3种评估表预测压疮效果的比较研究  

Predicting pressure sore risk with the Braden(modified),Norton and WCUMS Scales

作　　者：薛小玲[1] 刘慧[1] 景秀琛[1] 孙志敏[1] 童淑萍[1] 邝惠容[2] 彭美慈[2] 汪国成[2] 何淑贞[2] 

机构地区：[1]苏州大学附属第一医院,215006 [2]香港理工大学护理学院

出　　处：《中华护理杂志》2004年第4期241-243,共3页Chinese Journal of Nursing

基　　金：苏州大学附属第一医院护理部与香港理工大学的合作研究项目

摘　　要：目的 :比较 3种压疮危险性评估表Braden评估表 (修订版 )、Norton评估表、华西医科大学评估表 (WestChinaUniversitymedicalSciencesScale,简称WCUMS评估表 )的预测效果 ,寻找一种最适合国情、有效而可靠的压疮评估表 ,合理利用人力资源 ,及时指导护士对压疮高危患者采取预防性护理措施。方法 :3名护士分别运用 3种评估表 ,同时、独立地对同一病人进行评估 ,共有 2 2 2名病人接受评估。结果 :Braden评估表 (修订版 )与Norton评估表、WCUMS评估表比较 ,能较好平衡敏感度和特异度 (首末次评分临界值均为 2 2分 )。 3种评估表都有相对较高的阴性预测值 (≥ 98% ) ,但阳性预测值均偏低。结论 :Braden评估表 (修订版 )压疮预测效果较好 ,可以在压疮高发的人群中应用。Objectives: To compare the predictive power of the three pressure sore risk calculators: Braden (modified), Norton and WCUMS (West China University medical Sciences Scale) scales. Method: Two hundred and twenty-two patients, free of pressure sore on admission, were assessed using the three scales by the three independent assessors. Results: Braden (modified) scale demonstrated better balance of sensitivity and specificity at the cut-off core of 22 than the other two scales. All three scales had high negative predictive values (≥98%), while the positive predictive value was low. Conclusions: The Braden (modified) scale is a more effective in pressure sore risk prediction and more suitable for use in clinical settings particularly where the incidence rate of pressure sore is high.

关 键 词：评估表 压疮 预测效果 护理人员 护理工作 

分 类 号：R473[医药卫生—护理学]