摘要
目的探究与分析不同压疮危险评估量表对慢性心力衰竭患者压疮的判断以及预测能力对比。方法方便选取该院自2016年12月-2019年12月收治的78例慢性心力衰竭患者作为研究对象,对全部研究对象使用3种不同的量表进行评估,统计研究对象的压疮发生情况,对比3种评估量表条目的敏感性及预测能力;按照是否发生了压疮分为未发生压疮组(n=60)及发生压疮组(n=18),对比未发生压疮组与发生压疮组患者的体感舒适度及满意度。结果3种量表的评估得分经过Wilcoxon秩和检验显示,不同Norton量表、Braden及Waterlow量表压疮发生组与未发生压疮组间差异有统计学意义(P<0.05),说明均有辨别是否发生压疮的能力;该组研究对象以骶尾部压疮发生率最高,共11例,占61.11%,其余部位压疮发生率分别为颜面部、髂前上棘、髋部、臀部各1例,均占5.56%,肩部3例,占16.67%;Braden、Norton和Waterlow量表的最佳诊断界值分别为16分、18分和14分,Braden、Norton和Waterlow量表的AUC分别为0.637、0.721、0.635,其中Norton量表的AUC具有最大值。结论将Norton量表用于评价压疮的能力更加优于Braden及Waterlow量表,在临床工作中可用于对慢性心力衰竭患者压疮发生风险进行预测。
Objective To explore and analyze the influence of different pressure ulcer risk assessment scales on the judgment of pressure ulcers and the prediction capabilites with chronic heart failure.Methods Conveniently select 78 patients with chronic heart failure admitted to the hospital from December 2016 to December 2019 as the research objects.All the research objects were evaluated using 3 different scales,and the incidence of pressure ulcers in the research objects was counted and compared.The sensitivity and predictive ability of 3 kinds of assessment scale items;according to whether pressure ulcers have occurred,they are divided into non-pressure ulcer group(n=60)and pressure ulcer group(n=18),compared with the pressure ulcer group Body comfort and satisfaction of patients in the pressure ulcer group.Results The evaluation scores of the three scales were tested by the Wilcoxon rank sum test.There was a statistically significant difference between the pressure ulcer group on the different Norton scale,Braden and Waterlow scales and the pressure ulcer group without pressure ulcer(P<0.05).Ability to discern whether pressure ulcers occur;in this group,the incidence of pressure ulcers in the sacrococcygeal region is the highest,with 11 cases,accounting for 61.11%.The incidence of pressure ulcers in the remaining parts is the facial,anterior superior iliac spine,hip and buttock,1 case each,both accounting for5.56%,3 cases of shoulder,accounting for 16.67%;The best diagnostic cut-off values of Braden,Norton,and Waterlow scales are 16,18,and 14,respectively,and the AUC of Braden,Norton,and Waterlow scales They are 0.637,0.721,0.635,respectively,and the AUC of Norton scale has the maximum value.Conclusion The Norton scale is more capable of evaluating pressure ulcers than the Braden and Waterlow scales.It can be used in clinical work to predict the risk of pressure ulcers in patients with chronic heart failure.
作者
纪姝
JI Shu(Department of Cardiology,Xiamen Hospital,Beijing University of Chinese Medicine,Xiamen,Fujian Province,361000 China)
出处
《中外医疗》
2020年第30期142-144,共3页
China & Foreign Medical Treatment
关键词
压疮危险评估量表
慢性心力衰竭
压疮
Pressure Ulcer Risk Assessment Scale
Chronic heart failure
Pressure ulcer
