OH压疮评估表在老年患者压疮危险预测中的应用
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摘要
目的:分析OH压疮评估表在住院老年患者中的压疮危险程度预测效果。方法:选择2016年5-11月南京市某三级甲等医院的住院患者为研究对象,由双人分别采用OH评估表和Braden量表对研究对象进行压疮危险评估,对最终收集到的286例资料完整者进行统计分析。结果:OH评估表的Spearman相关系数为0.995,其与Braden量表划分的压疮危险等级分布存在差异(P<0.01);OH评分量表调查结果与压疮发生的符合率高于Braden评分量表,其ROC曲线下面积大于Braden评分(P<0.05);护士使用OH评估表耗时短于Braden量表(P<0.01)。结论:OH压疮评估表对老年患者压疮危险程度的预测能力优于Braden量表,在医院、家庭、社区及养老机构的老年患者中具有良好的推广前景。
Objective:To explore the application of OH pressure ulcer assessment scale in elderly inpatients.Method:The inclusion criteria are aged 60 years old and Barthel Index <60.Totally 286 inpatients were included in this study.Results:The Spearman correlation coefficient of OH pressure ulcer assessment scale was 0.995.The distribution of pressure ulcer risk level was significantly different between OH pressure ulcer assessment scale and Braden Scale(P<0.01); The Coincidence rate of OH pressure ulcer assessment scale was higher than Braden Scale(P<0.05).OH pressure ulcer assessment scale consumed less time by the nurses than Braden Scale(P<0.01).Conclusion:The OH pressure ulcer assessment scale is convenient and effective for elderly patients.
Objective:To explore the application of OH pressure ulcer assessment scale in elderly inpatients.Method:The inclusion criteria are aged 60 years old and Barthel Index <60.Totally 286 inpatients were included in this study.Results:The Spearman correlation coefficient of OH pressure ulcer assessment scale was 0.995.The distribution of pressure ulcer risk level was significantly different between OH pressure ulcer assessment scale and Braden Scale(P<0.01); The Coincidence rate of OH pressure ulcer assessment scale was higher than Braden Scale(P<0.05).OH pressure ulcer assessment scale consumed less time by the nurses than Braden Scale(P<0.01).Conclusion:The OH pressure ulcer assessment scale is convenient and effective for elderly patients.
引文
[1]Meau me S,Ma r t y M.P ressu re ulcer prevention and healing using alternating pressure mattress at home:the PARESTRY project.J Wound Care,2015,24(8):359-365.
[2]National Pressure Ulcer Advisory Panel,European Pressure Ulcer Advisory Panel and Pan Pacific Pressure Injury Alliance.Prevention and treatment of pressure ulcers:clinical practice guideline.Emily Haesler.Perth:Cambridge Media,2014.
[3]大浦武彦,堀田由浩.利用OH评估法进行压疮预防.东京:中央法规出版社,2005:11.Ooura TH,Hotta YK.The method of OH assessment for pressure ulcer prevention.Tokyo:Central Regulation Press,2005:11.
[4]山口孝一,大畑雅彦.预测压疮发生的OH评估法与N-L比的比较.医学检查,2015,64(1):1-6.Yamaguchi KI,Oobata MH.The comparison of the OH assessment of pressure ulcers with N-L ratio.Medical examination,2015,64(1):1-6.
[5]田中慎太郎.使用OH评估法预防压疮的实践.生活环境支援理学疗法,2011,46(1):395.Tanaka STR.The practice of using OH assessment to prevent pressure ulcers.Life environment support therapy,2011,46(1):395.
[6]孙丽,熊莉娟,刘潋,等.OH压疮评估表应用于恶性肿瘤患者的信效度分析.护理学报,2015,22(13):1-3.Sun L,Xiong LJ,Liu L,et al.Reliability and validity of OH Pressure Sore Assessment Scale in patients with malignant tumor.Journal of Nursing(China),2015,22(13):1-3.
[7]Bergstrom N,Braden BJ,Laguzza A,et al.The Braden scale for predicting pressure score risk.Nursing Research,36(4),205-210.
[8]Stechmiller JK,Cowan L,Whitney JD,et al.Guidelines for the prevention of pressure ulcers.Wound Repair Regen,2008,16(2):151-168.
[9]杜强,贾丽艳.SPSS统计分析.北京:人民邮电出版社,2011.Du Q,Jia LY.SPSS Statistical Analysis.Beijing:Post and Telecom Press,2011.
[10]蒋琪霞,刘云,管晓萍,等.住院患者压疮现患率的多中心研究.医学研究生学报,2013,26(12):1298-1303.Jiang QX,Liu Y,Guan XP,et al.The point prevalence of pressure ulcers of inpatients,a multicenter studies.J Med Postgra,2013,26(12):1298-1303.
[11]朴玉粉,邓述华,周玉洁,等.压疮风险评估工具与预防进展.中国护理管理,2014,14(7):680-683.Piao YF,Deng SH,Zhou YJ,et al.Research progress of risk assessment and prevention of pressure ulcer.Chinese Nursing Management,2014,14(7):680-683.
[12]Sardo P,Sim?es C,Alvarelh?o J,et al.Pressure ulcer risk assessment:retrospective analysis of Braden Scale scores in Portuguese hospitalized adult patients.J Clin Nurs,2015,24(21-22):3165-3176.
[13]蒋琪霞.压疮护理学.北京:人民卫生出版社,2015:46.Jiang QX.Pressure ulcer nursing.Beijing:People’s Medical Publishing House,2015:46.
[14]Theisen S,Drabik A,Stock S.Pressure ulcers in older hospitalised patients and its impact on length of stay:a retrospective observational study.J Clin Nurs,2012,21(3-4):380-387.
[2]National Pressure Ulcer Advisory Panel,European Pressure Ulcer Advisory Panel and Pan Pacific Pressure Injury Alliance.Prevention and treatment of pressure ulcers:clinical practice guideline.Emily Haesler.Perth:Cambridge Media,2014.
[3]大浦武彦,堀田由浩.利用OH评估法进行压疮预防.东京:中央法规出版社,2005:11.Ooura TH,Hotta YK.The method of OH assessment for pressure ulcer prevention.Tokyo:Central Regulation Press,2005:11.
[4]山口孝一,大畑雅彦.预测压疮发生的OH评估法与N-L比的比较.医学检查,2015,64(1):1-6.Yamaguchi KI,Oobata MH.The comparison of the OH assessment of pressure ulcers with N-L ratio.Medical examination,2015,64(1):1-6.
[5]田中慎太郎.使用OH评估法预防压疮的实践.生活环境支援理学疗法,2011,46(1):395.Tanaka STR.The practice of using OH assessment to prevent pressure ulcers.Life environment support therapy,2011,46(1):395.
[6]孙丽,熊莉娟,刘潋,等.OH压疮评估表应用于恶性肿瘤患者的信效度分析.护理学报,2015,22(13):1-3.Sun L,Xiong LJ,Liu L,et al.Reliability and validity of OH Pressure Sore Assessment Scale in patients with malignant tumor.Journal of Nursing(China),2015,22(13):1-3.
[7]Bergstrom N,Braden BJ,Laguzza A,et al.The Braden scale for predicting pressure score risk.Nursing Research,36(4),205-210.
[8]Stechmiller JK,Cowan L,Whitney JD,et al.Guidelines for the prevention of pressure ulcers.Wound Repair Regen,2008,16(2):151-168.
[9]杜强,贾丽艳.SPSS统计分析.北京:人民邮电出版社,2011.Du Q,Jia LY.SPSS Statistical Analysis.Beijing:Post and Telecom Press,2011.
[10]蒋琪霞,刘云,管晓萍,等.住院患者压疮现患率的多中心研究.医学研究生学报,2013,26(12):1298-1303.Jiang QX,Liu Y,Guan XP,et al.The point prevalence of pressure ulcers of inpatients,a multicenter studies.J Med Postgra,2013,26(12):1298-1303.
[11]朴玉粉,邓述华,周玉洁,等.压疮风险评估工具与预防进展.中国护理管理,2014,14(7):680-683.Piao YF,Deng SH,Zhou YJ,et al.Research progress of risk assessment and prevention of pressure ulcer.Chinese Nursing Management,2014,14(7):680-683.
[12]Sardo P,Sim?es C,Alvarelh?o J,et al.Pressure ulcer risk assessment:retrospective analysis of Braden Scale scores in Portuguese hospitalized adult patients.J Clin Nurs,2015,24(21-22):3165-3176.
[13]蒋琪霞.压疮护理学.北京:人民卫生出版社,2015:46.Jiang QX.Pressure ulcer nursing.Beijing:People’s Medical Publishing House,2015:46.
[14]Theisen S,Drabik A,Stock S.Pressure ulcers in older hospitalised patients and its impact on length of stay:a retrospective observational study.J Clin Nurs,2012,21(3-4):380-387.