Further attention to the comprehensive prevention and treatment of pressure injury on the elderly

doi:10.3877/cma.j.issn.1673-9450.2018.01.003

Abstract

Abstract:

Elderly patients with pressure injury due to their own disease and more complications, the treatment of them are more difficult than ordinary patients and the mortality of them is significantly higher. It is the key of the prevention and treatment of elderly patients. Although a lot of manpower and material resources have been put into the prevention and treatment on pressure injury at present, the overall situation is still not optimistic. In recent years, with the deepening of understanding on pressure injury, the treatment methods have also been improved, especially in the prevention and treatment of pressure injury in the elderly. The authors review the latest definition and staging of pressure injury, elaborate the prevention and treatment measures of elderly pressure injury detailedly and to provide clinical reference for elderly patients of pressure injury suffering from various diseases.

Key words: Aged, Universal precautions, Combined modality therapy, Pressure ulcer, Outlook

Guanghua Guo, Shanliang Xie. Further attention to the comprehensive prevention and treatment of pressure injury on the elderly[J]. Chinese Journal of Injury Repair and Wound Healing(Electronic Edition), 2018, 13(01): 8-12.

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https://zhssyxfzz.cma-cmc.com.cn/EN/Y2018/V13/I01/8

References 28

[1]	Kane A, Warwaruk-Rogers R, Ho C, et al. A Feasibility Study of Intermittent Electrical Stimulation to Prevent Deep Tissue Injury in the Intensive Care Unit[J]. Adv Wound Care (New Rochelle), 2017, 6(4):115-124.
[2]	Brem H, Maggi J, Nierman D, et al. High cost of stage IV pressure ulcers[J]. Am J Surg, 2010, 200(4):473-477.
[3]	Park SH, Lee HS. Assessing Predictive Validity of Pressure Ulcer Risk Scales- A Systematic Review and Meta-Analysis[J]. Iran J Public Health, 2016, 45(2):122-133.
[4]	Jiang Q, Li X, Qu X, et al. The incidence, risk factors and characteristics of pressure ulcers in hospitalized patients in China[J]. Int J Clin Exp Pathol, 2014, 7(5):2587-2594.
[5]	Edsberg LE, Black JM, Goldberg M, et al. Revised National Pressure Ulcer Advisory Panel Pressure Injury Staging System: Revised Pressure Injury Staging System[J]. J Wound Ostomy Continence Nurs, 2016, 43(6):585-597.
[6]	Coleman S, Nixon J, Keen J, et al. A new pressure ulcer conceptual framework[J]. J Adv Nurs, 2014, 70(10):2222-2234.
[7]	洪芳. 老年褥疮相关危险因素分析及防控措施[J]. 世界临床医学，2016, 10(10):186.
[8]	Li CT, Huang KY, Kung CF, et al. Evaluation of the effect of different sitting assistive devices in reclining wheelchair on interface pressure[J]. Biomed Eng Online, 2017, 16(1):108.
[9]	Santamaria N, Gerdtz M, Sage S, et al. A randomised controlled trial of the effectiveness of soft silicone multi-layered foam dressings in the prevention of sacral and heel pressure ulcers in trauma and critically ill patients: the border trial[J]. Int Wound J, 2015, 12(3):302-308.
[10]	Chaiken N. Reduction of sacral pressure ulcers in the intensive care unit using a silicone border foam dressing[J]. J Wound Ostomy Continence Nurs, 2012, 39(2):143-145.
[11]	Brienza D, Kelsey S, Karg P, et al. A randomized clinical trial on preventing pressure ulcers with wheelchair seat cushions[J]. J Am Geriatr Soc, 2010, 58(12):2308-2314.
[12]	Litchford MD, Dorner B, Posthauer ME. Malnutrition as a Precursor of Pressure Ulcers[J]. Adv Wound Care (New Rochelle), 2014, 3(1):54-63.
[13]	张焱，姜丽萍. 卧床时间与分级对居家长期照护老年人压力性溃疡的影响[J]. 中国老年学杂志，2016, 36(9):2256-2258.
[14]	Lindgren M, Unosson M, Fredrikson M, et al. Immobility--a major risk factor for development of pressure ulcers among adult hospitalized patients: a prospective study[J]. Scand J Caring Sci, 2004, 18(1):57-64.
[15]	Delmore B, Lebovits S, Baldock P, et al. Pressure ulcer prevention program: a journey[J]. J Wound Ostomy Continence Nurs, 2011, 38(5):505-513.
[16]	Zhang QH, Yue JH, Li CR, et al. Moxibustion for the treatment of pressure ulcers: study protocol for a pilot, multicentre, randomised controlled trial[J]. BMJ Open, 2014, 4(12):e6423.
[17]	Li W, Ma Y, Yang Q, et al. Moist exposed burn ointment for treating pressure ulcers: A multicenter randomized controlled trial[J]. Medicine (Baltimore), 2017, 96(29):e7582.
[18]	董兴刚，安增梅，张敏，等. 金疮油膏对压疮创面血管内皮细胞增殖和迁移的影响[J]. 中国烧伤创疡杂志，2016, 28(5):345-352.
[19]	Kim JY, Pak CS, Park JH, et al. Effects of polydeoxyribonucleotide in the treatment of pressure ulcers[J]. J Korean Med Sci, 2014, 29 Suppl 3(Suppl 3):S222-S227.
[20]	Jeong HS, Lee BH, Lee HK, et al. Negative pressure wound therapy of chronically infected wounds using 1% acetic Acid irrigation[J]. Arch Plast Surg, 2015, 42(1):59-67.
[21]	Broder KW, Nguyen B, Bodor RM. Negative Pressure Wound Therapy with Instillation in a Chronic Non-Healing Right Hip Trochanteric Pressure Ulcer[J]. Cureus, 2016, 8(11):e877.
[22]	Li T, Zhang L, Han LI, et al. Early application of negative pressure wound therapy to acute wounds contaminated with Staphylococcus aureus: An effective approach to preventing biofilm formation[J]. Exp Ther Med, 2016, 11(3):769-776.
[23]	Tanaka T, Panthee N, Itoda Y, et al. Negative pressure wound therapy induces early wound healing by increased and accelerated expression of vascular endothelial growth factor receptors[J]. Eur J Plast Surg, 2016, 39(4):247-256.
[24]	Seidel D, Lefering R, Neugebauer EA. Treatment of subcutaneous abdominal wound healing impairment after surgery without fascial dehiscence by vacuum assisted closure™ (SAWHI-V.A.C.R-study) versus standard conventional wound therapy: study protocol for a randomized controlled trial[J]. Trials, 2013, 14:394.
[25]	周忠志，黄新灵，熊武，等. 不同类型皮瓣用于修复臀骶部深度压疮手术方式选择[J]. 中国美容医学，2016, 25(5):28-32.
[26]	王浩，张普柱. 皮瓣和肌皮瓣移植加创面灌洗修复截瘫后多发性压疮[J]. 中国组织工程研究，2012, 16(5):935-938.
[27]	Kim CM, Yun IS, Lee DW, et al. Treatment of ischial pressure sores with both profunda femoris artery perforator flaps and muscle flaps[J]. Arch Plast Surg, 2014, 41(4):387-393.
[28]	于普林，石婧. 中国老龄化进程及其对社会经济的影响[J]. 中华老年医学杂志，2014, 33(2):113-115.

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