Impact of Pressure Ulcers on Quality of Life in Older Patients: A Systematic Review
Impact of Pressure Ulcers on Quality of Life in Older Patients: A Systematic Review
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DOI：
10.1111/j.1532-5415.2009.02307.x
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发表时间：
2009-07-01
影响因子：
6.3
通讯作者：
Nixon, Jane
中科院分区：
文献类型：
--
作者：
Gorecki, Claudia;Brown, Julia M.;Nixon, Jane
目的：确定压力性溃疡（PU）和PU干预对健康相关生活质量（HRQL）的影响。方法：根据直接患者报告，对报告PU和PU干预对HRQL影响的主要研究进行系统综述和荟萃分析。制定并实施了质量评估标准。数据提取以直接引用患者或问卷项目和域结果的形式确定结果。定性和定量研究相结合的合成进行了内容分析，以产生类别和主题的调查结果。检索了13个电子数据库，并进行了手工检索、交叉引用、与专家联系和在线检索。没有语言限制。研究背景在欧洲、美国、亚洲和澳大利亚的急性、社区和长期护理环境中的PU成人。参与者包括2，463名PU参与者的31项研究纳入本综述。年龄从17岁到96岁不等。该综述包括10项定性研究和21项定量研究; 293项发现，46个类别和11个主题。11个HRQL的主题是物理影响，社会影响，心理影响，PU症状，一般健康，和其他影响的PU：医疗保健专业人士与客户的关系，需要与干预措施的效果，对他人的影响，经济影响，感知的病因，和需要的knows. CONCLUSION有证据表明，PU和PU干预措施对HRQL有显着的影响，并造成重大负担的患者。
OBJECTIVESTo identify the impact of pressure ulcers (PUs) and PU interventions on health-related quality of life (HRQL).DESIGNSystematic review and metasynthesis of primary research reporting the impact of PU and PU interventions on HRQL according to direct patient reports. Quality assessment criteria were developed and applied. Data extraction identified findings in the form of direct quotes from patients or questionnaire items and domain results. Combined synthesis of qualitative and quantitative research was performed using content analysis to generate categories and themes from findings. Thirteen electronic databases were searched, and hand searching, cross-referencing, contact with experts, and an online search was undertaken. No language restrictions were applied.SETTINGAdults with PUs in acute, community, and long-term care settings across Europe, the United States, Asia, and Australia.PARTICIPANTSThirty-one studies including 2,463 participants with PUs were included in the review. Ages ranged from 17 to 96.RESULTSThe review included 10 qualitative and 21 quantitative studies; 293 findings, 46 categories, and 11 themes emerged. The 11 HRQL themes were physical impact, social impact, psychological effect, PU symptoms, general health, and other impacts of PUs: healthcare professional-client relationships, need for versus effect of interventions, impact on others, financial impact, perceived etiology, and need for knowledge.CONCLUSIONThere is evidence that PUs and PU interventions have a significant impact on HRQL and cause substantial burden to patients.