PDF(Pubmed)
Abstract：
Limited information is available regarding the prevalence of pressure ulcers (PUs) in residential homes in Central Asia. Therefore, the aim of this study was to identify the prevalence rates and risk factors associated with PUs among residents of long-term care medical institutions in the Republic of Kazakhstan. This cross-sectional study was conducted in four long-term care institutions in Kazakhstan. The study sample consisted of 640 patients who were assessed for the presence of PUs and associated risk factors. The evaluation was performed using the International Prevalence Measurement of Care Quality (Landelijke Prevalentiemeting Zorgkwaliteit, LPZ), the Braden scale, and the Care Dependency Score (CDS). The overall prevalence of PUs, classified as categories I-IV, was found to be 37%. When excluding category I PUs, the prevalence decreased to 35.6%. The odds ratios (ORs) for presenting with PUs were as follows: history of stroke (OR 5.22), diseases of the digestive system (OR 10.01), presence of spinal cord lesions/paraplegia (OR 20.50), recent reported confusion within the last 7 days (OR 184.00), and limited extent dependency according to the CDS (OR 4.44; 95%CI 1.31-16.1). It is imperative to establish specialized training programs aimed at equipping medical personnel, relatives, and patients themselves with the necessary skills to provide optimal care for individuals affected by PUs.
摘要：
关于中亚住宅中压疮（PU）患病率的信息有限。因此,本研究的目的是确定哈萨克斯坦共和国长期护理医疗机构居民中与PUs相关的患病率和危险因素.这项横断面研究是在哈萨克斯坦的四家长期护理机构中进行的。研究样本包括640名患者，他们被评估是否存在PU和相关的危险因素。评估是使用国际护理质量流行率测量进行的(LandelijkePrevalentietingZorgkwaliteit，LPZ),Braden量表,和护理依赖评分(CDS)。PU的总体患病率，分类为I-IV类，被发现是37%。当排除I类PU时，患病率降至35.6%。与PU的比值比（OR）如下：中风史（OR5.22），消化系统疾病（OR10.01），脊髓损伤/截瘫的存在（OR20.50），最近7天内报告的混乱（OR184.00），和根据CDS的有限程度依赖性(OR4.44；95CI1.31-16.1)。必须建立专门的培训计划，以装备医务人员为目标，亲戚,和患者本身具有必要的技能，为受PU影响的个人提供最佳护理。
