院外自带压疮患者相关因素分析和预防对策.docVIP

院外自带压疮患者相关因素分析及预防对策 张欢欢 张金伶 董伟 （北京市顺义区医院重症医学科 北京 顺义 101300） 摘要 目的 分析院外发生压疮相关因素，探讨预防方法。 方法 回顾我科2008年8月~2011年6月82例院外自带压疮患者，发生压疮214处，用数字平均差和百分比进行统计分析。 结果 带入压疮中家中带入85.4%，基层医院14.6%；内科疾病患者86.6%，外科13.4%； 神经系统及呼吸系统为主要疾病诊断的患者发生压疮率比较高，分别是37.8%和28.0%；合并二项以上疾病诊断的压疮发生率为64.6%；小于60岁15.9%，大于61岁84.1%；压疮好发部位依次为骶尾部(32.2%)、足跟(18.2%)、臀部（13.6%)；压疮分期Ⅰ期66.7%，Ⅱ期25.0%。 结论 加强健康教育，推行社区及家庭压疮危险因素的评估及预防护理，是降低院外压疮发生率的关键措施。 关键词 院外 压疮评估 家庭护理 社区护理 The Correlative Factors of Pressure Ulcers from the Patients out of Hospital and Preventive Measures Zhang Huanhuan Zhang Jinling Dong Wei (Critical Care Medicine Unit of Shunyi Hospital, Beijing , Shunyi ,101300) 【Abstract】 Objective To analyze the correlative factors of patients＇ pressure ulcers(PU) that occurred out of hospital and discuss effective preventive measures. Methods 82 cases with PU which were brought out of hospital were involved in the present study from Apr. 2008 to JUN 2011 in our department.214 Pressure ulcer exited. We made statistical analysis with Digital average deviation and percentage. Statistical analysis. Results 14.6% of PU were brought from grassroots hospitals while 85.4% from family; 86.6% of PU exited in the patients of internal medicine diseases while 13.4% from surgical diseases;37.8% of patients had nervous system as main disease diagnoses while 28.0% had respiratory system as main disease diagnoses；64.6% had the combination of the two diagnoses;15.9% were younger than 60 years old while 84.1% older than 61 years old; Pressure ulcer predilection followed by sacrococcygeal (32.2%), heel (18.2%), hip (13.6%);The first stage as the premier PU stage occupied 66.7% while the second stage 25.0%. Conclusion Enhancing health education and carrying out evaluation and preventive nursing of dangerous element for community and family PU is the effective measures to reduce the incidence rate of PU 【Key Words】 Out of hospital; Pressure ulcers; Community nursing; Family nursing 压疮是临床常见并发症之一，随着医院基础护理工作的加强及重视，院内发生压疮已