Pressure ulcer risk in spinal cord injury: Predictors of ulcer status over 3 years
Pressure ulcer risk in spinal cord injury: Predictors of ulcer status over 3 years
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DOI：
10.1053/mr.2000.3889
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发表时间：
2000-04-01
影响因子：
4.3
通讯作者：
Fuhrer, MJ
中科院分区：
文献类型：
--
作者：
Garber, SL;Rintala, DH;Fuhrer, MJ
目的：确定预测压疮的男性脊髓损伤超过3年periods.Design：纵向，两个面板，队列。设置：Community。Participants：118名男性脊髓损伤。措施：访谈，问卷调查，并在两个阶段，3年内完成体检。获得的信息包括人口统计学和脊髓损伤的特点;溃疡的历史;健康的信念和做法;措施的损害，残疾和残疾;和皮肤integrity.Results：百分之三十一的参与者报告有一个压力性溃疡在12个月前阶段2。在第2阶段前一年自我报告溃疡的一些第1阶段预测因素是脊髓损伤发作时的年龄较小，既往压疮手术，以及在第1阶段前一年存在压疮。在第2阶段的检查中，59%的患者出现溃疡。第1阶段预测的溃疡存在，在第2阶段的考试是相似的自我报告的预测ulcers.Conclusion：个人与确定的预测特征是在更大的风险发展压力溃疡。这些人应该接受额外的干预措施，以降低这种风险。潜在的干预措施包括更系统和更频繁的随访，经常审查压疮预防和管理策略，以及提供所需的个人援助和相关设备。
Objective: To identify predictors of pressure ulcers in men with spinal cord injury over a 3-year period.Design: Longitudinal, two-panel, cohort.Setting: Community.Participants: One hundred eighteen men with spinal cord injury.Measures: Interviews, questionnaires, and physical examinations were completed in two phases, 3 years apart. Information obtained included demographic and spinal cord injury characteristics; ulcer history; health beliefs and practices; measures of impairment, disability, and handicap; and skin integrity.Results: Thirty-one percent of the participants reported having a pressure ulcer in the 12 months before Phase 2. Some Phase 1 predictors of self-reported ulcers in the year before Phase 2 were a younger age at onset of spinal cord injury, previous pressure ulcer surgery, and the presence of a pressure ulcer in the year before Phase 1. On examination at Phase 2, 59% presented with an ulcer. Phase 1 predictors of ulcer presence at Phase 2 examination were similar to predictors for self-reported ulcers.Conclusion: Individuals with the identified predictive characteristics are at greater risk for developing pressure ulcers. These individuals should receive additional interventions to reduce that risk. Potential interventions include more systematic and frequent follow-up, frequent review of pressure ulcer prevention and management strategies, and provision of needed personal assistance and relevant equipment.