NURSING ASSESSMENT OF PRESSURE SORE RISK IN THE ELDERLY

老年人压疮风险的护理评估

• 批准号: 3419835
• 负责人: NANCY I. BERGSTROM
• 金额: --
• 依托单位: UNIVERSITY OF NEBRASKA MEDICAL CENTER
• 依托单位国家: 美国
• 财政年份: 1984
• 资助国家: 美国
• 起止时间: 1984-09-28 至 1987-09-27
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/3419835
• 关键词: blood chemistry; caloric dietary content; decubitus ulcer; dietary calcium; dietary carbohydrates; dietary constituent; dietary iron; dietary lipid; dietary mineral; dietary proteins; dietary trace element; dietetics; disease /disorder proneness /risk; extended care; geriatric nursing; hospital patient care; human old age (65+); human subject; niacin; nurses; nursing diagnosis; nursing homes; nursing intervention; nursing research; nutrition disorder diagnosis; nutrition related tag; retinoids; riboflavin; thiamine; vitamin D; water drinking behavior

The long-term objectives of this project are to develop and test nursing interventions aimed at reducing nutritional and other risk factors and to prevent pressure sores in specific at-risk patients. The specific aim of this study is to improve nursing assessment of elderly nursing home residents by determining what nutritional and other risk factors are most highly predictive of the development of pressure sores in this population. Subjects will be: (a) over 65 years of age; (b) admitted to a long-term care facility for at least 21-28 days; (c) at risk for the development of pressure sores as defined by a score of less than 2/3 of the possible points on the Braden Scale for prediction of risk of developing pressure sores; and (d) free of pressure sores at the outset of the study. A prospective study is proposed. Subjects will be studied at the following time intervals: (1) admission to the study; (2) weekly for one month (days 7, 14, 21, 28); (3) biweekly for two months (days 42, 56, 70, 84); (4) at the first report of erythema over a bony prominence (if this occurs); and (5) one week following skin breakdown. At each time interval the subjects: (a) will be assessed for risk of skin breakdown; (b) will be observed for 24-hour diet intake; (c) will have a blood sample withdrawn; and (d) will have physical status information recorded from the records. Dietary intake will be analyzed for the following nutrients: calories, protein, carbohydrate, fat, calcium, phosphorus, iron, vitamins A, D, C, thiamine, riboflavin, niacin, cholesterol, sodium, and water. Blood samples will be analyzed for CBC, serum albumin, total serum protein, vitamin C, total iron, and total iron binding capacity. Clinical data about dietary and plasma zinc may also be obtained.

该项目的长期目标是开发和测试护理 旨在减少营养和其他风险因素的干预措施 预防特定高危患者的压疮。的具体目的 本研究旨在提高老年养老院的护理评价水平。 通过确定哪些营养和其他风险因素是最大的 对这一人群中压疮的发展具有高度预测性。 科目将是：(A)65岁以上；(B)长期来港 至少21-28天的护理设施；(C)有可能发展为 压疮的定义是得分低于可能得分的2/3 关于开发压力风险预测的Braden量表的要点 (D)在研究开始时没有压疮。一个 提出了前瞻性研究的建议。这些科目将在以下课程中学习 时间间隔：(1)进入研究；(2)每周，为期一个月(天) 7、14、21、28)；(3)为期两个月的两周一次(第42、56、70、84天)；(4) 首次报告骨性隆起出现红斑(如果发生这种情况)； (5)皮肤破裂后一周。在每个时间间隔， 主题：(A)将评估皮肤破裂的风险；(B)将 观察24小时饮食摄入量；(C)将抽取血液样本； 以及(D)将从记录中记录物理状态信息。 饮食摄入量将分析以下营养素：卡路里， 蛋白质、碳水化合物、脂肪、钙、磷、铁、维生素A、D、C 硫胺素、核黄素、烟酸、胆固醇、钠和水。血样 样本将分析CBC，血清白蛋白，总血清蛋白， 维生素C、总铁和总铁结合力。临床资料 关于膳食和血浆锌也可以获得。