PDF(Pubmed)
Abstract：
The risk of pressure ulcers in stroke patients is a significant concern, impacting their recovery and quality of life. This systematic review and meta-analysis investigate the prevalence and risk factors of pressure ulcers in stroke patients, comparing those in healthcare facilities with those in home-based or non-clinical environments. The study aims to elucidate how different care settings affect the development of pressure ulcers, serving as a crucial indicator of patient care quality and management across diverse healthcare contexts. Following PRISMA guidelines, a comprehensive search was conducted across PubMed, Embase, Web of Science and the Cochrane Library. Inclusion criteria encompassed studies on stroke patients in various settings, reporting on the incidence or prevalence of pressure ulcers. Exclusion criteria included non-stroke patients, non-original research and studies with incomplete data. The Newcastle-Ottawa scale was used for quality assessment, and statistical analyses involved both fixed-effect and random-effects models, depending on the heterogeneity observed. A total of 1542 articles were initially identified, with 11 studies meeting the inclusion criteria. The studies exhibited significant heterogeneity, necessitating the use of a random-effects model. The pooled prevalence of pressure injuries was 9.53% in patients without family medical services and 2.64% in patients with medical services. Sensitivity analysis confirmed the stability of these results, and no significant publication bias was detected through funnel plot analysis and Egger\'s linear regression test. The meta-analysis underscores the heightened risk of pressure injuries in stroke patients, especially post-discharge. It calls for concerted efforts among healthcare providers, policymakers and caregivers to implement targeted strategies tailored to the specific needs of different care environments. Future research should focus on developing and evaluating interventions to effectively integrate into routine care and reduce the incidence of pressure injuries in stroke patients.
摘要：
中风患者的压疮风险是一个重要的问题，影响他们的康复和生活质量。本系统评价和荟萃分析探讨脑卒中患者压疮的患病率和危险因素。将医疗机构中的医疗设施与家庭或非临床环境中的医疗设施进行比较。该研究旨在阐明不同的护理设置如何影响压疮的发展，作为跨不同医疗保健环境的患者护理质量和管理的关键指标。按照PRISMA准则,在PubMed进行了全面搜索，Embase,WebofScience和Cochrane图书馆。纳入标准包括对不同背景的卒中患者的研究，报告压疮的发生率或患病率。排除标准包括非中风患者，非原创性研究和数据不完整的研究。纽卡斯尔-渥太华量表用于质量评估，统计分析涉及固定效应和随机效应模型，取决于观察到的异质性。最初总共确定了1542篇文章，11项研究符合纳入标准。这些研究表现出显著的异质性，需要使用随机效应模型。在没有家庭医疗服务的患者中，压力性损伤的合并患病率为9.53％，在有医疗服务的患者中为2.64％。灵敏度分析证实了这些结果的稳定性，漏斗图分析和Egger线性回归检验未发现显著的发表偏倚。荟萃分析强调了中风患者压力损伤的风险增加，尤其是出院后。它呼吁医疗保健提供者共同努力，政策制定者和护理人员实施针对不同护理环境具体需求的针对性策略。未来的研究应集中在开发和评估干预措施，以有效地整合到常规护理中并减少中风患者压力损伤的发生率。
