A survey of wheelchair use by paraplegic individuals in Japan. Part 2 : Prevalence of pressure sores.
A cross-sectional survey was done to clarify the incidence of pressure sores in 218 self-supported Japanese paraplegic patients and to determine effective measures for prevention.
The majority of patients (85.7%) had previous pressure sores, and 46.3% had undergone multiple surgeries.
Some patients (17.9%) were still suffering from persistent sores which commonly developed at the ischial tuberosities, suggesting insufficiency of self-care practice during wheelchair activities.
Sensory disturbance over the seating surface, urinary incontinence, and general complications were seen in 85.8%, 49.5%, and 18.8% of total subjects, respectively.
They were seen as risk factors for pressure sores, but only urinary incontinence clearly increased the current pressure sore prevalence.
Nevertheless, both self-care practice and sports activities, seen in 85.3% and 36.2% of total subjects, respectively, contributed to greatly reduce the incidence.
A patient education system including acquisition of basic knowledge and proper technique should be established to promote effective prevention of pressure sores in Japan.
Mots-clés Pascal : Traumatisme, Moelle épinière, Paraplégie médullaire, Facteur risque, Fauteuil roulant, Escarre, Position assise, Japon, Asie, Epidémiologie, Incidence, Complication, Homme, Système nerveux pathologie, Système nerveux central pathologie, Moelle épinière pathologie, Trouble moteur, Peau pathologie
Mots-clés Pascal anglais : Trauma, Spinal cord, Medullary paraplegia, Risk factor, Wheel chair, Sore, Seated position, Japan, Asia, Epidemiology, Incidence, Complication, Human, Nervous system diseases, Central nervous system disease, Spinal cord disease, Motor system disorder, Skin disease
Notice produite par :
Inist-CNRS - Institut de l'Information Scientifique et Technique
Cote : 97-0471986
Code Inist : 002B16B. Création : 03/02/1998.