Skin tears in institutionalized elderly: an epidemiological study.
Skin tears in institutionalized elderly: an epidemiological study.
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发表时间：
1998-03
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通讯作者：
J. McGough-Csarny;Kopac Ca
中科院分区：
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作者：
J. McGough-Csarny;Kopac Ca
老年人的皮肤撕裂是皮肤完整性老化的常见改变。很少发现在文献中的预防，识别和治疗皮肤撕裂。在六个月的时间内，154皮肤撕裂进行了研究，在一个方便的样本的居民在VA护理之家护理单位和9个社区养老院。收集了人口统计学、药物使用、实验室检查、认知功能和日常生活活动（ADL）的数据。还收集了关于皮肤撕裂的描述性数据，并根据Payne-Martin分类系统对这些撕裂进行分级。数据分析显示，一个非常老的，体弱的老年人主要是妇女，依赖于日常生活能力，营养不良，患有痴呆症的风险样本。与皮肤撕裂发生相关的风险因素包括僵硬和痉挛、感觉丧失、活动受限、食欲不振、多种用药、使用辅助器械、存在瘀斑和既往皮肤撕裂病史。皮肤撕裂很小，更频繁地发生在上肢，一半没有组织损失。大多数皮肤撕裂发生在患者护理卧室。这项研究的结果提供了一个大纲的发展中国家的风险概况，并建立了基础的教育计划的照顾者。
Skin tears in the elderly are a common alteration of aging skin integrity. Very little is found in the literature on the prevention, identification, and treatment of skin tears. During a six-month period, 154 skin tears were studied in a convenience sample of residents in a VA Nursing Home Care Unit and nine community nursing homes. Data were collected on demographics, medication use, laboratory tests, cognitive function, and activities of daily living (ADLs). Descriptive data on the skin tears were also collected and these tears were graded according to the Payne-Martin Classification System. Data analysis revealed an at-risk sample of very old, frail elderly who are predominantly women, dependent in ADLs, nutritionally compromised, and suffering from dementia. Risk factors associated with the occurrence of skin tears included stiffness and spasticity, sensory loss, limited mobility, poor appetite, polypharmacy, use of an assistive device, presence of ecchymosis, and a history of previous skin tears. Skin tears were small, occurred more frequently on the upper extremities, and half had no tissue loss. Most skin tears occurred in patient care bedrooms. The findings of this study provide an outline for the development of an at-risk profile, and establish the basis for educational programs for caregivers.