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住院医疗和外科手术患者的十字皮下皮肤湿度测量的变化:一个纵向观测子研究
Wendy Chaboyer1, Emma L Harbeck2, Rachel M Walker3
1NHMRC Centre of Research Excellence in Wiser Wound Care, Menzies Health Institute Queensland, School of Nursing and Midwifery, Griffith University, Australia.
International journal of nursing studies
|June 27, 2023
概括
对压力损伤风险的皮下湿度三角值测量在五天内没有变化. 年龄和预防性敷料的使用没有影响这些测量,这表明一种一致的风险评估方法.
科学领域:
- 医疗器械 医疗器械
- 护理 护理 护理
- 临床风险评估临床风险评估
背景情况:
- 传统的压力伤害风险评估工具存在局限性.
- 皮下湿度 (SEM) 测量是一种新兴的方法,用于检测局部并评估风险.
- 这项研究调查了住院患者SEM测量的每日变化.
研究的目的:
- 为了评估五天内阴道下皮层湿度三角形测量的每日变化.
- 确定患者年龄是否影响这些SEM测量.
- 为了确定预防性神圣带的使用是否会影响SEM三角形测量.
主要方法:
- 一项纵向观察性子研究对住院的成人患者进行,这些患者有压力损伤的风险.
- 每天用SEM 200装置测量骨下皮层水分,长达五天.
- 计算了三角值 (最高和最低测量之间的差异),≥0.60被认为是异常的.
主要成果:
- 在为期五天的研究期间,没有观察到神圣下皮层湿度三角值测量的统计学意义上的变化.
- 年龄的增加没有影响皮下湿度三角形测量.
- 预防性敷料的使用没有影响皮下湿度三角形测量.
结论:
- 皮下湿度三角值测量在五天内保持稳定,不受年龄或预防性带使用的影响.
- 对解释异常SEM delta的细微方法可以优化压力伤害预防资源分配.
- 大约25-50%的患者可能会从基于对SEM数据的精细解释的额外预防策略中受益.
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