Pressure ulcer prevalence in Europe: a pilot study
Pressure ulcer prevalence in Europe: a pilot study
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DOI：
10.1111/j.1365-2753.2006.00684.x
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发表时间：
2007-04-01
影响因子：
2.4
通讯作者：
Defloor, Tom
中科院分区：
文献类型：
--
作者：
Vanderwee, Katrien;Clark, Michael;Defloor, Tom
理由和目的已经进行了许多流行率研究。这些研究的问题是，由于每项调查的表现不同，流行率比例无法相互比较。没有商定的标准化方法来确定患病率比例。本研究旨在开发和试点一个统一的数据收集工具和方法来衡量压疮的患病率，并得到一些洞察压疮患病率在不同的患者群体在European.Methods来自欧洲不同国家的压疮专家开发了一个数据收集工具，其中包括五类数据：一般数据，病人数据，风险评估，皮肤观察和预防。比利时、意大利、葡萄牙、英国和瑞典的大学和综合医院的便利样本参加了这项研究。在每个参与的医院，两个受过训练的护士谁收集病房的数据成立了小组。所有患者在调查当天午夜前入院，年龄大于18岁。结果所有参与者都发现调查的数据收集工具和研究程序是有效的。在5个欧洲国家的25家医院对5947名患者进行了调查。压疮患病率（1-4级）为18.1%，如果排除1级溃疡，则为10.5%。骶骨和脚跟是最受影响的部位。只有9.7%的患者在需要的预防得到充分的预防care.Conclusion的方法是足够强大的测量和比较在不同国家的压疮患病率。压疮患病率高于预期，接受充分预防的患者相对较少。这表明欧洲需要更加重视预防。
Rationale and aims Numerous prevalence studies have been conducted. The problem with these studies is that prevalence proportions cannot be compared with each other, because of differences in performance of each survey. There is no agreed standardized method for determining prevalence proportions. This study aimed to develop and pilot a uniform data collection instrument and methodology to measure the pressure ulcer prevalence and to get some insight into pressure ulcer prevalence across different patient groups in Europe.Methods Pressure ulcer experts from different European countries developed a data collection instrument, which included five categories of data: general data, patient data, risk assessment, skin observation and prevention. A convenience sample of university and general hospitals of Belgium, Italy, Portugal, UK and Sweden participated in the study. In each participating hospital, teams of two trained nurses who collected the data on the wards were established. All patients admitted before midnight on the day of the survey and older than 18 years were included.Results The data collection instrument and study procedure of the survey were found to be effective by all participants. 5947 patients were surveyed in 25 hospitals in five European countries. The pressure ulcer prevalence (grade 1-4) was 18.1% and if grade 1 ulcers were excluded, it was 10.5%. The sacrum and heels were the most affected locations. Only 9.7% of the patients in need of prevention received fully adequate preventive care.Conclusion The methodology is sufficiently robust to measure and compare pressure ulcer prevalence in different countries. The pressure ulcer prevalence was higher than expected and relatively few patients received adequate prevention. This indicates that more attention to prevention is needed in Europe.