Association of Pressure injury with body care activities in nursing homes.
Association of Pressure injury with body care activities in nursing homes.
复制标题
压力损伤与疗养院身体护理活动的关联。
DOI：
10.1111/wrr.12861
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发表时间：
2021
期刊：
影响因子：
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通讯作者：
Roghmann,MaryClaire
中科院分区：
文献类型：
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作者：
Sethuraman,KinjalN;Leekha,Surbhi;Adediran,Timileyin;Roghmann,MaryClaire
经常重新定位和皮肤检查是许多压力性损伤预防计划的基石。本研究探讨了一个假设，即频繁的暴露皮肤的身体护理活动可以保护长期护理机构的居民免受压力损伤。我们设计了一项横断面观察队列研究，研究对象是来自13家此类机构的381名居民。收集每位居民的特征和护理活动数据。我们分析了这些数据，寻找暴露皮肤的身体护理与1期或更大阶段压力损伤之间的联系。将身体暴露护理活动分为高频率组和低频率组。建立了包含混杂变量的逻辑回归模型。计算与身体护理和压力损伤相关的比值比。在我们的研究中，15%的住院医生有压力性损伤。混杂因素包括日常生活活动评分、心力衰竭、近期住院和大便失禁。身体护理作为危险因素的调整优势比为4.9 (95% CI, 2.4, 10.4)，表明有超过五种身体护理需求的居民发生压力损伤的可能性大约是其五倍。我们的研究结果不支持我们的假设，即经常暴露皮肤的身体护理活动可以防止压力损伤。尽管经常进行皮肤检查，但仍需要进一步探索与持续压力损伤风险相关的住院特征和共病条件。
Frequent repositioning and skin examinations are the cornerstone of many pressure injury prevention programs. This study explores the hypothesis that frequent skin‐exposing body care activities are protective against pressure injuries in residents of long‐term care facilities. We designed a cross‐sectional observational cohort study of 381 residents from 13 such facilities. Data were collected on resident characteristics and nursing care activities for each resident. We analyzed those data, looking for an association between skin‐exposing body care and the presence of a pressure injury of stage 1 or greater. Body‐exposing care activities were divided into high‐ and low‐frequency groups. A logistic regression model was developed to include confounding variables. The odds ratio associated with body care and pressure injury was calculated. Fifteen percent of the residents in our study had pressure injuries. Confounders were activities of daily living score, heart failure, recent hospitalization, and stool incontinence. The adjusted odds ratio for body care as a risk factor was 4.9 (95% CI, 2.4, 10.4), indicating that residents with more than five body care needs are approximately five times more likely to have a pressure injury. Our results fail to support our hypothesis that frequent skin‐exposing body care activities protect against pressure injury. Further exploration is needed to understand the resident characteristics and co‐morbid conditions associated with the persistent risk for pressure injury despite frequent skin examinations.