Immobility - a major risk factor for development of pressure ulcers among adult hospitalized patients: a prospective study
Immobility - a major risk factor for development of pressure ulcers among adult hospitalized patients: a prospective study
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DOI：
10.1046/j.0283-9318.2003.00250.x
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发表时间：
2004-03-01
影响因子：
1.9
通讯作者：
Ek, AC
中科院分区：
文献类型：
--
作者：
Lindgren, M;Unosson, M;Ek, AC
目的：为了确定与压疮的发展成人住院的内科和外科patients.Design：一项前瞻性的比较研究，包括530名成人患者从内科和外科病房的危险因素。注册护士在入院时收集数据，每周一次，持续12周。使用的风险评估量表是风险评估压疮（RAPS）规模，包括以下变量：一般身体状况，活动，流动性，水分，食物摄入量，液体摄入量，感觉，摩擦和剪切，体温和血清白蛋白。最常见的压疮是非发白性红斑。与非压疮患者相比，发生压疮的患者年龄明显较大，住院时间较长，总RAPS量表评分较低，体重较低，舒张压较低。在使用RAPS量表中包含的变量进行的多元Logistic回归分析中，不动性成为一个强有力的风险因素。当添加剩余的显着变量的分析，流动性，住院时间，年龄，手术治疗和体重被发现是压疮development.Conclusion的危险因素：它被证实，不动是一个危险因素，主要重要的成年住院患者之间的压疮发展。结果还表明，RAPS量表可能是有用的预测压疮的发展在临床实践中。
Objective: To identify risk factors associated with pressure ulcer development among adult hospitalized medical and surgical patients.Design: A prospective comparative study including 530 adult patients from medical and surgical wards. Registered Nurses made the data collection on admission and once a week for up to 12 weeks. The risk assessment scale used was the Risk Assessment Pressure Sore (RAPS) scale, including the following variables; general physical condition, activity, mobility, moisture, food intake, fluid intake, sensory perception, friction and shear, body temperature and serum albumin.Results: Sixty-two (11.7%) patients developed 85 pressure ulcers. The most common pressure ulcer was that of nonblanchable erythema. Patients who developed pressure ulcers were significantly older, hospitalized for a longer time, had lower scores on the total RAPS scale, had lower weight and lower diastolic blood pressure than nonpressure ulcer patients did. In the multiple logistic regression analyses using variables included in the RAPS scale immobility emerged as a strong risk factor. When adding remaining significant variables in the analyses, mobility, time of hospitalization, age, surgical treatment and weight were found to be risk factors for pressure ulcer development.Conclusion: It is confirmed that immobility is a risk factor of major importance for pressure ulcer development among adult hospitalized patients. The results also indicate that the RAPS scale may be useful for prediction of pressure ulcer development in clinical practice.