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Schultz A 《AORN journal》2005,81(5):985-988
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- PRESSURE ULCERS, regardless of their origin, represent negative outcomes for patients, including pain, additional treatments and surgery, longer hospital stays, disfigurement or scarring, increased morbidity, and increased costs.
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- THE OR IS A HIGH-RISK environment for the development of pressure ulcers. Preoperative identification of patients at risk for pressure ulcer development is imperative if cost-effective, evidence-based preventive measures are to be implemented.
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- THIS ARTICLE PRESENTS a review of the literature pertaining to pressure ulcer development in surgical patients. Recommendations for future research and implications for practice are provided. AORN J 81 (May 2005) 986-1006.
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Aiello-Laws LB 《Clinical journal of oncology nursing》2010,14(6):687-691
The Joint Commission publishes its annual National Patient Safety Goals to guide accredited organizations in addressing high-risk, low-volume concerns related to patient safety. The 2010 list includes a goal to identify patients at risk for suicide, but do oncology nurses need to be concerned about the risk of suicide in patients with cancer? 相似文献
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New guidance on the prevention and management of pressure ulcers has been developed collaboratively by the National Institute for Health and Clinical Excellence (NICE) and the Royal College of Nursing. Julie Stevens and Will Gray provide the background to its development and discuss the key recommendations. 相似文献
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Duimel-Peeters IG J G Halfens R Ambergen AW Houwing RH P F Berger M Snoeckx LH 《International journal of nursing studies》2007,44(8):1285-1295
Background
Although guidelines advise against massage, it is one of the methods widely regarded and used by nurses to prevent pressure ulcers (PU).Objectives
The purpose of this study was to examine the effectiveness of different variations of massage in preventing pressure ulcers.Methods
A randomized, double-blind cross-over design, in which patients of nursing homes who are prone to PU underwent two of the three possible interventions; ‘position changes only’, ‘massaging with an indifferent cream’ and ‘massaging with a dimethyl sulfoxide (DMSO) cream’.Results
The results of three interventions did not differ significantly. DMSO did not fulfil the expectations raised by literature and a previous pilot-study. 相似文献11.
Mildred G. Kemp Daniel Kopanke Lydia Tordecilla Louis Fogg Susan Shott Valerie Matthiesen Bethsheba Johnson 《Research in nursing & health》1993,16(2):89-96
Nurses caring for elderly patients often need to select support surfaces that reduce the likelihood of pressure ulcers, but there is little information about the effectiveness of different support surfaces. This randomized trial compared two support surfaces and investigated patient attributes related to the risk of developing a pressure ulcer. Eighty-four elderly patients were nursed on a convoluted or solid foam overlay and assessed three times a week for pressure ulcers. Stepwise Cox proportional hazards regression revealed a statistically significant relationship between the risk of developing a pressure ulcer and the variables mobility and type of support surface. © 1993 John Wiley & Sons, Inc. 相似文献
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BACKGROUND: Critically ill patients are at high risk for pressure ulcers. OBJECTIVES: To determine the contributions of the Braden subscales in predicting pressure ulcers in critically ill patients and to investigate how often the Braden scale should be completed to assess the risk for pressure ulcers in critically ill patients. METHOD: The Braden scale was used to assess repeatedly 136 adult patients without pressure ulcers in a medical intensive care unit, a surgical intensive care unit, and a noninvasive respiratory care unit, and the patients' skin was inspected routinely for pressure ulcers. RESULTS: A total of 36 pressure ulcers, most commonly on the sacrum or coccyx and the heels (15 stage 1, 20 stage 2, 1 stage 3), developed in 17 patients (12%). In 14 (82%) of the 17, the ulcers developed within 72 hours of admission to the intensive care unit. The risk for pressure ulcers increased as the mean sensory perception (P = .01) and the mean total Braden (P = .046) scores decreased. The mean sensory perception scores obtained at 12 and 36 hours after admission also had a significant relationship to the risk for pressure ulcers (P = .03). CONCLUSIONS: Patients in intensive care units have an increased risk for pressure ulcers. Although waiting until 12 hours after a patient's admission to the intensive care unit to obtain the initial Braden rating may be reasonable (with the second rating obtained 36 hours after admission), additional research is needed before this practice can be recommended. 相似文献
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[目的]探讨Braden压疮风险评估量表在重症监护室(ICU)病人压疮预防中的应用.[方法]将2009年1月-12月ICU收治的1086例病人作为对照组,采取2h翻身1次、气垫床减压等护理措施;将2010年1月-12月ICU收治的1165例病人作为干预组,根据Braden压疮风险评估量表评分结果制定压疮预防与治疗方案.比较两组病人住院期间压疮的发生率.[结果]对照组压疮发生率为1.10%,干预组为0.26%,两组发生率比较,差异有统计学意义(P<0.05).[结论]ICU病人护理中应用Braden压疮风险评估量表,并根据评估结果实施干预能提高预防压疮的有效性. 相似文献
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Braden压疮风险评估量表在ICU病人压疮管理中的应用 总被引:1,自引:0,他引:1
[目的]探讨Braden压疮风险评估量表在重症监护室(ICU)病人压疮预防中的应用。[方法]将2009年1月-12月ICU收治的1086例病人作为对照组,采取2h翻身1次、气垫床减压等护理措施;将2010年1月-12月ICU收治的1165例病人作为干预组,根据Braden压疮风险评估量表评分结果制定压疮预防与治疗方案。比较两组病人住院期间压疮的发生率。[结果]对照组压疮发生率为1.10%,干预组为0.26%,两组发生率比较,差异有统计学意义(P〈0.05)。[结论]ICU病人护理中应用Braden压疮风险评估量表,并根据评估结果实施干预能提高预防压疮的有效性。 相似文献
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du Toit J 《The Practitioner》2006,250(1689):6-8, 11, 13, 16
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《Postgraduate medicine》2013,125(4):6-34
PREVIEWGenetic syndromes that convey a significant risk of breast cancer are responsible for a small but significant percentage of these cancers. However, the vast majority of breast cancers occur in women with no family history of the disease. Nongenetic risk factors include age, previous breast disease, breast tissue density, radiation exposure, and lifestyle factors, such as weight, exercise, and alcohol consumption. In this article, the authors outline genetic and other risk factors for breast cancer, explore risk-reduction strategies, and encourage primary care physicians to assess breast cancer risk in all their patients. 相似文献