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了解重复性压力损伤:对当前研究和风险因素的范围审查
Li Du1, Ning Wang2, Juhong Pei1
1Evidence-based Nursing Center, School of Nursing, Lanzhou University, #28 Yanxi Road, Chengguan District, Lanzhou, 730000, Gansu, China.
Journal of tissue viability
|March 19, 2025
概括
经常性压力损伤缺乏统一的定义和标准化阶段,发生率差异很大. 关键的危险因素包括白蛋白水平,脊髓损伤和初始的特征.
科学领域:
- 伤口愈合研究研究研究.
- 临床护理 临床护理
- 患者安全 患者安全
背景情况:
- 压力伤害对患者和医疗保健系统构成重大负担.
- 防止重复的压力损伤和二次损伤至关重要.
- 目前的研究主要针对初级压力损伤,不太关注复发.
研究的目的:
- 系统地审查和描述已发表的关于重复性压力损伤现状的研究.
- 确定重复性压力损伤的定义,发病率,常见复发地点,高风险人群和风险因素.
主要方法:
- 采用了一种全面的范围审查方法.
- 在主要数据库 (PubMed,Embase,Web of Science,CINAHL,Cochrane Library) 进行了搜索,直到2024年12月9日.
- 数据提取和选由两个研究人员独立执行.
主要成果:
- 包括28篇文章,主要是在2000年之后发表的.
- 对于复发性压力损伤,没有统一的定义或分期标准.
- 报告的发病率从5.4%到73.6%不等,缺骨是最常见的复发部位.
- 脊髓损伤患者是高风险人群.
- 确定了26个风险因素,包括白蛋白水平,脊髓损伤,年龄,住院时间和的大小,分为五个方面.
结论:
- 发生率的广泛变化凸显了对重复性压力损伤的标准化定义和分阶段标准的需要.
- 复发的危险因素是多因素的,包括个人,社会环境,疾病相关,生理和初始的特征.
- 需要进一步的研究来区分局部片的复发风险因素与整体复发.
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