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Bası Yaraları

PRESSURE SORES

Journal Name:

  • Türkiye Aile Hekimliği Dergisi

Publication Year:

  • 2003

Key Words:

Keywords (Original Language):

Author NameUniversity of Author
Abstract (2. Language): 
Pressure sore prevelance is reported as 8-11% among the hospitalized patients. Pressure sores are frequently encountered especially in the elderly. The two most important etiological factors in the development of pressure sores are pressure and shearing forces. Infection, moisture, heat and loss of neural function are the contributing factors. Once a pressure sore has developed, the treatment is long and expensive. Therefore, prevention of the pressure sores is the most impor¬tant step in the treatment. First, patients who are under the risk of developing pressure sores should be identified. These patients should receive systemic supportive treatment, and their caretakers should be trained for positioning the patient. Surgery is the last choice after a pressure sore has devel-opped. The patient should be followed by systemic supportive therapy and local dressing changes beforehand. If the wound fails to heal, surgery should be considered.
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Abstract (Original Language): 
Hastanede yatan hastalar arasında bası yarası görülme sıklığı %8-11 arası olarak bildirilmektedir. Özellikle yaşlı nüfusta bası yaralarına sık rastlanmaktadır. Bası yarası gelişiminde en önemli iki faktör; doğrudan basınç altında kalma ve sürtünme kuvvetleridir. Enfeksiyon, nem, ısı ve nöral fonksiyon kaybı yara gelişimine katkıda bulunan diğer etkenlerdir. Bir kez geliş¬tikten sonra bası yarasının tedavisi çok uzun ve masraflı bir sü¬reçtir. Bu nedenle bası yaralarının önlenmesi tedavinin en önemli basamağını oluşturur. Öncelikle bası yarası oluşması açısından risk altındaki hastalar tanımlanmalıdır. Bu hastalar sistemik destekleyici tedavi almalı, bakımında rol alan kişiler hastaya uygun pozisyon verme ve destekleme konusunda eğitilmelidirler. Bası yarası geliştikten sonra, cerrahi müdahale en son seçenektir. Öncelikle yaranın sistemik destek ve lokal pan¬sumanlarla kendiliğinden iyileşmesini beklemek gereklidir. Bu yöntemlere cevap alınamazsa hasta cerrahi açıdan değerlendi¬rilmelidir.
FULL TEXT (PDF): 
PDF icon arastrmx_116859_7_pp_57-62.pdf
  • 2
57-62
  • Turkish

REFERENCES

References: 

1. Champion RH, Burton JL, Burns DA, Breathnaht SM. Pressure Ulcer. Textbook of Dermatology'de Ed. Champion RH, Burton JL, Burns DA, Bregthnaht SS. 6. baskı. Cilt 1. Londra, Blackwell Science, 1998; 897-902.
2. Allman RM, Laprade CA, Noel LB ve ark. Pressure sores among hospitalized patients. Ann Intern Med 1986;105: 337-42.
3. Leigh IH , Bennett G. Pressure ulcers: prevalence, etiology and treatment modalities. Am J Surg 1994; 167(1A Suppl): 25-30.
4. Allman RM. Pressure ulcers among the elderly. N Engl J Med 1989; 320:
850-3.
5. Yarkony GM. Pressure ulcers a review. Arch Phys Med Rehabil 1994;
75: 908-17.
6. Brandeis GH, Morris JN, Nash DJ, Lipsitz LA. Epidemiology and na¬tural history of pressure ulcers in elderly nursing home residents. JAMA
1990; 264: 2905-9.
7. Fuhrer MJ, Garber SL, Rintala DH, Clearman R, Hart KA. Pressure ulcers in community-resident persons with spinal cord injury prevalence and risk factors. Arch Phys Med Rehabil 1993; 74: 1172-7.
8. Mancoll JS, Phillips LG. Pressure sores. Grabb and Smith's Plastic Sur-gery'de. Ed. Aston SJ, Beasley RW, Thorne CH.5. baskı. Philadelphia,
Lippincott-Raven, 1997; 1083-97.
9. Feldman DL. Pressure sores. Georgiade Plastic, Maxillofacial and Re¬constructive Surgery'de. Ed. Gerogiade GS, Riefkohl R, Levin LS. 3. baskı. Baltimore, Williams & Wilkins, 1997; 1111-23.
10. Reichel SM. Shearing force as a factor in decubitus ulcers in paraplegics.
JAMA 1958; 166: 762-3.
11. Salcido M, Hart D, Smith AM. The Prevention and Management of Pressure Ulcers. Physical Medicine and Rehabilitation'da. Ed. Braddom
RL. Philadelphia, W.B. Saunders Company, 1996; 630-47.
12. Allman RM, Walker JM, Hart MK, Laprade CA, Noel LB, Smith
CR. Air-fluidised beds or conventional therapy for pressure sores. Ann
Int Med 1987; 107: 641-8.
13. Inman KJ, Sibbald WJ, Rutledge FS, Clark BJ. Clinical utility and
cost effectiveness of an air suspension bed in the prevention of pressure
ulcers. JAMA 1993; 269:1139-43.
14. Ferrell BA, Osterweil D, Christenson P. A randomized trial of low-air-loss beds for treatment of pressure ulcers. JAMA 1993; 269: 494-7.
15. Pinzur MS, Schumacher D, Reddy N, Osterman H, Havey R, Patwar-
din A. Preventing heel ulcers: a comparison of prophylactic body sport
systems. Arch Phys Med Rehabil 1991; 72: 508-10.
16. Yarkony GM, Kirk PM, Carlson C ve ark. Classification of pressure ulcers. Arch Dermatol 1990; 126: 1218-19.
17.
Eke
n A. Topikal Ajanlar ve Yara İyileşmesi Tüm Yönleriyle Yara İyileş-mesi'nde. Ed. Erdem C , Çelebi CR. Ankara, Türk Dermopatoloji Derneği Yayınları, 1996; 73-5.
18. Lineaweaver W, McMorris S, Soucy D, Howard R. Cellular and bac¬terial toxicities of topical antimicrobials. Plast Reconstr Surg 1985; 75:
394-6.
19.
Karakayal
ı G, Allı N, Artüz F. Oklüzif Sargılar. Tüm Yönleriyle Yara İyileşmesi'nde. Ed. Erdem C, Çelebi CR. Ankara, Türk Dermopatoloji
Derneği Yayınları, 1996; 76-83.
20. Knighton
DR
, Silver IA, Hunt TK. Regulation of wound-healing angi-ogenesis-effect of oxygen gradients and inspired oxygen concentration.
Surgery 1981; 90: 262-70.
21. Xakellis
GC
, Chrischilles EA. Hydrocolloid versus saline-gauze dres¬sings in treating pressure ulcers: a cots-effectiveness analysis. Arch Phys
Med Rehabil 1992; 73: 463-9.
22. Berry RB. The late results of surgical treatment of pressure sores in pa¬raplegics. Br J Surg 1980; 67: 473-4.
23. Disa JJ, Carlton JM, Goldberg NH. Efficacy of operative cure in pres¬sure sore patients. Plast Reconstr Surg 1992; 89: 272-8.
24.
Kierne
y PC, Engrav LH, Işık FF, Esselman PC, Cardenas DD, Rand
RP. Results of 268 pressure sores in 158 patients managed jointly by plastic surgery and rehabilitation medicine. Plast Reconstr Surg 1998;
102: 765-72.
25. Mathes SJ. The muscle flap for management of osteomyelitis. N Engl J
Med 1982; 306: 294-5.
26. Dibbell. DG, McCraw JB, Edstrom LE. Providing useful and protecti¬ve sensibility to the sitting area in patients with myelomeningocele. Plast
Reconstr Surg 1979; 64: 796-9.
T ü r k i y e Aile Hekimliği Dergisi |
Turkish Journal of Family Practice | Cilt 7 | Sayı 2 | 2003 61
27. Nola GT, Vistnes LM. Differential response of skin and muscle in the experimental production of pressure sores. Plast Reconstr Surg 1980; 66:
728-35.
28. Mathes SJ, Alpert BS, Chang N. Use of the muscle flap in chronic os¬teomyelitis: experimental and clinical correlation. Plast Reconstr Surg
1982; 69: 815-29.

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