Braden量表预测压疮诊断界值及危险因素的研究  

Study of Braden scale prediction of diagnosis boundary value of pressure ulcer and its risk factors

作　　者：关欣[1] 王蕾[1] 王紫馨[1] 

机构地区：[1]北京医院护理部,北京市100730

出　　处：《护理管理杂志》2014年第3期212-214,共3页Journal of Nursing Administration

摘　　要：目的探讨Braden量表不同分界值的灵敏度、特异度、阳性预测值以及压疮发生的相关危险因素。方法将2011年4月至2013年6月住院的65 926例患者中发生压疮的380例患者应用Braden量表进行压疮风险评估。结果①当Braden量表分界值为14分时,其灵敏度、特异度具有最好的平衡性。②神志、白蛋白、中重度水肿、休克(应用血管活性药物)与压疮发生有关。结论应用Braden量表对住院患者的压疮危险因素进行评估时结合压疮发生的相关危险因素,可以使Braden量表有更好的灵敏性、特异性,从而采取相应措施,有效降低住院患者的压疮发生率。Objective To explore the sensitivity,specificity and positive predictive value of the Braden scale and risk factors of pressure ulcers.Method Totally,380 pressure ulcer patients of 65,926 inpatients from April 2011 to June 2013 were assessed using the Braden scale.Results When the boundary value of Braden scale was 14,its sensitivity and specificity were the best balance.Consciousness,albumin,edema and shock （application of vasoactive drugs） were found to be influential factors of pressure ulcer.Conclusion When assessing pressure ulcer,nurses can combine with the risk factors of pressure ulcers,thus can make the Braden scale to have better sensitivity and specificity,and then taking countermeasures to reduce the occurrence of pressure ulcers of inpatients.

关 键 词：BRADEN量表 压疮 危险因素 

分 类 号：R472[医药卫生—护理学]