Preventing pressure ulcers in people with spinal cord injury: targeting risky life circumstances through community-based interventions.
Preventing pressure ulcers in people with spinal cord injury: targeting risky life circumstances through community-based interventions.
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DOI：
10.1097/01.asw.0000398663.66530.46
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发表时间：
2011-06
影响因子：
2.4
通讯作者：
Blanche EI
中科院分区：
文献类型：
--
作者：
Vaishampayan A;Clark F;Carlson M;Blanche EI
使与脊髓损伤患者一起工作的从业者对与压疮的发展有关的复杂的生活环境敏感，并记录干预措施可以针对个人需求进行调整的方法。每周保真度/质量控制会议的内容分析，这些会议是为社区居住的患有脊髓损伤的成年人预防压疮的生活方式干预的一部分。确定了与生活方式有关的四种溃疡预防挑战：增加风险的生活环境、沟通困难、设备问题和个人个性问题。干预的灵活性是通过改变治疗模块的顺序、改变干预内容或提供方法、或超出规定的内容来实现的。对反复出现的个人需求类型的关注，以及针对个性化干预措施的明确策略，有可能加强成人脊髓损伤患者的压疮预防工作。这篇继续教育文章是为有兴趣了解全面的，上下文敏感的，基于社区的压疮预防计划的从业者而写的，该计划适用于脊髓损伤患者。描述一些在社区中增加脊髓损伤患者压疮风险的背景因素。区分量身定制的干预方法和个性化干预方法。确定在为脊髓损伤患者设计情景敏感型、基于社区的压疮预防计划时必须考虑的问题。描述可用于个体化人工干预的方法。阅读本文后，读者应该能够：
To sensitize practitioners working with individuals with spinal cord injury to the complex life circumstances that are implicated in the development of pressure ulcers, and to document the ways that interventions can be adapted to target individual needs. Content analysis of weekly fidelity/ quality control meetings that were undertaken as part of a lifestyle intervention for pressure ulcer prevention in community-dwelling adults with spinal cord injury. Four types of lifestyle-relevant challenges to ulcer prevention were identified: risk-elevating life circumstances, communication difficulties, equipment problems, and individual personality issues. Intervention flexibility was achieved by changing the order of treatment modules, altering the intervention content or delivery approach, or going beyond the stipulated content. Attention to recurrent types of individual needs, along with explicit strategies for tailoring manualized interventions, has potential to enhance pressure ulcer prevention efforts for adults with spinal cord injury. This continuing education article is intended for practitioners interested in learning about a comprehensive, context-sensitive, community-based pressure ulcer prevention program for people with spinal cord injury. Describe some of the contextual factors that increase pressure ulcer risk in people with spinal cord injury living in the community. Distinguish between tailored and individualized intervention approaches. Identify the issues that must be taken into account to design context-sensitive, community-based pressure ulcer prevention programs for people with spinal cord injury. Describe approaches that can be used to individualize manualized interventions. After reading this article, the reader should be able to: