Pressure ulcer prevalence, incidence and associated risk factors in the community.

Decubitus Pub Date : 1993-09-01
B A Oot-Giromini
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Abstract

This study examined the prevalence and incidence of pressure ulcers as well as associated risk factors in the community. By using the Web of Causation and the Braden conceptual schema, barriers to effective interventions were identified and analyzed. The Web of Causation for pressure ulcer development includes socioeconomic factors and personal belief systems. It also includes the following risk factors: mobility, activity, moisture, nutrition, friction, shear, and altered sensory perception. There were 103 participants in this study. Data gathered by public health nurses included occurrence, risk assessment score, and demographics. Significant demographics for the pressure ulcer group included age greater than 70 years and diagnoses related to altered mobility, activity, and circulatory status. Pressure ulcer patients who were incontinent accounted for 73% of the total, with urinary incontinence accounting for 33%. There were 1.4 ulcers per patient. Most of the ulcers (78%) occurred on the sacral/coccygeal area and were either Stage II or Stage III. The prevalence rate of pressure ulcers in the community was 29% and the incidence rate was 16.5%.

社区压疮患病率、发病率及相关危险因素分析。
本研究调查了社区中压疮的患病率和发病率以及相关的危险因素。利用因果关系网和布雷登概念图式,识别和分析了有效干预的障碍。压疮发展的因果网络包括社会经济因素和个人信仰系统。它还包括以下危险因素:流动性、活动、湿度、营养、摩擦、剪切和感官知觉改变。这项研究共有103名参与者。公共卫生护士收集的数据包括发生率、风险评估评分和人口统计数据。压疮组的重要人口统计数据包括年龄大于70岁,诊断与活动能力、活动和循环状况的改变有关。压疮合并尿失禁者占73%,尿失禁者占33%。每个患者有1.4个溃疡。大多数溃疡(78%)发生在骶骨/尾骨区域,为II期或III期。社区压疮患病率为29%,发病率为16.5%。
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