Impact of Pressure Ulcers on Individuals Living With a Spinal Cord Injury
Impact of Pressure Ulcers on Individuals Living With a Spinal Cord Injury
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DOI：
10.1016/j.apmr.2014.08.003
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发表时间：
2014-12-01
影响因子：
4.3
通讯作者：
Noreau, Luc
中科院分区：
文献类型：
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作者：
Lala, Deena;Dumont, Frederic S.;Noreau, Luc
目的：描述压疮对脊髓损伤(SCI)患者参与日常活动和社区活动的能力、卫生保健利用和总体生活质量的影响。设计：横断面研究。设置：全国性调查。参与者：1137名创伤性脊髓损伤患者(N=1137)，伤后1年，生活在社区。其中，381人(33.5%，95%可信区间，30.8%-36.3%)在过去12个月内患有压疮。干预措施：不适用。主要观察指标：为Rick Hansen脊髓损伤登记社区随访调查2.0版制定的措施。结果：在381名压疮患者中，65.3%的人报告他们的压疮在不同程度上减少了他们的活动。压疮降低了脊髓损伤患者参与26项社区活动和日常活动中的19项的能力。有1个或2个压疮的个体比无压疮的个体对自己参与主要活动的能力更不满意(P=0.0077)。压疮患者向家庭医生、护士、职业治疗师和伤口护理护士/专科医生咨询的次数也显著增加(P
Objective: To describe the impact of pressure ulcers on the ability to participate in daily and community activities, health care utilization, and overall quality of life in individuals living with spinal cord injury (SCI).Design: Cross-sectional study.Setting: Nationwide survey.Participants: Participants (N=1137) with traumatic SCI who were >1 year postinjury and living in the community were recruited. Of these, 381 (33.5%, 95% confidence interval, 30.8%-36.3%) had a pressure ulcer over the last 12 months.Interventions: Not applicable.Main Outcome Measures: Measures developed for the Rick Hansen Spinal Cord Injury Registry Community Follow-up Survey Version 2.0.Results: Of the 381 individuals with pressure ulcers, 65.3% reported that their pressure ulcer reduced their activity to some extent or more. Pressure ulcers reduced the ability of individuals with SCI to participate in 19 of 26 community and daily activities. Individuals with 1 or 2 pressure ulcers were more dissatisfied with their ability to participate in their main activity than those without pressure ulcers (P=.0077). Pressure ulcers were also associated with a significantly higher number of consultations with family doctors, nurses, occupational therapists, and wound care nurses/specialists (P