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Prevention for the 90s--accountability. 90年代的预防——问责制。
Decubitus Pub Date : 1992-05-01
K Olshansky
{"title":"Prevention for the 90s--accountability.","authors":"K Olshansky","doi":"","DOIUrl":"","url":null,"abstract":"","PeriodicalId":77095,"journal":{"name":"Decubitus","volume":"5 3","pages":"8"},"PeriodicalIF":0.0,"publicationDate":"1992-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"12763750","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Preventing pressure ulcers. A patient's guide. Agency for Health Care Policy And Research. 预防压疮。病人指南。卫生保健政策和研究机构。
Decubitus Pub Date : 1992-05-01
{"title":"Preventing pressure ulcers. A patient's guide. Agency for Health Care Policy And Research.","authors":"","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>These guidelines provide an easy-to-follow format for patients and their families to be active in preventing pressure ulcers. The definition of pressure ulcers, where they form, and risk factors are described. Key steps in prevention of each risk factor and care to be expected for each risk factor are presented along with additional resources.</p>","PeriodicalId":77095,"journal":{"name":"Decubitus","volume":"5 3","pages":"34-5, 38, 40"},"PeriodicalIF":0.0,"publicationDate":"1992-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"12763744","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
A clinical comparison of two pressure-reducing surfaces in the management of pressure ulcers. 两种减压面在压疮治疗中的临床比较。
Decubitus Pub Date : 1992-05-01
D J Warner
{"title":"A clinical comparison of two pressure-reducing surfaces in the management of pressure ulcers.","authors":"D J Warner","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>The purpose of this study was to compare the clinical outcomes of pressure ulcers treated on a low-air loss bed and a foam mattress with loose-fitting top cover. The two-group, non-randomized study design consisted of a convenience sample of 20 subjects: 10 subjects treated on the low-air loss bed and 10 subjects treated on the foam mattress with loose-fitting top cover. Subjects were selected from among patients located in the medical/surgical, critical care, and the skilled nursing units of a metropolitan public teaching hospital. Descriptive data, laboratory data, pressure ulcer transparency drawing, and pressure ulcer photographs were obtained on each subject every seven days from two to four weeks. A one-way analysis of variance indicated that there was no statistically significant difference in the pressure ulcer outcomes of subjects treated on the low-air loss bed (Mediscus) compared to the pressure ulcer outcomes of subjects treated on the foam mattress with loose-fitting top cover (Comfortex). Analysis of covariance further indicated no statistically significant difference in the pressure ulcer outcome of subjects treated on either pressure-relieving surface according to the subjects': a) age, percent ideal body weight, presence of pressure ulcer infection; b) leukocyte count, total lymphocyte count, and albumin level; and c) level of sensory perception, moisture, activity, mobility, nutrition, friction, and shear. Results from this study indicate that the low-air loss bed and foam mattress with loose-fitting top cover provide comparable pressure ulcer outcomes. Implications for nursing and recommendations for further study are included in the text.</p>","PeriodicalId":77095,"journal":{"name":"Decubitus","volume":"5 3","pages":"52-5, 58-60, 62-4"},"PeriodicalIF":0.0,"publicationDate":"1992-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"12763746","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Changing trends in the management of pelvic pressure ulcers: a 12-year review. 盆腔压疮治疗的变化趋势:12年回顾。
Decubitus Pub Date : 1992-05-01
J P Anthony, W T Huntsman, S J Mathes
{"title":"Changing trends in the management of pelvic pressure ulcers: a 12-year review.","authors":"J P Anthony,&nbsp;W T Huntsman,&nbsp;S J Mathes","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>The purpose of this study was to evaluate the effect of a preferential shift toward increased use of muscle flap coverage for surgically treated Stage IV pelvic pressure ulcers. Patients treated from 1979-1990 were studied since 1979. Muscle flap use increased from 57% to 100% of surgically treated cases. Over this same period the number of operations per ulcer declined from 1.9 to 1.1 and the time to complete healing dropped from 12.8 to 4.8 weeks. While other factors (including advances in supportive care) have also played a role, increasing use and familiarity with muscle flap has been largely responsible for these improvements.</p>","PeriodicalId":77095,"journal":{"name":"Decubitus","volume":"5 3","pages":"44-7, 50-1"},"PeriodicalIF":0.0,"publicationDate":"1992-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"12763745","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
AHCPR guidelines available. AHCPR指南可用。
Decubitus Pub Date : 1992-05-01
R Abruzzese
{"title":"AHCPR guidelines available.","authors":"R Abruzzese","doi":"","DOIUrl":"","url":null,"abstract":"","PeriodicalId":77095,"journal":{"name":"Decubitus","volume":"5 3","pages":"6"},"PeriodicalIF":0.0,"publicationDate":"1992-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"12763747","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Portrait of practice: reducing the prevalence of pressure ulcers. 实践画像:减少压疮的患病率。
Decubitus Pub Date : 1992-03-01
B Bodnar, P Myron
{"title":"Portrait of practice: reducing the prevalence of pressure ulcers.","authors":"B Bodnar,&nbsp;P Myron","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>Pressure ulcer prevention and maintenance strategies at a 650-bed tertiary care hospital with a high risk population of patients have resulted in a low prevalence of pressure ulcers (3% to 5%). The steps in achieving a reduction in pressure ulcers were: 1) identification of high risk patients in the institution; 2) updating of knowledge through literature review and attendance at conferences; 3) adoption of a risk assessment scale; 4) standardization of protocols concerning pressure reducing support surfaces, nutritional support, and incontinence strategies; and 5) periodic audits for continuous quality management. This portrait of practice may be similar to other hospitals throughout the country. The future pressure ulcer projects will be enhanced by the recent establishment of an Institute of Nursing Research and Education.</p>","PeriodicalId":77095,"journal":{"name":"Decubitus","volume":"5 2","pages":"49-52"},"PeriodicalIF":0.0,"publicationDate":"1992-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"12726715","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
One person with enthusiasm. 一个充满热情的人。
Decubitus Pub Date : 1992-03-01
R Abruzzese
{"title":"One person with enthusiasm.","authors":"R Abruzzese","doi":"","DOIUrl":"","url":null,"abstract":"","PeriodicalId":77095,"journal":{"name":"Decubitus","volume":"5 2","pages":"6"},"PeriodicalIF":0.0,"publicationDate":"1992-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"12726717","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Reply to Mr. Graebe's letter on Guin and heel pressure. 回复格雷布先生关于奎恩和脚跟压力的信。
Decubitus Pub Date : 1992-03-01
J S VanDyke
{"title":"Reply to Mr. Graebe's letter on Guin and heel pressure.","authors":"J S VanDyke","doi":"","DOIUrl":"","url":null,"abstract":"","PeriodicalId":77095,"journal":{"name":"Decubitus","volume":"5 2","pages":"10"},"PeriodicalIF":0.0,"publicationDate":"1992-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"12726711","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Descriptive study of the use of a specialty bed in the United Kingdom. 英国专业病床使用情况的描述性研究。
Decubitus Pub Date : 1992-03-01
M St Clair
{"title":"Descriptive study of the use of a specialty bed in the United Kingdom.","authors":"M St Clair","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>A survey of 788 patients on a specialty support surface, Pegasus Airwave System, in 119 hospitals or hospices in the United Kingdom during February and March 1991 provided the largest database on the current pattern of use of any pressure-relieving mattress. Fifty-four percent (n = 428) of the patients had established pressure ulcers. Seventy-nine percent (n = 261) of the patients on the specialty support surface for longer than five days showed visible signs of improvement. Nurses and patients expressed satisfaction with the support surface.(ABSTRACT TRUNCATED AT 250 WORDS)</p>","PeriodicalId":77095,"journal":{"name":"Decubitus","volume":"5 2","pages":"28-30, 32, 36 passim"},"PeriodicalIF":0.0,"publicationDate":"1992-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"12726713","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Portrait of practice: developing a systematic approach for the management of pressure ulcers. 实践的肖像:开发压疮管理的系统方法。
Decubitus Pub Date : 1992-03-01
T C Lackey, B E Bickford, K P Howe
{"title":"Portrait of practice: developing a systematic approach for the management of pressure ulcers.","authors":"T C Lackey,&nbsp;B E Bickford,&nbsp;K P Howe","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>Pressure ulcer management is an increasingly serious problem for the healthcare industry. It is necessary for acute care facilities to examine the benefits of developing a comprehensive skin care protocol for pressure ulcer management. Increased and continuous staff awareness produces quality patient care and cost effectiveness. The description of the development, use, and auditing of a skin care protocol by Western Reserve Care System is representative of many institutions across the country.</p>","PeriodicalId":77095,"journal":{"name":"Decubitus","volume":"5 2","pages":"57-8, 60"},"PeriodicalIF":0.0,"publicationDate":"1992-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"12726716","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
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