Pressure Sore Risk Management in Children with Cerebral Palsy: Local and Whole Body Thermoregulation Strategies, Material Interface and Care Protocols

脑瘫儿童压疮风险管理：局部和全身体温调节策略、材料界面和护理方案

• 批准号: 462258-2014
• 负责人: Falk, Bareket
• 金额: $ 7.75万
• 依托单位: Brock University
• 依托单位国家: 加拿大
• 项目类别: Collaborative Health Research Projects
• 财政年份: 2015
• 资助国家: 加拿大
• 起止时间: 2015-01-01 至 2016-12-31
• 项目状态: 已结题
• 来源: https://www.nserc-crsng.gc.ca/ase-oro/Details-Detailles_eng.asp?id=576855
• 关键词: Pressure; Sore; Risk; Management; Children

Pressure sores in wheelchair-bound patients are painful, may cause serious infections, impair quality of life for children and their families, and are expensive to the health-care system (Pham et al. 2011). Children with cerebral palsy (CP) have relatively high metabolic rates due to muscle spasticity. This, combined with being wheelchair-bound for all or most of the day and with a reduced skin surface area available for sweat evaporation (Moreau et al. 2002, Majd et al. 1997), escalates skin maceration (wetness) and increases the risks for pressure sores (McCaskey & Gerdes, 2011; Johnson et al. 1995). Presently, no accepted care protocols exist aimed at reducing skin maceration and the concomitant risk of pressure sores among wheelchair-bound children with CP. This project will examine the factors putting wheelchair-bound children with CP at risk for pressure sores. Factors such as CP-specific temperature regulation challenges, wheelchair-seat interfaces and seat technologies, along with appropriate care protocols will be studied to determine how they contribute to the development of pressure sores in this vulnerable population. The results will lead to novel and innovative interface technologies (i.e., body-seat interface application); They will also inform guidelines for health-care providers, physiotherapists, coaches, teachers and parents, aimed at reducing the risk of pressure sores in children with CP and other wheelchair-bound populations. By reducing the risk of pressure sores, families impacted by CP will be better able to manage the care of their children, lessen the adverse effects of the disability and attain a vastly improved quality of life for the children and their families.

坐轮椅的病人的压疮是痛苦的，可能会导致严重的感染，损害儿童的生活质量， 他们的家庭，并昂贵的医疗保健系统（Pham等人2011）。小儿脑瘫（CP）的治疗方法 由于肌肉痉挛，代谢率相对较高。这一点，再加上所有或大部分时间都坐在轮椅上， 并且可用于汗液蒸发的皮肤表面积减少（Moreau等人，2002，Majd等人，1997）， 皮肤浸渍（潮湿）并增加压疮的风险（McCaskey & Gerdes，2011;约翰逊等人，1995）。 目前，还没有公认的旨在减少皮肤浸渍和随之而来的压疮风险的护理方案 在患有脑瘫的轮椅儿童中。这项研究将探讨导致使用轮椅的儿童患上脑瘫的因素 有压疮的危险诸如CP特定温度调节挑战、轮椅-座椅接口和 座椅技术，沿着适当的护理协议，将进行研究，以确定它们如何有助于发展 褥疮的发病率。结果将导致新颖和创新的接口技术（即， 身体-座椅接口应用）;它们还将为医疗保健提供者、理疗师、教练， 教师和家长，旨在减少患脑瘫和其他轮椅儿童压疮的风险， 人口。通过降低压疮的风险，受CP影响的家庭将能够更好地管理他们的护理。 儿童，减轻残疾的不利影响，大大提高儿童及其 家庭