1. 1/22 PREVALENCE AND TREATMENT OF PRESSURE ULCERS IN NORTHERN NEW SOUTH WALES 九樓內科病房 陳惠慈 文章出處： Aust. J. Rural Health (2000) 8, 103–110

2. 2/22 ABSTRACT  This paper reports on a small, cross-sectional study of 18 hospitals in northern New South Wales.  Pressure ulcer prevention and treatment practices were varied  ranging from turning of the patient  occlusive dressings  such creative methods as exposure  sunshine  airing the wound.

3. 3/22 INTRODUCTION 褥瘡是醫院內常見的, 尤其是長期照護臥 床的病人, 他們往往需較大的醫療資源, 而造成醫療資源浪費, 所以值得深入探討

4. 4/22 METHODS  Sample selection  All hospitals with acute-care beds in the northeast, north coast, mid-north coast, far west and northwest health regions of New South Wales were invited to participate in the study. Of a total of 25 eligible hospitals, 18 (72%) agreed to participate in the present study.

5. 5/22 Pressure ulcers were classified  Stage 1: non-blanchable erythema of intact skin,heralding lesion of skin ulceration; epidermis intact;reversible with intervention.  Stage 2: partial-thickness skin loss involving epidermis or dermis (or both); ulcer is superficial and presents clinically as an abrasion, blister or shallow crater.

6. 6/22 Pressure ulcers were classified  Stage 3: full-thickness skin loss involving damage or necrosis of subcutaneous tissue that may extend down to, but not through, underlying fascia; ulcer presents clinically as a deep crater with or without undermining of adjacent tissue.  Stage 4: full-thickness skin loss with extensive destruction, tissue necrosis, or damage to muscle, bone or support structures (e.g. tendon, joint or capsule).

7. 7/22 Data collection  On 6 June 1994, 18 northern New South Wales hospitals were visited and surveyed by the research team  Demographic information  description of the pressure ulcer  prevention and treatment interventions

8. 8/22 Data analysis and results

9. 9/22 Data analysis and results

10. 10/22 Data analysis and results

11. 11/22 Data analysis and results

12. 12/22 Data analysis and results

13. 13/22 Data analysis and results

14. 14/22 DISCUSSION  This study was intended to illustrate both the prevalenceof pressure ulcers in addition to the variability in practicerelated to their prevention and treatment in hospitals innorthern New South Wales.

15. 15/22 DISCUSSION

16. 16/22 DISCUSSION

17. 17/22 Prevalence  The total number 40 of a total of 634 patients overall prevalence of 6%.  Australian (5–14%)  worldwide studies(2–40%).  because of the inconsistencies in the reporting ofstage 1 pressure ulcers.

18. 18/22 Patients  The majority of patients in this study presented withan admission diagnosis of respiratory, musculoskeletal, or problems classed in the other category

19. 19/22 Pressure sores  The majority of pressureulcers examined (80%) were found on the heels, lowerspine and buttocks region and classed as either stage 1 or 2

20. 20/22 Prevention and treatment  Thetreatment of pressure sores is also a diverse subject.  Reviews of the best evidence relating to pressuresore treatment have suggested that prior to any treatment,an assessment should be performed.  No hospital in thepresent study mentioned this first step as a component oftheir treatment protocol.

21. 21/22 Prevention and treatment  The issue of pressure sores is an ongoing and costlyproblem  This study shows that hospitals in northern New South Wales are no exception. Until preventive and treatment measures for pressure sores are evaluated.pressure sores will continue to be a costly problem for health-care institutions.

22. 22/22 謝謝聆聽指教