拉合尔不同医院脊髓损伤患者褥疮的研究

The Healer Journal of Physiotherapy and Rehabilitation Sciences Pub Date : 2023-05-03 DOI:10.55735/hjprs.v3i4.136

Hajra Shahzadi, Mizha Fatima, Talha Ijaz, Mughees Ahmad

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引用次数: 0

摘要

背景:脊髓损伤是一种使人衰弱的神经系统疾病，对患者以及卫生保健系统具有重大的经济、社会和心理负担。脊髓损伤可能是由于脊髓外伤或脊髓功能障碍。压迫性损伤是脊髓损伤患者的主要继发性并发症。目的:本研究的目的是记录脊髓损伤患者褥疮的患病率。方法:这是一项横断面研究，包括114例来自拉合尔各医院的创伤性脊髓损伤或非创伤性脊髓损伤的男性或女性患者，年龄从12岁以下到89岁以上。采用非概率方便抽样技术。在收集数据之前，所有患者都获得了书面同意。压疮评估采用欧洲压疮患病率研究问卷。数据分析采用IBM SPSS STATISTICS-25.0版本。分类变量以频率和百分比表示，使用柱状图或饼状图。结果:114例患者中，男性68例(59.6%)，女性46例(40.4%)。该研究得出结论，58.9%的患者有褥疮溃疡，无论是严重的还是处于PU的第一阶段，这是脊髓损伤的继发性并发症。在114例患者的总样本中，49.9%的参与者有最严重的褥疮溃疡，主要在骶骨，可导致感染，需要手术干预，如清创。一期褥疮见于肘部和背部。结论:本研究中超过一半的患者患有一种或多种压疮，这可能会损害他们的健康和生活质量。在发达国家和发展中国家，压疮很普遍，但是可以预防的。关键词:脊髓损伤，压疮，骶骨

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Decubitus Ulcers in Patients with Spinal Cord Injury in Different Hospitals of Lahore

BACKGROUND: Spinal cord damage is a debilitating nervous disorder that has a significant economic, social, and psychological burden on those who are affected as well as the healthcare system. The spinal cord can be damaged due to either trauma to the cord or spinal cord dysfunctions. Pressure injuries are the leading secondary complication in patients with spinal cord injuries. OBJECTIVE: The purpose of this research was to document the prevalence of decubitus ulcers in spinal cord injury patients. METHOD: It was a cross-sectional study that included a sample of 114 patients either male or female with traumatic spinal cord injury or non-traumatic spinal cord injury with age ranging from less than 12 years to greater than 89 years from various hospitals in Lahore. The sampling technique used was non-probability convenient sampling. Written consent was taken from all patients before the collection of data. Pressure ulcer assessment was done using the European pressure ulcer prevalence study questionnaire. Data were analyzed using the IBM SPSS STATISTICS-25.0 version. Categorical variables were presented as frequencies and percentages, with the use of bar charts or pie charts. RESULTS: Out of 114 patients 68 patients were male (59.6%) and 46 were female (40.4%). This study concluded that 58.9% of patients had decubitus ulcers whether severe or at stage one of PU as a secondary complication of spinal cord injury. From the total sample of 114 patients 49.9% of participants had the most severe decubitus ulcers mostly on the sacrum which can lead to infection and requires surgical interventions such as debridement. Stage 1 decubitus ulcers were seen on the elbow and back. CONCLUSION: More than half of the patients included in this study had one or more pressure ulcers that can be damaging to their health and quality of life. In developed and developing countries pressure ulcers are widespread but are preventable. Key Words: Spinal cord injury, pressure ulcer, sacrum

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The Healer Journal of Physiotherapy and Rehabilitation Sciences

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