ISSN:1076-2191    

出版商:OVID    

年代:1999

数据来源: OVID

ISSN:1076-2191    

出版商:OVID    

年代:1999

数据来源: OVID

ISSN:1076-2191    

出版商:OVID    

年代:1999

数据来源: OVID

ISSN:1076-2191    

出版商:OVID    

年代:1999

数据来源: OVID

ISSN:1076-2191    

出版商:OVID    

年代:1999

数据来源: OVID

摘要:

OBJECTIVE:To ascertain the number of home care patients with wounds, determine the types of wounds being treated in the community, and identify wound care treatments used at home.DESIGN:Descriptive, multisite, collaborative projectSETTING:13 home care agencies located throughout lower Michigan that had voluntarily formed a research consortium. The location of patients visited was 43% urban, 39% suburban, 16% rural, and 2% unaccounted.PATIENTS:Systematic sampling was used to select nurses in each agency to collect data. Nurses (n= 281) recorded information about adult patients visited during the 1 week of the study. Data were recorded about 2847 patients,Mage = 72.5 years. They included 1793 women and 1040 men (gender was not recorded for 14 patients); most patients in the sample (72%) were white.MAIN PLANNED OUTCOMES:A significant number of home visits would include wound care and that wound care would be primarily done with tap water and gauze.RESULTS:Wounds were present in 36.3% of patients. Of the patients with wounds, 58.3% had 1 wound and 41.7% had multiple wounds. Wound types included surgical (62.4%), pressure ulcers (24.9%), and vascular leg ulcers (22.2%). Tap water and gauze were the most‐used wound care treatments. Patients with wounds had significantly longer home care visits than patients without wounds.CONCLUSIONS:Patients with wounds are commonly found in home care. There is a low utilization of specialty dressings and commercial irrigation solutions across all wound types. Nurses who follow patients with wounds may need additional time to provide the care.ADV WOUND CARE 1999;12:117‐26.

ISSN:1076-2191    

出版商:OVID    

年代:1999

数据来源: OVID

摘要:

OBJECTIVE:The purpose of this paper is to review the scientific knowledge about risk factors for pressure ulcer development in the surgical population.DATA SOURCE:A literature review was conducted from 1960 to present using MEDLINE and the key words pressure ulcer, decubitus ulcer, surgery, surgical patient, research, clinical research, and human. All sources were English.STUDY SELECTION:Included were articles that specifically addressed the risk of pressure ulcers in the surgical population and had ulcer formation as an outcome measure.DATA EXTRACTION:All data were reviewed and extracted by the author.DATA SYNTHESIS:The development of pressure ulcers has been explored in only a small proportion of surgical patients. Few groups of surgical patients have been addressed. Major surgical populations potentially at risk because of their immobility, debility, and therapy have not been studied. A portion of the literature is quite old and one issue is whether the older studies are relevant, considering the rate of change in treatment. Pressure relief, seen as the single most important factor in pressure ulcer prevention, is underrepresented in the analysis of factors leading to pressure ulcer development.CONCLUSION:There is limited information about pressure ulcer risk in the preoperative, intraoperative, and postoperative periods. Because the surgical period is defined temporally, and more so than pressure ulcers in the chronically ill, this paradigm must be examined using a time‐based evaluation. The Agency for Health Care Policy and Research guideline for pressure ulcer prevention needs to be tested in surgical patients.ADV WOUND CARE 1999:12:127‐36

ISSN:1076-2191    

出版商:OVID    

年代:1999

数据来源: OVID

摘要:

AbstractZinc deficiency has been associated with delayed wound healing. Because zinc deficiency may be common in the United States, foods rich in zinc, as well as all other essential nutrients, should be promoted in the diet of patients who are malnourished or at risk for malnutrition.

ISSN:1076-2191    

出版商:OVID    

年代:1999

数据来源: OVID

ISSN:1076-2191    

出版商:OVID    

年代:1999

数据来源: OVID