮咨询小组（NPUAP）修订了压疮的定义和阶段。进行修订以纳入目前对压力损伤病因学的理解，并澄清损伤各阶段存在或不存在的解剖特征。NPUAP任命的一个工作组审查了文献，并创建了定义草案，然后由利益相关者和公众，包括世界各地的临床医生，教育工作者和研究人员进行审查。使用建立共识的方法，这些修订后的定义是2016年4月举行的多学科共识会议的重点。作为利益相关者和公众投入的结果，沿着共识会议，做出了重要的修改并纳入了新的分期定义。修订后的分期系统使用术语损伤而不是溃疡，并使用阿拉伯数字而不是罗马数字表示分期。修订后的压力性损伤定义现在描述的是通常发生在骨性突出物上方或医疗器械或其他器械下方的损伤。第2阶段压力损伤的修订定义旨在澄清水分相关皮肤损伤与压力和/或剪切引起的损伤之间的差异。“疑似”一词已从“深度组织压力损伤”诊断标签中删除。每个定义现在描述了组织损失的程度，以及在损伤阶段可能存在或可能不存在的解剖特征。这些重要的修订反映了用于检查现有证据的方法和协作方法，并将当前的跨学科临床专业知识纳入更好地定义压力损伤病因学和发展的重要现象。
Our understanding of pressure injury etiology and development has grown in recent years through research, clinical expertise, and global interdisciplinary expert collaboration. Therefore, the National Pressure Ulcer Advisory Panel (NPUAP) has revised the definition and stages of pressure injury. The revision was undertaken to incorporate the current understanding of the etiology of pressure injuries, as well as to clarify the anatomical features present or absent in each stage of injury. An NPUAP-appointed Task Force reviewed the literature and created drafts of definitions, which were then reviewed by stakeholders and the public, including clinicians, educators, and researchers around the world. Using a consensus-building methodology, these revised definitions were the focus of a multidisciplinary consensus conference held in April 2016. As a result of stakeholder and public input, along with the consensus conference, important changes were made and incorporated into the new staging definitions. The revised staging system uses the term injury instead of ulcer and denotes stages using Arabic numerals rather than Roman numerals. The revised definition of a pressure injury now describes the injuries as usually occurring over a bony prominence or under a medical or other device. The revised definition of a Stage 2 pressure injury seeks to clarify the difference between moisture-associated skin damage and injury caused by pressure and/or shear. The term suspected has been removed from the Deep Tissue Pressure Injury diagnostic label. Each definition now describes the extent of tissue loss present and the anatomical features that may or may not be present in the stage of injury. These important revisions reflect the methodical and collaborative approach used to examine the available evidence and incorporate current interdisciplinary clinical expertise into better defining the important phenomenon of pressure injury etiology and development.