| A Prospective Study Evaluating the Pressure Ulcer Scale for Healing (PUSH Tool) to Assess Stage II, Stage III, and Stage IV Pressure Ulcers. | |
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MedLine Citation:
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PMID: 19471048 Owner: NLM Status: In-Data-Review |
Abstract/OtherAbstract:
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Many valid and reliable tools and techniques are available for wound measurement. However, few prospective clinical studies assessing these instruments have been conducted. A prospective, methodological study was conducted between September 2006 and November 2007 to evaluate use of the Pressure Ulcer Scale for Healing (PUSH) version 3 in patients with one or more pressure ulcer. A convenience sample of 72 persons (mean age 66.9 +/- 12.8 years) with 86 pressure ulcers (49% Stage II, 47% Stage III, and 4% Stage IV) was recruited and assessed weekly until healing, transfer, patient death, or end of study for a maximum of 8 weeks. Most ulcers (77%) were in the sacral area and 56% had been present for 1 month or longer. Repeated measures analysis revealed that PUSH total scores decreased significantly (P < 0.001) over the 8-week study, with significant differences in PUSH total scores between healed and unhealed ulcers each week, starting on week 1. The total PUSH score as well as the length x width item in the tool accurately differentiated between healed and nonhealed ulcers. Although the PUSH tool is practical, easy-to-use, and generally sensitive to change, some modifications would improve its value - ie, a wound size/depth subscale. Additional studies to help clinicians more accurately evaluate the effectiveness of their interventions, including studies to determine whether wound measurements alone may suffice to monitor healing, are needed. |
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Authors:
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Ulkü Yapucu Günes |
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Publication Detail:
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Type: Journal Article |
Journal Detail:
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Title: Ostomy/wound management Volume: 55 ISSN: 1943-2720 ISO Abbreviation: Ostomy Wound Manage Publication Date: 2009 May |
Date Detail:
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Created Date: 2009-05-27 Completed Date: - Revised Date: - |
Medline Journal Info:
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Nlm Unique ID: 8912029 Medline TA: Ostomy Wound Manage Country: United States |
Other Details:
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Languages: eng Pagination: 48-52 Citation Subset: N |
Affiliation:
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School of Nursing, Ege University, Department of Basic Nursing, Izmir, Turkey; Email: ulku.gunes@ege.edu.tr. |
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From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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