Prevalence of chronic wounds in Quebec home care: an exploratory study.
Prevalence of chronic wounds in Quebec home care: an exploratory study.
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魁北克家庭护理中慢性伤口的患病率：一项探索性研究。
DOI：
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发表时间：
2006
期刊：
影响因子：
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通讯作者：
Marie
中科院分区：
文献类型：
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作者：
Isabel Rodrigues;Marie
由于魁北克省慢性伤口的患病率尚不清楚，研究人员对重病、老年或卧床不起的家庭护理患者进行了慢性伤口患病率的可行性研究。有关伤口数量、患者合并症和最严重伤口特征（病因、位置、持续时间、进展和治疗）的调查问卷已邮寄给 149 个当地社区卫生中心的护士长和家庭护理护士。还向 52 个卫生中心的护士征求了有关护士和一般卫生中心与慢性伤口预防和护理相关的需求信息。数据来自 488 名患者（平均年龄 68.5 岁）；确定总患病率为 1.4%。大多数患者（81%）有一到两处伤口，压疮是最常见的病因（占伤口的 37%）。伤口平均存在 26.8 个月（范围 0 到 180，中位数 12 个月）。大多数（94%）患者都有家庭医生，但只有三分之一的家庭医生负责提供/规定的伤口护理。缺乏时间是未完成调查最常被提及的原因。伤口的慢性化、严重性（44%的压疮为III期）、缺乏改善（60%的人表示溃疡没有改善或恶化）、一些当地社区服务中心缺乏方案和培训以及治疗方式的不当使用是引起关注的重要原因，并提供了改善的机会。样本量和可验证数据的缺乏限制了研究结果的外部有效性，但结果表明，慢性伤口是魁北克家庭医疗保健患者中常见且重要的问题。需要改进数据收集和患者护理方案，以促进获取急需的伤口患病率和结果数据，以帮助各机构提供最佳的患者护理。
Because the prevalence of chronic wounds in Quebec is unknown, researchers conducted a chronic wound prevalence feasibility study in severely ill, elderly, or bedridden home care patients. Questionnaires seeking information about the number of wounds, patient comorbidities, and characteristics of the most severe wound (etiology, location, duration, progress, and treatments) were mailed to the head nurse and home care nurses of 149 local community health centers. Information regarding nurse and general health center needs related to chronic wound prevention and care also was solicited from nurses in 52 health centers. Data were obtained from 488 patients (average age 68.5 years); an overall prevalence rate of 1.4% was determined. Most patients (81%) had one or two wounds and pressure ulcer was the most common etiology (37% of wounds). Wounds had existed for a mean of 26.8 months (range 0 to 180, median 12 months). Most (94%) patients had a family physician but only one third of family physicians were responsible for the wound care provided/prescribed. Lack of time was the most frequently cited reason for not completing the survey. Wound chronicity, severity (44% of pressure ulcers were Stage III), lack of improvement (60% cited no improvement or worsening of ulcer), the absence of protocols and training in some local community service centers, and inappropriate use of therapeutic modalities are important reasons for concern and provide opportunities for improvement. Sample size and the absence of verifiable data limit the external validity of the findings but results indicate that chronic wounds are a common and important concern among home healthcare patients in Quebec. Improvements in data collection and patient protocols of care are needed to facilitate the acquisition of much-needed wound prevalence and outcomes data to help agencies provide optimal patient care.