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首页> 外文OA文献 >Pressure ulcers and nutritional deficits in elderly long-term care patients : effects of a comprehensive nutritional program on pressure ulcer healing, length of hospital stay and charges to patients
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Pressure ulcers and nutritional deficits in elderly long-term care patients : effects of a comprehensive nutritional program on pressure ulcer healing, length of hospital stay and charges to patients

机译：老年长期护理患者的压疮和营养缺乏：综合营养计划对压疮愈合，住院时间和患者收费的影响

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摘要

The elderly are at the highest risk of developing pressure ulcers that result in prolonged hospitalization, high health care costs, increased mortality, and decreased quality of life. The burden of pressure ulcers will intensify because of a rapidly increasing elderly population in the United States (US). Poor nutrition is a major predictor of pressure ulcer formation. The purpose of this study was to examine the effects of a comprehensive, interdisciplinary nutritional protocol on: 1) pressure ulcer wound healing 2) length of hospital stays, and 3) charges for pressure ulcer management. Using a pre-intervention/post intervention quasi-experimental design the study sample was composed of 100 patients 60 years or older, admitted with or acquiring a pressure ulcer. A pre-intervention group (n= 50) received routine pressure ulcer care (standard diet, dressing changes, and equipment). A post-intervention group received routine care plus an interdisciplinary nutrition intervention (physical therapy, speech therapy, occupational therapy, added protein and calories to the diet). Research questions were analyzed using descriptive statistics, frequencies, Chi-Square Tests, and T-tests. Findings indicated that the comprehensive, interdisciplinary nutritional protocol had a significant effect on the rate of wound healing in Week3 and Week4, total hospital length of stay (pre-intervention M= 43.2 days, SD=31.70 versus M=31.77, SD=12.02 post-intervention), and pressure ulcer length of stay (pre-intervention 25.28 days, SD5.60 versus 18.40 days, SD 5.27 post-intervention). Although there was no significant difference in total charges for the pre-intervention group ($727,245.00) compared to the post-intervention group ($702,065.00), charges for speech (m=$5885.12, SD=$332.55), pre albumin (m=$808.52,SD= $332.55), and albumin($278 .88, SD=55.00) were higher in the pre-intervention group and charges for PT ($5721.26, SD$3655.24) and OT($2544 .64, SD=1712.863) were higher in the post-intervention group. Study findings indicate that this comprehensive nutritional intervention was effective in improving pressure ulcer wound healing, decreasing both hospital length of stay for treatment of pressure ulcer and total hospital length of stay while showing no significant additional charges for treatment of pressure ulcers.
机译：老年人患压疮的风险最高，会导致住院时间延长，医疗费用高，死亡率增加和生活质量下降。由于美国老年人口的迅速增加，压疮的负担将加剧。营养不良是压疮形成的主要预测指标。这项研究的目的是检查综合的，跨学科的营养方案对以下方面的影响：1）压疮伤口愈合2）住院时间长短，以及3）压疮治疗费用。使用干预前/干预后准实验设计，研究样本由100名60岁或60岁以上，患有压疮或患有压疮的患者组成。干预前组（n = 50）接受常规的压疮治疗（标准饮食，换药和设备）。干预后的小组接受了常规护理，并接受了跨学科的营养干预（物理疗法，言语疗法，职业疗法，饮食中增加蛋白质和卡路里）。研究性问题使用描述性统计数据，频率，卡方检验和T检验进行分析。研究结果表明，综合的，跨学科的营养方案对第3周和第4周的伤口愈合率，总住院时间（干预前M = 43.2天，SD = 31.70 vs M = 31.77，SD = 22.02）有显着影响。 -干预）和褥疮的住院时间（干预前25.28天，SD5.60对18.40天，干预后SD 5.27）。尽管干预前组的总费用（727,245.00美元）与干预后组的总费用（702,065.00美元）没有显着差异，但言语费用（m = 5885.12美元，SD = 332.55美元），白蛋白前费用（m = 808.52美元，SD） = 332.55美元），干预前组的白蛋白（278.88美元，SD = 55.00）较高，PT后的PT（5721.26美元，SD $ 3655.24）和OT（2544.64美元，SD = 1712.863）的费用较高。干预组。研究结果表明，这种全面的营养干预措施可有效改善褥疮伤口的愈合，减少用于治疗褥疮的住院时间和缩短住院总时间，同时显示在治疗褥疮方面没有明显的额外费用。

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    Allen Beverlin;

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  • 年度 2010
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