Friction-Induced Skin Injuries-Are They Pressure Ulcers? An Updated NPUAP White Paper

被引：27

作者：

Brienza, David ^{[1
]}

Antokal, Steven ^{[2
]}

Herbe, Laura ^{[3
]}

Logan, Susan ^{[4
]}

Maguire, Jeanine ^{[5
]}

Van Ranst, Jennifer ^{[6
]}

Siddiqui, Aamir ^{[7
]}

机构：

[1] Univ Pittsburgh, Pittsburgh, PA 15260 USA

[2] HCR Manorcare, Toledo, OH USA

[3] Coloplast, Akron, OH USA

[4] Kindred Healthcare, Louisville, KY USA

[5] Genesis HealthCare, Skin Integr & Wound Management, Kennett Sq, PA USA

[6] 3M Co, Maplewood, MN USA

[7] Henry Ford Hosp, Detroit, MI 48202 USA

来源：

JOURNAL OF WOUND OSTOMY AND CONTINENCE NURSING | 2015年 / 42卷 / 01期

关键词：

friction; friction blisters; friction injuries; pressure ulcers; shear;

D O I：

10.1097/WON.0000000000000102

中图分类号：

R47 [护理学];

学科分类号：

1011 ;

摘要：

Friction injuries are often misdiagnosed as pressure ulcers. The reason for the misdiagnosis may be a misinterpretation of classic pressure ulcer literature that reported friction increased the susceptibility of the skin to pressure damage. This analysis assesses the classic literature that led to the inclusion of friction as a causative factor in the development of pressure ulcers in light of more recent research on the effects of shear. The analysis in this article suggests that friction can contribute to pressure ulcers by creating shear strain in deeper tissues, but friction does not appear to contribute to pressure ulcers in the superficial layers of the skin. Injuries to the superficial layers of the skin caused by friction are not pressure ulcers and should not be classified or treated as such.

引用

页码：62 / 64

页数：3

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