Plunge in neurosurgical patients to prevent pressure sores in the clinical application.doc

 PAGE \* MERGEFORMAT 7 Plunge in neurosurgical patients to prevent pressure sores in the clinical application [Key Words] water cushion to prevent pressure sores Neurosurgical patients in critical condition, physical activity, sensory dysfunction, unresponsive to pain, cold, heat is not sensitive to long-term bed rest, the body resistance is low, for a long time did not change the position do not feel pressure pain, such as nursing is not in place , could easily lead to pressure ulcers .2004 October ~ October 2008 on 236 cases of our department bedridden patients to prevent pressure sores with water cushion, achieved good results, are as follows. Materials and Methods 1. General Information Conditions for the use of selected cases of Braden Scale Assessment Scale score of 15 points were assessed, and the stand is still subject to discharge patients, a total of 236 cases, 169 cases were male, female 67 cases, aged from 12 to 92 years, mean 61.33 years, 76 cases in which severe head injury, cerebral hemorrhage in 48 cases, 49 cases of intracranial tumor surgery, spinal tumor in 36 cases, 17 cases of cerebrovascular disease, the other 10 cases. 2.Braden Scale Assessment Scale the content and community values Braden Scale Assessment Scale for the United States since 1978, health care organizations (AHCPR recommended a predictive tool for pressure ulcer risk [1], applications are considered in the general wards have high validity and reliability. This table from 6 aspects of assessment, namely, feeling, moisture, activity, mobility, nutrition, friction and shear force, in addition to “friction and shear,” a 1 to 3 exceptionally, the rest of the score of 1 to 4 points, out of 6 to 23 points, scoring lower, the occurrence of the higher risk of pressure sores. which prompts 15 to 18 minutes with mild risk, moderate risk 13 to 14 points, 10 to 12 minutes of high-risk, 9 points or less extremely dangerous. 3. Methods Plunge from the waterproof