A prospective study evaluating the Pressure Ulcer Scale for Healing (PUSH Tool) to assess stage II, stage III, and stage IV pressure ulcers.
A prospective study evaluating the Pressure Ulcer Scale for Healing (PUSH Tool) to assess stage II, stage III, and stage IV pressure ulcers.
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一项评估压疮愈合量表（PUSH 工具）的前瞻性研究，以评估 II 期、III 期和 IV 期压疮。
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发表时间：
2009
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通讯作者：
Ulkü Yapucu Güneş
中科院分区：
文献类型：
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作者：
Ulkü Yapucu Güneş
许多有效和可靠的工具和技术可用于伤口测量。然而，很少有前瞻性临床研究评估这些工具已经进行。在2006年9月至2007年11月期间进行了一项前瞻性方法学研究，以评价压疮愈合量表（PUSH）第3版在一处或多处压疮患者中的使用。招募了72名患者（平均年龄66.9 ± 12.8岁）的便利样本，共86处压疮（49%为II期，47%为III期，4%为IV期），每周进行一次评估，直至愈合、转移、患者死亡或研究结束，最长持续8周。大多数溃疡（77%）位于骶骨区域，56%已存在1个月或更长时间。重复测量分析显示，在8周的研究中，PUSH总分显著降低（P < 0.001），从第1周开始，每周愈合和未愈合溃疡之间的PUSH总分存在显著差异。工具中的总PUSH评分以及长度x宽度项可准确区分愈合和未愈合溃疡。虽然PUSH工具实用、易于使用，并且通常对变化敏感，但一些修改将提高其价值-即伤口大小/深度子量表。需要进行额外的研究来帮助临床医生更准确地评估其干预措施的有效性，包括确定仅伤口测量是否足以监测愈合的研究。
Many valid and reliable tools and techniques are available for wound measurement. However, few prospective clinical studies assessing these instruments have been conducted. A prospective, methodological study was conducted between September 2006 and November 2007 to evaluate use of the Pressure Ulcer Scale for Healing (PUSH) version 3 in patients with one or more pressure ulcer. A convenience sample of 72 persons (mean age 66.9 +/- 12.8 years) with 86 pressure ulcers (49% Stage II, 47% Stage III, and 4% Stage IV) was recruited and assessed weekly until healing, transfer, patient death, or end of study for a maximum of 8 weeks. Most ulcers (77%) were in the sacral area and 56% had been present for 1 month or longer. Repeated measures analysis revealed that PUSH total scores decreased significantly (P < 0.001) over the 8-week study, with significant differences in PUSH total scores between healed and unhealed ulcers each week, starting on week 1. The total PUSH score as well as the length x width item in the tool accurately differentiated between healed and nonhealed ulcers. Although the PUSH tool is practical, easy-to-use, and generally sensitive to change, some modifications would improve its value--ie, a wound size/depth subscale. Additional studies to help clinicians more accurately evaluate the effectiveness of their interventions, including studies to determine whether wound measurements alone may suffice to monitor healing, are needed.