bedsore

褥疮
  • 文章类型: Systematic Review
    在大多数医疗保健中心,压疮(PU)是一个常见的问题。本系统评价旨在总结护士预防PU的做法和相关因素。对Scopus等电子数据库进行了广泛的搜索,PubMed,WebofScience,Iranmedex,和科学信息数据库,通过从医学主题词中提取的关键词,如“压疮”,“压疮”,“褥疮”,\"练习\",和“护士”最早至2022年3月9日。使用横断面研究评估工具(AXIS工具)评估纳入研究的质量。纳入研究的数据提取和质量评估由两名研究人员独立进行。共有6501名护士参加了29项研究。在参与者中,75.15%为女性,55.64%为单身,94.57%拥有护理学学士学位。护士的平均年龄和工作经验分别为30.69(SD=4.73)和8.61(SD=5.44)岁,分别。护士预防PU的平均得分为100分中的57.58分(SD=14.62)。此外,48.95%的护士对预防PU有理想的做法。知识等因素(n=6),态度(n=4),教育水平(n=4),参加与预防PU相关的研讨会的历史(n=3),工作经验(n=2),实践领域(n=2),自我充分性(n=1),遵循文献(n=1),年龄(n=1),和参与研究(n=1)与护士预防PU的实践有显着的正相关。然而,护士预防PU的实践与缺乏工作满意度有显著的负相关(n=1),不成比例的护士与病人的比例(n=1),缺乏政策和指导方针(n=1)。护士对预防PU的实践水平相对理想。这项研究的结果可以帮助改善护士对PU预防的做法。增加护士对PUS预防的知识和态度可以改善他们的实践。因此,建议决策者和护理管理者根据与护士实践相关的因素,对护士实施PUS预防教育。
    In most health care centres, pressure ulcers (PUs) are a common concern. This systematic review aimed to summarise nurses\' practice and related factors toward PU prevention. An extensive search was conducted on electronic databases such as Scopus, PubMed, Web of Science, Iranmedex, and Scientific Information Database via keywords extracted from Medical Subject Headings such as \"Pressure ulcer\", \"Pressure sore\", \"Bedsore\", \"Practice\", and \"Nurses\" from the earliest to 9 March 2022. The quality of the included studies was assessed using the appraisal tool for cross-sectional studies (AXIS tool). Data extraction and quality assessment of included studies were performed by two researchers independently. A total of 6501 nurses were enrolled in twenty-nine studies. Of the participants, 75.15% were female and 55.64% were single, and 94.57% had a bachelor of science in nursing degree. Mean age and work experience of nurses was 30.69 (SD = 4.73) and 8.61 (SD = 5.44) years, respectively. The mean score of nurses\' practices toward the prevention of PUs was 57.58 (SD = 14.62) out of 100. Also, 48.95% of nurses had a desirable practice toward the prevention of PUs. Factors such as knowledge (n = 6), attitude (n = 4), level of education (n = 4), a history of participating in workshops related to the prevention of PUs (n = 3), work experience (n = 2), area of practice (n = 2), self-adequacy (n = 1), follow the literature (n = 1), age (n = 1), and involvement in research (n = 1) had a significant positive relationship with nurses\' practice toward PUs prevention. However, the nurses practice of PUs prevention had a significant negative relationship with lack of job satisfaction (n = 1), disproportionate nurse-to-patient ratio (n = 1), and lack of policies and guidelines (n = 1). The level of nurses\' practice toward the prevention of PUs was relatively desirable. The result of this study can help improve the practice of nurses toward PUs prevention. Increasing nurses\' knowledge and attitude toward PUs prevention can improve their practice. Therefore, it is suggested that policymakers and nursing managers implement PUs prevention education for nurses based on the factors associated with nurses\' practice.
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  • 文章类型: Meta-Analysis
    目的是确定和总结有关局部使用橄榄油预防压疮(PU)的有效性和安全性的现有证据。我们只纳入了随机对照试验(RCT),涉及有患PU风险的患者,测试橄榄油与其他产品的局部应用以预防PU。我们使用RoB2工具评估了偏倚的风险,以及等级证据的确定性。四个RCT符合资格标准。所有研究的总体偏倚风险较低。荟萃分析显示,橄榄油预防的临床疗效是通过降低PU的发生率(RR=0.56,95%CI=0.30至0.79,I2=0%);不良反应无差异,它可能与较短的PU发展时间和较短的住院时间有关.通过GRADE方法评估的证据的确定性是中等和较低的。与其他治疗方法相比,局部使用橄榄油可有效且安全地降低PU的发生率。这些发现可以为橄榄油作为PU的预防和替代疗法提供新的见解,因为与其他产品相比,它是可获得且便宜的。
    The purpose was to identify and summarize the existing evidence on the efficacy and safety of the topical application of olive oil for preventing pressure ulcers (PUs). We included only randomized controlled trials (RCTs) involving patients at risk of developing PUs, testing the topical application of olive oil versus other products for PU prevention. We assessed the risk of bias using the RoB 2 tool, and the certainty of the evidence with GRADE. Four RCTs met the eligibility criteria. All studies were judged at a low risk of bias overall. The meta-analysis showed that the clinical efficacy of olive oil for prevention occurs by reducing the incidence of PUs (RR = 0.56, 95% CI = 0.30 to 0.79, I2 = 0%); with no differences in adverse effects, it may be associated with a shorter development time of PUs and shorter hospital stays. The certainty of the evidence assessed by the GRADE approach was moderate and low. The topical application of olive oil is effective and safe in reducing the incidence of PUs compared to other treatments. These findings could provide new insights into olive oil as a preventive and alternative treatment for PUs as it is accessible and inexpensive compared to other products.
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  • 文章类型: Journal Article
    BACKGROUND: Pressure injury (PI) is a common and preventable problem, yet it is a challenge for at least two reasons. First, the nurse shortage is a worldwide phenomenon. Second, the majority of nurses have insufficient PI-related knowledge. Machine learning (ML) technologies can contribute to lessening the burden on medical staff by improving the prognosis and diagnostic accuracy of PI. To the best of our knowledge, there is no existing systematic review that evaluates how the current ML technologies are being used in PI management.
    OBJECTIVE: The objective of this review was to synthesize and evaluate the literature regarding the use of ML technologies in PI management, and identify their strengths and weaknesses, as well as to identify improvement opportunities for future research and practice.
    METHODS: We conducted an extensive search on PubMed, EMBASE, Web of Science, Cumulative Index to Nursing and Allied Health Literature (CINAHL), Cochrane Library, China National Knowledge Infrastructure (CNKI), the Wanfang database, the VIP database, and the China Biomedical Literature Database (CBM) to identify relevant articles. Searches were performed in June 2020. Two independent investigators conducted study selection, data extraction, and quality appraisal. Risk of bias was assessed using the Prediction model Risk Of Bias ASsessment Tool (PROBAST).
    RESULTS: A total of 32 articles met the inclusion criteria. Twelve of those articles (38%) reported using ML technologies to develop predictive models to identify risk factors, 11 (34%) reported using them in posture detection and recognition, and 9 (28%) reported using them in image analysis for tissue classification and measurement of PI wounds. These articles presented various algorithms and measured outcomes. The overall risk of bias was judged as high.
    CONCLUSIONS: There is an array of emerging ML technologies being used in PI management, and their results in the laboratory show great promise. Future research should apply these technologies on a large scale with clinical data to further verify and improve their effectiveness, as well as to improve the methodological quality.
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  • 文章类型: Journal Article
    全球范围内,PU被认为是对客户造成伤害的五个最常见原因之一。全球有数百万人受到影响,埃塞俄比亚压疮的全国汇总患病率仍然未知.因此,本综述和荟萃分析旨在确定埃塞俄比亚住院患者压疮的患病率.
    研究是通过PubMed中的搜索引擎检索的,Scopus,世卫组织非洲图书馆,谷歌学者,非洲在线期刊,和WebofScience。使用I2检验检查研究之间的异质性。漏斗图和Egger回归检验用于评估发表偏倚的存在。随机效应模型被拟合以估计整个研究的汇总效应和95%置信区间(CI)。使用STATA™版本14软件进行分析。
    使用7项研究评估了埃塞俄比亚压疮的合并患病率,共1881名参与者。埃塞俄比亚合并压疮的患病率为11.7%(95%CI:7.28,16.13)。亚组分析显示,压疮的估计幅度为15.89%(95%CI:13.32,18.46);在研究中,他们的样本量大于或等于250。
    目前的综述报道,埃塞俄比亚合并压疮的患病率相对较高。因此,政策制定者和医疗保健提供者应注意减少压疮的程度。此外,进一步进行荟萃分析研究,以确定与压疮发生相关的个体和卫生保健服务相关因素.
    Globally, PUs are recognized as one of the five most frequent causes of harm to clients. With millions affected globally, the national pooled prevalence of pressure ulcers in Ethiopia remains unknown. Hence, this review and meta-analysis aimed to determine the prevalence of pressure ulcers among hospitalized clients in Ethiopia.
    Studies were retrieved through search engines in PubMed, Scopus, WHO Afro Library, Google Scholar, Africa Journals Online, and Web of Science. Heterogeneity between-studies were checked using the I2 test. A funnel plot and Egger\'s regression test was used to assess the presence of publication bias. The random-effect model was fitted to estimate summary effects and 95% confidence intervals (CIs) across studies. The analyses were performed using STATA™ Version 14 software.
    The pooled prevalence of pressure ulcer in Ethiopia was assessed using seven studies involving a total of 1881 participants. The pooled prevalence of pressure ulcers in Ethiopia was 11.7% (95% CI: 7.28, 16.13). The subgroup analysis showed that the estimated magnitude of pressure ulcers was 15.89% (95% CI: 13.32, 18.46); among studies, their sample size was greater than or equal to 250.
    The current review reported that the pooled prevalence of pressure ulcers in Ethiopia was relatively high. Hence, policymaker and healthcare providers should give attention to reduce the magnitude of pressure ulcers. Furthermore, further a meta-analysis study could be conducted to identify individual and health care service-related factors related to the occurrence of pressure ulcers.
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  • 文章类型: Journal Article
    目前,预防褥疮的解决方案包括使用各种技术来移动和移位患者,这对一些患者来说是不可能的,对他们中的一些人来说是危险的,同时也给医疗保健提供者带来了问题。另一方面,信息技术在医疗保健系统中的发展,包括无线传感器网络(WSNs)的应用,导致了方便快捷的服务提供。它可以提供一种解决方案,以防止不动和残疾患者的褥疮。因此,本文的目的是首先介绍医院病床上的无线传感器网络,其次,确定实施这项技术的好处和挑战。本研究为非系统综述。在图书馆的帮助下,搜索了WSN以减少和预防褥疮的文献,数据库(PubMed,Scopus,和EMBASE),以及GoogleScholar提供的搜索引擎,包括1974年至2014年期间,而纳入标准以英语和波斯语应用。在我们的搜索中,我们采用了以下关键字及其组合:“无线传感器网络,\"\"智能床,\"\"信息技术,\"\"智能床垫,“和”褥疮“在标题的搜索区域,关键词,摘要,和全文。在这项研究中,收集了45多篇文章和报告,其中37篇是根据其相关性选择的。因此,这项技术的识别和实施将是迈向传统程序机械化的一步,为住院患者和残疾人提供护理。智能床和床垫,无论是单独还是与其他技术结合,应该能够提供所有的新颖特征,同时仍然提供通常与传统和医院床垫相关的舒适和安全特征。它可以消除医院重症监护病房(ICU)部门的褥疮费用,并节省大量费用。
    At present, the solutions to prevent bedsore include using various techniques for movement and displacement of patients, which is not possible for some patients or dangerous for some of them while it also poses problems for health care providers. On the other hand, development of information technology in the health care system including application of wireless sensor networks (WSNs) has led to easy and quick service-providing. It can provide a solution to prevent bedsore in motionless and disabled patients. Hence, the aim of this article was first to introduce WSNs in hospital beds and second, to identify the benefits and challenges in implementing this technology. This study was a nonsystematic review. The literature was searched for WSNs to reduce and prevent bedsores with the help of libraries, databases (PubMed, SCOPUS, and EMBASE), and also searches engines available at Google Scholar including during 1974-2014 while the inclusion criteria were applied in English and Persian. In our searches, we employed the following keywords and their combinations: \"wireless sensor network,\" \"smart bed,\" \"information technology,\" \"smart mattress,\" and \"bedsore\" in the searching areas of titles, keywords, abstracts, and full texts. In this study, more than 45 articles and reports were collected and 37 of them were selected based on their relevance. Therefore, identification and implementation of this technology will be a step toward mechanization of traditional procedures in providing care for hospitalized patients and disabled people. The smart bed and mattress, either alone or in combination with the other technologies, should be capable of providing all of the novel features while still providing the comfort and safety features usually associated with traditional and hospital mattresses. It can eliminate the expense of bedsore in the intensive care unit (ICU) department in the hospital and save much expense there.
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