Wound prevalence, types, and treatments in home care.
Wound prevalence, types, and treatments in home care.
复制标题
家庭护理中的伤口患病率、类型和治疗方法。
DOI：
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发表时间：
1999
期刊：
影响因子：
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通讯作者：
A. Jacox
中科院分区：
文献类型：
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作者：
B. Pieper;T. Templin;M. Dobal;A. Jacox
客观化
确定有伤口的家庭护理病人的数量，确定社区正在治疗的伤口的类型，并确定在家里使用的伤口护理治疗。
设计
描述性、多站点、协作项目。
设置
分布在密歇根州下城的13家家庭护理机构自愿组成了一个研究联盟。就诊的患者有43%在城市，39%在郊区，16%在农村，2%下落不明。
病人
采用系统抽样的方法选择各机构的护士进行资料收集。护士(n=281)记录了研究1周期间来访的成年患者的信息。共记录2847例患者，年龄72.5岁。他们包括1793名女性和1040名男性(14名患者的性别没有记录)；样本中的大多数患者(72%)是白人。主要计划成果：相当数量的家访将包括伤口护理，伤口护理将主要使用自来水和纱布。
结果
36.3%的患者有伤口。在有创面的患者中，58.3%有1个创面，41.7%有多个创面。伤口类型包括手术(62.4%)、压疮(24.9%)和血管小腿溃疡(22.2%)。自来水和纱布是最常用的伤口护理方法。有伤口的患者比没有伤口的患者有更长的家庭护理访问时间。
结论
有伤口的病人通常在家庭护理中找到。在所有伤口类型中，特殊敷料和商业冲洗溶液的使用率很低。护理受伤病人的护士可能需要额外的时间来提供护理。
OBJECTIVE
To ascertain the number of home care patients with wounds, determine the types of wounds being treated in the community, and identify wound care treatments used at home.
DESIGN
Descriptive, multisite, collaborative project.
SETTING
13 home care agencies located throughout lower Michigan that had voluntarily formed a research consortium. The location of patients visited was 43% urban, 39% suburban, 16% rural, and 2% unaccounted.
PATIENTS
Systematic sampling was used to select nurses in each agency to collect data. Nurses (n = 281) recorded information about adult patients visited during the 1 week of the study. Data were recorded about 2847 patients, M age = 72.5 years. They included 1793 women and 1040 men (gender was not recorded for 14 patients); most patients in the sample (72%) were white. MAIN PLANNED OUTCOMES: A significant number of home visits would include wound care and that wound care would be primarily done with tap water and gauze.
RESULTS
Wounds were present in 36.3% of patients. Of the patients with wounds, 58.3% had 1 wound and 41.7% had multiple wounds. Wound types included surgical (62.4%), pressure ulcers (24.9%), and vascular leg ulcers (22.2%). Tap water and gauze were the most-used wound care treatments. Patients with wounds had significantly longer home care visits than patients without wounds.
CONCLUSIONS
Patients with wounds are commonly found in home care. There is a low utilization of specialty dressings and commercial irrigation solutions across all wound types. Nurses who follow patients with wounds may need additional time to provide the care.