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首页> 外文期刊>The journals of gerontology.Series A. Biological sciences and medical sciences >A prospective study of the pressure ulcer scale for healing (PUSH).
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A prospective study of the pressure ulcer scale for healing (PUSH).

机译：压力性溃疡愈合量表（PUSH）的前瞻性研究。

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BACKGROUND: Although the recently developed Pressure Ulcer Scale for Healing (PUSH) was created to monitor healing over time, prospective evidence of its validity in measuring healing is lacking. The purpose of this study was to assess the validity of PUSH (version 3.0) when used to assess pressure ulcers in clinical practice. METHODS: The authors chose a prospective research design using a convenience sample of nursing home residents with pressure ulcers. The patients' pressure ulcers were assessed each week with the PUSH and the Pressure Sore Status Tool. Surface area measurements derived from wound tracings were also obtained. Weekly assessments continued until the ulcer healed, the resident died, the resident transferred from the nursing home, or 6 months of assessments were complete. RESULTS: Thirty-two pressure ulcers comprised the study sample. Twenty-one (66%) healed during the 6-month study period and 11 (34%) did not heal. The PUSH scores decreased significantly over time among the healed ulcers but did not among the unhealed ulcers. Similarly, PUSH scores were significantly lower among the healed compared with the unhealed ulcers. Finally, total scores on PUSH were highly correlated with both the Pressure Sore Status Tool and surface area measurements. CONCLUSIONS: The PUSH provides a valid measure of pressure ulcer healing over time and accurately differentiates a healing from a nonhealing ulcer. It is a clinically practical, evidence-based tool for tracking changes in pressure ulcer status when applied at weekly intervals.
机译：背景：尽管创建了最近开发的用于治疗的压力性溃疡量表（PUSH）来监测随时间推移的愈合情况，但仍缺乏前瞻性的证据来证明其在测量愈合情况方面的有效性。这项研究的目的是评估在临床实践中评估压力性溃疡时PUSH（3.0版）的有效性。方法：作者选择了一个前瞻性研究设计，使用了具有压力性溃疡的疗养院居民的便利样本。每周使用PUSH和压疮状态工具评估患者的压疮。还获得了从伤口追踪得出的表面积测量值。每周评估一直持续到溃疡愈合，居民死亡，居民从疗养院转移或完成6个月的评估为止。结果：32例褥疮构成了研究样本。在六个月的研究期间，二十一（66％）得到了治愈，而11（34％）没有得到治愈。在治愈的溃疡中，PUSH分数随时间显着下降，但在未治愈的溃疡中并未下降。同样，与未愈合的溃疡相比，已愈合的PUSH评分明显更低。最后，PUSH的总分与褥疮状态工具和表面积测量值高度相关。结论：PUSH提供了一种有效的压力压疮随着时间的推移愈合的方法，可以准确地区分愈合与不愈合的溃疡。这是一种临床实用的循证工具，用于每周一次应用时跟踪压力性溃疡状态的变化。

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