一项国际流行病学调查样本中肤色与压伤严重程度的关系

IF 3.7 2区医学 Q1 NURSING

Nursing Outlook Pub Date : 2025-09-10 DOI:10.1016/j.outlook.2025.102541

Cynthia M. LaFond PhD, RN, FAAN , Susan Solmos PhD, RN, CWCN , Ana Cristina Perez Moreno MD, PhD , Collin Miller MS, MSW , Poching DeLaurentis PhD , Vallire Hooper PhD, RN, FAAN , Mary Sitterding PhD, RN, FAAN , Maureen Chadwick PhD, RN, NE-BC

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引用次数: 0

摘要

几十年的研究表明，黑人个体比其他种族/民族群体经历更高的阶段压力性损伤（pi）。研究人员主要将差异归因于深色肤色的早期损伤难以可视化。然而，很少有人真正测量过肤色。目的本研究利用国际PI流行率数据库，探讨僧肤色量表评估与PI分期的关系。方法采用医院获得性和社区获得性PI分期的多元logistic回归模型，控制常见协变量。中等dst （Monk 06-10）与发展为2期或3期PI与1期PI的相对风险相关。结论最近的文献结合研究结果表明，肤色研究存在广泛的差距。需要全面的努力。领导者必须确定研究重点，制定政策，并在教育和实践中树立标准，以促进不同肤色的代表性。

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Association of skin tone and pressure injury severity in an international prevalence survey sample

Background

Decades of research show that individuals who are Black experience higher-stage pressure injuries (PIs) than other racial/ethnic groups. Investigators primarily attribute differences to difficulty visualizing early injury in dark skin tones. Yet, few have actually measured skin tone.

Purpose

This novel study examined the relationship between Monk Skin Tone Scale assessments and PI stage using an international PI prevalence database.

Methods

Multinomial logistic regression models for hospital-acquired and community-acquired PI stage were employed, controlling for common covariates.

Discussion

Medium–DST (Monk 06–10) were associated with a two- to fourfold relative risk of developing a stage 2 or stage 3+ PI versus stage 1.

Conclusion

Recent literature combined with study results indicates a widespread skin tone-research gap. Comprehensive efforts are needed. Leaders must set research priorities, shape policy, and model standards in education and practice that promote representation across the spectrum of human skin tones.

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来源期刊

Nursing Outlook 医学-护理

CiteScore

6.20

自引率

7.00%

发文量

109

审稿时长

25 days

期刊介绍： Nursing Outlook, a bimonthly journal, provides innovative ideas for nursing leaders through peer-reviewed articles and timely reports. Each issue examines current issues and trends in nursing practice, education, and research, offering progressive solutions to the challenges facing the profession. Nursing Outlook is the official journal of the American Academy of Nursing and the Council for the Advancement of Nursing Science and supports their mission to serve the public and the nursing profession by advancing health policy and practice through the generation, synthesis, and dissemination of nursing knowledge. The journal is included in MEDLINE, CINAHL and the Journal Citation Reports published by Clarivate Analytics.