Microclimate and development of pressure ulcers and superficial skin changes
Microclimate and development of pressure ulcers and superficial skin changes
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DOI：
10.1111/iwj.12048
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发表时间：
2015-02-01
影响因子：
3.1
通讯作者：
Sanada, Hiromi
中科院分区：
文献类型：
--
作者：
Yusuf, Saldy;Okuwa, Mayumi;Sanada, Hiromi
本研究旨在评估压疮和浅表皮肤变化的微气候和发展。在印度尼西亚的一个急性护理病房进行了一项前瞻性队列研究。根据Bergstrom Braden概念模型确定了压疮和浅表皮肤变化的风险因素。每3天收集一次小气候数据，持续15天，同时每天观察压疮和浅表皮肤变化的发展。71名参与者中有20名出现压疮和浅表皮肤变化。与对照组（06 +/- 08 ℃）相比，压疮和浅表皮肤变化患者（09 +/- 06 ℃）的皮肤温度总平均差异更高（P = 0071）。二元逻辑回归预测值为压疮和浅表皮肤变化是0111的类型的床单和0347的布雷登量表的结果。总之，皮肤温度的差异似乎是压疮发展和浅表皮肤变化的预测因子，而合成纤维片材能够保持有益的微气候。
This study aims to evaluate the microclimate and development of pressure ulcers and superficial skin changes. A prospective cohort study was conducted in an acute care ward in Indonesia. Risk factors for pressure ulcers and superficial skin changes were identified based on the Bergstrom Braden conceptual model. Microclimate data were collected every 3 days for 15 days while the development of pressure ulcers and superficial skin changes was observed every day. Pressure ulcers and superficial skin changes were developed in 20 of the 71 participants. Total mean difference in skin temperature was higher for patients with pressure ulcers and superficial skin changes (09 +/- 06 degrees C) compared with controls (06 +/- 08 degrees C) (P = 0071). Binary logistic regression predictor values for pressure ulcers and superficial skin changes were 0111 for type of sheet and 0347 for Braden Scale results. In conclusion, difference in skin temperature seems to be a predictor for pressure ulcer development and superficial skin changes, while synthetic fibre sheets are able to maintain a beneficial microclimate.