两种压疮量表对手术室病人压疮预测能力的比较研究

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英文篇名：Comparative study on two kinds of pressure ulcer scales on predicting pressure ulcers in patients in operating room 作者：陈家琦 ; 武文静 ; 张晓红 ; 薛武鹏 英文作者：CHEN Jiaqi;WU Wenjing;ZHANG Xiaohong;XUE Wupeng;Shanxi University of Traditional Chinese Medicine; 关键词：压力性溃疡 ; 压疮评估 ; Braden量表 ; 手术病人压疮危险因素评估量表 ; 手术室 ; 关键因素 ; 预测能力 英文关键词：pressure ulcer;;pressure ulcer assessment;;Braden Scale;;Risk Factors Assessment Scale for Pressure Ulcer in Surgery Patients;;operating room;;key factors;;predicting ability 中文刊名：SXHZ 机构：山西中医药大学;山西医学科学院山西大医院; 出版日期：2019-04-22 16:50 出版单位：护理研究 年：2019 期：v.33;No.627 语种：中文; 页：SXHZ201907012 页数：5 CN：07 ISSN：14-1272/R 分类号：53-57

摘要

[目的]通过Braden量表、浙江大学医学院附属第二医院手术室研制的手术病人压疮危险因素评估量表进行评估比较,评价各量表对手术病人压疮的预测能力,并采取相应的预防措施。[方法]选取2017年7月—2017年10月某三级甲等医院中心手术室进行手术的36例病人为调查对象,使用Braden量表、手术病人压疮危险因素评估量表对手术过程中压疮进行风险评估。采用SPSS17.0软件进行统计学处理,对两种评估表采用二元Logistic回归模型和多元线性回归模型进行数据处理和分析。[结果]通过回归模型显示,Braden量表非常显著的变量因素为感知、潮湿、活动力、移动力;手术病人压疮危险因素评估量表为活动能力、手术体位、手术预计时间、术中施加外力、受压点皮肤类型、神经感觉障碍。Logistic回归分类预测正确率Braden量表为76.10%,手术病人压疮危险因素评估量表为96.15%。[结论]手术病人压疮危险因素评估量表的预测能力较好,预防手术病人压疮的关键因素包括病人的活动能力、手术体位、手术预计时间、术中施加外力、受压点皮肤类型、神经感觉障碍。
        Objective:To evaluate the predictive ability of various scales on pressure ulcer in surgical patients by the Braden Scale and Risk Factors Assessment Scale for Pressure Ulcer in Surgery Patients developed in the operating room in Second Affiliated Hospital of Medical College of Zhejiang University,and to take corresponding prevention.Methods:A total of 36 patients undergoing operation in the central operating room in a third grade A hospital from July 2017 to October 2017 were enrolled in this study.The Braden Scale and Risk Factors Assessment Scale for Pressure Ulcer in Surgery Patients were used to assess pressure ulcer risk during the procedure.SPSS 17.0 software was used for statistical analysis,the two evaluation tables were conducted with data processing and analysis by binary Logistic regression model and multiple linear regression model.Results:Through the regression model,the most significant variables were the sensation,wetness,activity and mobility in the Braden Scale.The Risk Factors Assessment Scale for Pressure Ulcer in Surgery Patients included activity ability,operation position,estimated operation time,external force during operation,type of skin in pressure point,nerve sensory disturbances.In Logistic regression classification predicting accuracy rate,76.10%for the Braden Scale,96.15%for Risk Factors Assessment Scale for Pressure Ulcer in Surgery Patients.Conclusions:The predictive power of Risk Factors Assessment Scale for Pressure Ulcer in Surgery Patients is better.The key factors to prevent pressure ulcer in surgery patients includes the patient′s mobility,surgical position,estimated time of surgery,external force during operation,skin type in pressure point and sensory disturbance.

引文

[1]GARCES J,CARRETERO S.Variables related to the informalcaregivers′burden of dependent senior citizens in Spain[J].Arch Gerontol Geriatr,2009,48(3):372-379.
    [2]PARAPONARIS A,DAVIN B.Formal and informal care for disabled elderly living in the community:an appraisal of French care composition and costs[J].Eur J Health Econ,2012,13(3):327-360.
    [3]CHEN H L,SHEN W Q,LIU P.A Meta-analysis to evaluate the predictive validity of the braden scale for pressure ulcer risk assessment in long-term care[J].Ostomy/Wound Management,2016,62(9):20-28.
    [4]钱维明,黄立峰,项海燕,等.手术患者压疮危险因素评估量表的研制[J].中国护理管理,2013,13(8):24-27.QIAN W M,HUANG L F,XIANG H Y,et al.Developing apressure sore risk assessment scale for surgical patients by Delphi method[J].Chinese Nursing Management,2013,13(8):24-27.
    [5]王英丽,张圣洁,蒲霞,等.手术患者压疮危险因素评估量表在骨科后路手术患者中的信效度检验[J].中华护理管理,2016,16(7):906-909.WANG Y L,ZHANG S J,PU X,et al.The reliability and validity of Surgery-related Pressure Sore Risk Assessment Scale for posterior orthopaedics surgery patients[J].Chinese Nursing Management,2016,16(7):906-909.
    [6]梁慧敏,王春梅.3种压疮危险评估表对脊髓损伤病人压疮预测效果的比较研究[J].护理研究,2010,24(4C):1064-1065.LIANG H M,WANG C M.Comparative study on predictive effect of three pressure sores risk assessment scale spinal cord injury patients with pressure sore[J].Chinese Nursing Research,2010,24(4C):1064-1065.