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首页> 美国卫生研究院文献>other >FACTORS AFFECTING INFECTED WOUND HEALING IN ELDER OUTPATIENTS WITH PRESSURE ULCERS: A RETROSPECTIVE STUDY
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FACTORS AFFECTING INFECTED WOUND HEALING IN ELDER OUTPATIENTS WITH PRESSURE ULCERS: A RETROSPECTIVE STUDY

机译：影响老年患者褥疮感染伤口愈合的因素：一项回顾性研究

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摘要

Aims: To identify the factors that has an impact on infected pressure ulcers healing among the elder outpatients. Methods: A retrospective study of data from elder outpatients with an infected pressure ulcer was conducted to identify factors that may affect their healing. Data from the elder outpatients between January 1, 2017, and December 31, 2017, in a general hospital in Shanghai, China, who had an infected pressure ulcer that was assessed using the Pressure Ulcer Scale for Healing (PUSH), were abstracted. The following variables were examined: demographic characteristics (gender, age, culture background, marriage status, medical insurance), health status and disease data (chronic diseases, vital signs, mobility, nutrition, diagnosis, medication), laboratory values (albumin, hemoglobin, blood glucose), and pressure ulcer characteristics (stage, location, healing status, duration). Results: One hundred and eleven (158) patient records were identified. Patient mean age was 81.29 ± 9.62 years, the maximum age is 105, and the minimum age is 60. Most ulcers (64; 40.5%) were Stage III and located in the sacral area (87; 16.4%). The incidence of wound infection in elder outpatients with pressure injury was 27.3%. The average score of PUSH was 10.41 ± 3.137. Logistic regression revealed that diabetes, edema and wound duration were risk factors of the wound infection in patients with pressure injury (P<0.05), and regular treatment was a protective factor (P<0.05). Conclusions: Wound infection is a common complication of patients with pressure injury. The elder outpatients with diabetes, edema and long lasting wounds (≥1 month) are at a high risk of wound infection and healing.
机译：目的：确定影响老年门诊感染压疮愈合的因素。方法：回顾性研究老年感染性压疮门诊患者的数据，以确定可能影响其康复的因素。摘录自2017年1月1日至2017年12月31日在中国上海的一家综合医院中的老年门诊患者的数据，该患者的感染性压疮已通过治疗用压力溃疡量表（PUSH）进行了评估。检查了以下变量：人口统计学特征（性别，年龄，文化背景，婚姻状况，医疗保险），健康状况和疾病数据（慢性病，生命体征，活动性，营养，诊断，用药），实验室值（白蛋白，血红蛋白） ，血糖）和压疮特征（阶段，位置，愈合状态，持续时间）。结果：确定了一百一十一（158）个患者记录。患者平均年龄为81.29±9.62岁，最大年龄为105岁，最小年龄为60岁。大多数溃疡（64; 40.5％）处于III期，位于the骨区域（87; 16.4％）。老年压力损伤门诊患者伤口感染的发生率为27.3％。 PUSH的平均得分为10.41±3.137。 Logistic回归分析显示，糖尿病，水肿和伤口持续时间是压力损伤患者伤口感染的危险因素（P <0.05），常规治疗是保护因素（P <0.05）。结论：伤口感染是压力损伤患者的常见并发症。患有糖尿病，水肿和伤口持久（≥1个月）的老年门诊患者感染和治愈伤口的风险很高。

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    J Wu; Y Guo; L Xia;

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  • 年(卷),期 -1(2),Suppl 1
  • 年度 -1
  • 页码 490
  • 总页数 1
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