某三级甲等医院压疮现状调查及相关因素分析  

Analysis and Research on Status of Pressure Ulcers in a Three Grade-A Hospital

作　　者：吴妙莉[1] 古金燕[1] 何淑敏[1] 陈慈玉[1] 麦泳仪[1] 黄苑玲[1] 张得时[1] 周晓舟[1] 

机构地区：[1]广东药学院附属第一医院,广东广州510080

出　　处：《中国医学创新》2016年第11期75-77,共3页Medical Innovation of China

基　　金：广东省医学科学技术研究基金资助项目(A2013349)

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(P<0.01)。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。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（P〈0.01）.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.

关 键 词：压疮 现患率 发生率 院内获得性压疮 

分 类 号：R473[医药卫生—护理学]