Microclimate and development of pressure ulcers and superficial skin changes

被引：96

作者：

Yusuf, Saldy ^{[1
,3
]}

Okuwa, Mayumi ^{[1
]}

Shigeta, Yoshie ^{[1
]}

Dai, Misako ^{[1
]}

Iuchi, Terumi ^{[1
]}

Rahman, Sulaiman ^{[2
]}

Usman, Awaluddin ^{[2
]}

Kasim, Sukmawati ^{[3
]}

Sugama, Junko ^{[1
]}

Nakatani, Toshio ^{[1
]}

Sanada, Hiromi ^{[4
]}

机构：

[1] Kanazawa Univ, Clin Nursing Dept, Kanazawa, Ishikawa 9200942, Japan

[2] ETN Ctr, Wound Care Clin, Makassar, Indonesia

[3] Griya Afiat, Wound Care Clin, Makassar, Indonesia

[4] Univ Tokyo, Grad Sch Med, Dept Gerontol Nursing Wound Care Management, Tokyo, Japan

来源：

INTERNATIONAL WOUND JOURNAL | 2015年 / 12卷 / 01期

关键词：

microclimate; pressure ulcer; superficial skin changes; skin temperature; skin moisture; SUBEPIDERMAL MOISTURE; TEMPERATURE; RISK; PREVALENCE; CLASSIFICATION; PREVENTION; ULCERATION; RESIDENTS; HYDRATION; FRICTION;

D O I：

10.1111/iwj.12048

中图分类号：

R75 [皮肤病学与性病学];

学科分类号：

100206 ;

摘要：

This study aims to evaluate the microclimate and development of pressure ulcers and superficial skin changes. A prospective cohort study was conducted in an acute care ward in Indonesia. Risk factors for pressure ulcers and superficial skin changes were identified based on the Bergstrom Braden conceptual model. Microclimate data were collected every 3 days for 15 days while the development of pressure ulcers and superficial skin changes was observed every day. Pressure ulcers and superficial skin changes were developed in 20 of the 71 participants. Total mean difference in skin temperature was higher for patients with pressure ulcers and superficial skin changes (09 +/- 06 degrees C) compared with controls (06 +/- 08 degrees C) (P = 0071). Binary logistic regression predictor values for pressure ulcers and superficial skin changes were 0111 for type of sheet and 0347 for Braden Scale results. In conclusion, difference in skin temperature seems to be a predictor for pressure ulcer development and superficial skin changes, while synthetic fibre sheets are able to maintain a beneficial microclimate.

引用

页码：40 / 46

页数：7

共 49 条

[1]

[Anonymous], 2010, WOUNDS

[2] Skin temperature monitoring reduces the risk for diabetic foot ulceration in high-risk patients [J].

Armstrong, David G. ;

Holtz-Neiderer, Katherine ;

Wendel, Christopher ;

Mohler, M. Jane ;

Kimbriel, Heather R. ;

Lavery, Lawrence A. .

AMERICAN JOURNAL OF MEDICINE, 2007, 120 (12) :1042-1046

[3]

Armstrong DG, 1997, PHYS THER, V77, P169, DOI 10.1093/ptj/77.2.169

[4]

Baldwin K M, 2001, Adv Skin Wound Care, V14, P26, DOI 10.1097/00129334-200101000-00014

[5] Subepidermal Moisture Is Associated With Early Pressure Ulcer Damage in Nursing Home Residents With Dark Skin Tones Pilot Findings [J].

Bates-Jensen, Barbara M. ;

McCreath, Heather E. ;

Pongquan, Voranan .

JOURNAL OF WOUND OSTOMY AND CONTINENCE NURSING, 2009, 36 (03) :277-284

[6] EPUAP classification system for pressure ulcers:: European reliability study [J].

Beeckman, Dimitri ;

Schoonhoven, Lisette ;

Fletcher, Jacqui ;

Furtado, Katia ;

Gunningberg, Lena ;

Heyman, Hilde ;

Lindholm, Christina ;

Paquay, Louis ;

Verdu, Jose ;

Defloor, Tom .

JOURNAL OF ADVANCED NURSING, 2007, 60 (06) :682-691

[7] THE BRADEN SCALE FOR PREDICTING PRESSURE SORE RISK [J].

BERGSTROM, N ;

BRADEN, BJ ;

LAGUZZA, A ;

HOLMAN, V .

NURSING RESEARCH, 1987, 36 (04) :205-210

[8] Compressive deformation and damage of muscle cell subpopulations in a model system [J].

Bouten, CVC ;

Knight, MM ;

Lee, DA ;

Bader, DL .

ANNALS OF BIOMEDICAL ENGINEERING, 2001, 29 (02) :153-163

[9]

Clark M, 2011, WOUNDS INT, V2, P1

[10] Hydration measurements of the stratum corneum: comparison between the capacitance method (digital version of the Corneometer CM 825®) and the impedance method (Skicon-200EX®) [J].

Clarys, Peter ;

Clijsen, Ron ;

Taeymans, Jan ;

Barel, Andre O. .

SKIN RESEARCH AND TECHNOLOGY, 2012, 18 (03) :316-323

← 1 2 3 4 5 →