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Braden量表诊断老年人压力性损伤的适用性和最佳界值的多中心研究 被引量:6

Study on the applicability and optimal cut-off of Braden Scale in the diagnosis of pressure injury in the elderly based on multicenter study data
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摘要 目的探讨Braden量表诊断老年人压力性损伤的适用性和最佳界值,为临床正确使用Braden量表提供依据。方法招募全国52所医疗机构,1067名培训合格的护士每2~3人一组,采用目的抽样法纳入60岁以上住院患者,检查其全身皮肤并收集相关资料,判断是否存在压力性损伤及其分期,同时采用Braden量表预测评分。使用统计软件分析老年人压力性损伤流行特征和Braden量表预测诊断压力性损伤受试者工作特征曲线下面积(area under the curve,AUC)、灵敏度、特异度和约登指数。结果在33769例有效资料中,压力性损伤总现患率为3.12%(1054/33769),其中医院获得性压力性损伤发生率为0.79%(267//33769)。分层分析显示,Braden量表预测诊断不同年龄、性别、种族和不同医疗机构中老年患者压力性损伤的AUC为0.85~0.96,灵敏度和特异度分别为0.83~0.96和0.71~0.86。总分≤15、≤16、≤17、≤18、≤19、≤20分6个界值的AUC为0.67~0.82,灵敏度和特异度分别为0.67~0.84和0.54~0.68,约登指数为0.25~0.49,≤20分的约登指数和AUC最大。结论Braden量表适用于不同年龄、性别、种族和不同医疗机构中的老年患者评估预测压力性损伤风险,总分≤20分作为最佳界值可提高预测效能。 Objective To analyze the applicability and the optimal cut-off of Braden Scale for the diagnosis of pressure injury in the elderly through the data of multicenter cross-sectional study of pressure injury in the elderly in China,so as to provide bases for the correct use of Braden scale in clinical practice.Methods 1067 trained and qualified nurses from 52 different medical institutions across the country were recruited in a group of 2.They included the inpatients over 60 years old by purpose sampling method,examined the skin and relevant data of patients,and evaluated whether there was pressure injury and its stage,and used the Braden Scale to predict the risk of pressure injury.The statistical software was used to analyze the epidemic characteristics of pressure injury in the elderly,and the area under the working characteristic curve(AUC),sensitivity,specificity and Yoden index of those with pressure injury were predicted and diagnosed by the Braden Scale.Results In the effective data of 33769 cases,the total prevalence of pressure injury was 3.12%(n=1054),of which the incidence of hospital acquired pressure injury was 0.79%(n=267).Hierarchical analysis showed that the AUC predicted by the Braden Scale for the diagnosis of pressure injury in elderly patients of different ages,gender,races and medical institutions was 0.85~0.96,and the sensitivity and specificity were 0.83~0.96 and 0.71~0.86,respectively.The AUC of the 6 cut-off values of total score≤15,≤16,≤17,≤18,≤19 and≤20 points was 0.67~0.82;the sensitivity and specificity were 0.67~0.84 and 0.54~0.68,respectively;the Youden index was 0.25~0.49.The Youden index and AUC of≤20 points was the largest.Conclusion Braden Scale is suitable for elderly patients of different ages,gender,race and medical institutions to assess and predict the risk of pressure injury.The total score of≤20 points can be used as the best cut-off,which can improve the prediction efficiency.
作者 蒋琪霞 刘国帧 朱玉玲 李育梅 展颖颖 于秀娟 解怡洁 王静 白育瑄 JIANG Qixia;LIU Guozhen;ZHU Yuling;LI Yumei;ZHAN Yingying;YU Xiujuan;JIE Yijie;WANG Jing;BAI Yuxuan
出处 《中华护理杂志》 CSCD 北大核心 2023年第4期440-445,共6页 Chinese Journal of Nursing
基金 2021年军队保健专项课题(21BJZ38) 上海王正国创伤医学发展基金会课题(WZGF20200101)。
关键词 老年人 压力性损伤 BRADEN量表 危险评估 预测界值 护理 Aged Pressure Injury Braden Scale Risk Assessment Predictive Cut-off Nursing Care
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  • 1薛小玲,刘慧,景秀琛,孙志敏,童淑萍,邝惠容,彭美慈,汪国成,何淑贞.3种评估表预测压疮效果的比较研究[J].中华护理杂志,2004,39(4):241-243. 被引量:139
  • 2李小寒,尚少梅.基础护理学[M].北京:人民卫生出版社,2008,232
  • 3腾轶超,丁海曙,黄岚,李岳,闪全忠,叶大田,丁海艳,简仁宗,黄碧桃.外层覆盖下组织氧饱和度的无损检测及可信度评定[J].自然科学进展,2007,17(8):1138-1143. 被引量:11
  • 4姜丽萍,蔡福满,杨晔琴,韦泾云,吴永琴.不完全皮肤受压对大鼠组织损伤影响的实验研究[J].中华护理杂志,2007,42(9):776-778. 被引量:27
  • 5丁海曙,腾轶超.组织血氧参数近红外无损检测技术及自主创新之路[J].激光与光电子学进展,2007,44(9):14-31. 被引量:41
  • 6Terekeci H,Kucukardali Y,Top C,et al. Risk assessment study of the pressureulcers in intensive care unit patiems[J]. Eur J Int Med,2009, 20 (4) : 394-397.
  • 7Shahin ES,Dassen T,Halfens RJ. Pressure ulcer prevalence and incidence in intensive care patients:a literature review[Jl. Nurs Crit Care,2008,13(2) :71-79.
  • 8Ayello EA,Braden BJ.How and why to do pressure ulcer risk assessment[J].Adv Skin Wound Care,2002,15(3) : 125-131.
  • 9Teng Yichao,Ding Haishu,Gong Qingcheng,et al. Monitoring cerebral oxygen saturation during cardiopulmonary bypass us- ing near-infrared spectroscopy:the relationship with body tem- perature and perfusion rate[J].J Bio Opt,2006,11(2):024016.
  • 10National Pressure Ulcer Advisory Panel Staging Report[EB/OL]. [2006-06-20]. http ://www.npuap.org.

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