某三级甲等医院压疮的现状调查及相关因素分析.docVIP

某三级甲等医院压疮的现状调查及相关因素分析 　　【摘要】 目的：了解住院患者压疮患病率、发生率及相关因素，为动态监测和预防压疮提供基线数据。方法：采用压疮现患率调研工具精简数据组，对2015年1月29日和2015年4月9日某三级甲等医院1375例住院患者压疮情况进行调查。结果：住院患者压疮总现患率为6.91%，院内获得性压疮现患率为2.98%，压疮患者全身性减压措施采用率为55.6%，局部减压措施采用率为69.4%；压疮患者设有防压疮提示标识占40.0%；与非压疮患者比较，压疮患者血清白蛋白、血红蛋白明显降低，差异均有统计学意义（P0.01）。结论：该医院患者老龄化程度高，压疮患病率高于同类医院水平，护理人员应加强防压疮知识培训，正确使用Braden评估表筛查高危患者，积极采取全身性和局部性减压措施，以降低压疮发生率。 　　【关键词】 压疮； 现患率； 发生率； 院内获得性压疮 　　【Abstract】 Objective：To understand the hospitalized patients with pressure ulcer prevalence，incidence，related factors，and provide baseline data for dynamic monitoring and prevention of pressure ulcer.Method：The inpatients of 1375 were investigated by using the pressure ulcer prevalence survey tools to streamline the data set on January 29，2015 and April 9，2015.Result：The inpatients prevalence of pressure ulcers was 6.91% and the prevalence of hospital-acquired pressure ulcers was 2.98%，the adoption rate of systematic decompression and local decompression were respectively 55.6% and 69.4%.The patients had the caution of ‘No pressure ulcers’ were 40.0%.The mean value of serum albumin and hemoglobin in the pressure ulcers were obviously lowered than the non-pressure ulcers，the differences were statistically significant（P0.01）.Conclusion：Considering the aging of hospitalized patients and the high prevalence of pressure ulcers，it is necessary to enhance the knowledge of preventing the pressure ulcers and screening high-risk patients to the nurse and correctly use the Braden assessment form and positively adopting measures of systematic or local decompression to reduce the incidence of pressure ulcers. 　　【Key words】 Pressure ulcer； Prevalence rate； Incidence； Hospital-acquired pressure ulcer 　　First-author’s address：The First Affiliated Hospital of Guangdong Pharmaceutical University，Guangzhou 510080，China 　　doi：10.3969/j.issn.1674-4985.2016.11.022 　　近年来，压疮现患率被用作评价护理质量和压疮预防措施是否有效的指标，也被用来评估预防资源需求量，作为制定预防计划和分配预防资源依据[1]。为全面了解住院患者压疮现患率及护理现状，本研究选取2015年1月29日与2015年4月9日对某三级甲等医院住院患者进