{"title":"[压疮作为神经内科保健质量的主要指标]。","authors":"V Belas Horvat, M Kos","doi":"","DOIUrl":null,"url":null,"abstract":"<p><p>According to the European Pressure Ulcer Advisory Panel (EPUAP) definition, pressure ulcer is a local skin or subcutaneous\ntissue damage due to the force of pressure or friction or their combination. Pressure ulcers have accompanied humans\nsince the beginning and respective descriptions are found in the 19th century literature. Pressure ulcer is a major medical,\nsocial and health-economic problem because it is associated with a number of complications that require multidisciplinary\napproach in care and treatment. In affected patients, pressure ulcer causes quality of life reduction, discomforts, pain, emotional\nproblems and social isolation. If the process of tissue decay is not halted, tissue damage will spread involving deep and\nwider structures, thus seriously compromising the patient general condition. Pressure ulcer usually develops at the sites of\nprotrusions formed by lumbar spine, ischium, hip, ankle, knee or elbow, as well as in the areas with less developed adipose\ntissue. Any temporary or permanent immobility should be perceived as a milieu favoring the onset of pressure ulcer. Advances\nin medicine and standards of living in general have prolonged life expectancy, thus also increasing the population at risk\nof chronic diseases including pressure ulcer. The aim of the study was to determine the relationship between the length of\nbed-ridden condition and the occurrence of pressure ulcers in patients treated at Department of Cerebrovascular Diseases\nand Intensive Neurology from January 1, 2012 until December 31, 2015. The study included patients with pressure ulcer\nverified on admission and those having developed pressure ulcer during hospital stay. Clinical picture of severe stroke predominated\nin the majority of study patients. Patients were divided into groups according to health care requirements as classified\nby the Croatian Chamber of Nurses. Preliminary results indicated the length of bed-ridden condition to be associated\nwith the occurrence of chronic wounds, and thus with increased cost and length of hospital treatment. Therefore, health care\nmethods and procedures should be focused on reduction of pressure ulcer development, quality health care, implementation\nof preventive measures, and continuous education of health care professionals.</p>","PeriodicalId":35756,"journal":{"name":"Acta Medica Croatica","volume":null,"pages":null},"PeriodicalIF":0.0000,"publicationDate":"2016-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":"{\"title\":\"[PRESSURE ULCER AS THE PRINCIPAL INDICATOR OF HEALTH CARE QUALITY AT NEUROLOGY DEPARTMENT].\",\"authors\":\"V Belas Horvat, M Kos\",\"doi\":\"\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"<p><p>According to the European Pressure Ulcer Advisory Panel (EPUAP) definition, pressure ulcer is a local skin or subcutaneous\\ntissue damage due to the force of pressure or friction or their combination. Pressure ulcers have accompanied humans\\nsince the beginning and respective descriptions are found in the 19th century literature. Pressure ulcer is a major medical,\\nsocial and health-economic problem because it is associated with a number of complications that require multidisciplinary\\napproach in care and treatment. In affected patients, pressure ulcer causes quality of life reduction, discomforts, pain, emotional\\nproblems and social isolation. If the process of tissue decay is not halted, tissue damage will spread involving deep and\\nwider structures, thus seriously compromising the patient general condition. Pressure ulcer usually develops at the sites of\\nprotrusions formed by lumbar spine, ischium, hip, ankle, knee or elbow, as well as in the areas with less developed adipose\\ntissue. Any temporary or permanent immobility should be perceived as a milieu favoring the onset of pressure ulcer. Advances\\nin medicine and standards of living in general have prolonged life expectancy, thus also increasing the population at risk\\nof chronic diseases including pressure ulcer. The aim of the study was to determine the relationship between the length of\\nbed-ridden condition and the occurrence of pressure ulcers in patients treated at Department of Cerebrovascular Diseases\\nand Intensive Neurology from January 1, 2012 until December 31, 2015. The study included patients with pressure ulcer\\nverified on admission and those having developed pressure ulcer during hospital stay. Clinical picture of severe stroke predominated\\nin the majority of study patients. Patients were divided into groups according to health care requirements as classified\\nby the Croatian Chamber of Nurses. Preliminary results indicated the length of bed-ridden condition to be associated\\nwith the occurrence of chronic wounds, and thus with increased cost and length of hospital treatment. Therefore, health care\\nmethods and procedures should be focused on reduction of pressure ulcer development, quality health care, implementation\\nof preventive measures, and continuous education of health care professionals.</p>\",\"PeriodicalId\":35756,\"journal\":{\"name\":\"Acta Medica Croatica\",\"volume\":null,\"pages\":null},\"PeriodicalIF\":0.0000,\"publicationDate\":\"2016-01-01\",\"publicationTypes\":\"Journal Article\",\"fieldsOfStudy\":null,\"isOpenAccess\":false,\"openAccessPdf\":\"\",\"citationCount\":\"0\",\"resultStr\":null,\"platform\":\"Semanticscholar\",\"paperid\":null,\"PeriodicalName\":\"Acta Medica Croatica\",\"FirstCategoryId\":\"1085\",\"ListUrlMain\":\"\",\"RegionNum\":0,\"RegionCategory\":null,\"ArticlePicture\":[],\"TitleCN\":null,\"AbstractTextCN\":null,\"PMCID\":null,\"EPubDate\":\"\",\"PubModel\":\"\",\"JCR\":\"Q4\",\"JCRName\":\"Medicine\",\"Score\":null,\"Total\":0}","platform":"Semanticscholar","paperid":null,"PeriodicalName":"Acta Medica Croatica","FirstCategoryId":"1085","ListUrlMain":"","RegionNum":0,"RegionCategory":null,"ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q4","JCRName":"Medicine","Score":null,"Total":0}
[PRESSURE ULCER AS THE PRINCIPAL INDICATOR OF HEALTH CARE QUALITY AT NEUROLOGY DEPARTMENT].
According to the European Pressure Ulcer Advisory Panel (EPUAP) definition, pressure ulcer is a local skin or subcutaneous
tissue damage due to the force of pressure or friction or their combination. Pressure ulcers have accompanied humans
since the beginning and respective descriptions are found in the 19th century literature. Pressure ulcer is a major medical,
social and health-economic problem because it is associated with a number of complications that require multidisciplinary
approach in care and treatment. In affected patients, pressure ulcer causes quality of life reduction, discomforts, pain, emotional
problems and social isolation. If the process of tissue decay is not halted, tissue damage will spread involving deep and
wider structures, thus seriously compromising the patient general condition. Pressure ulcer usually develops at the sites of
protrusions formed by lumbar spine, ischium, hip, ankle, knee or elbow, as well as in the areas with less developed adipose
tissue. Any temporary or permanent immobility should be perceived as a milieu favoring the onset of pressure ulcer. Advances
in medicine and standards of living in general have prolonged life expectancy, thus also increasing the population at risk
of chronic diseases including pressure ulcer. The aim of the study was to determine the relationship between the length of
bed-ridden condition and the occurrence of pressure ulcers in patients treated at Department of Cerebrovascular Diseases
and Intensive Neurology from January 1, 2012 until December 31, 2015. The study included patients with pressure ulcer
verified on admission and those having developed pressure ulcer during hospital stay. Clinical picture of severe stroke predominated
in the majority of study patients. Patients were divided into groups according to health care requirements as classified
by the Croatian Chamber of Nurses. Preliminary results indicated the length of bed-ridden condition to be associated
with the occurrence of chronic wounds, and thus with increased cost and length of hospital treatment. Therefore, health care
methods and procedures should be focused on reduction of pressure ulcer development, quality health care, implementation
of preventive measures, and continuous education of health care professionals.
期刊介绍:
ACTA MEDICA CROATICA publishes original contributions to medical sciences, that have not been previously published. All manuscripts should be written in English.