KPS评分与营养水平对肿瘤患者压力性损伤发生的影响  

Influence of Karnofsky performance status scale and nutrition levels on pressure injury in cancer patients

作　　者：杨菊英[1] 姚建琴[2] 王祖晶 郝素娟[3] 郭菁[3] 邹志宏[2] YANG Juying;YAO Jianqin;WANG Zujing;HAO Sujuan;GUO Jing;ZOU Zhihong(Department of Nursing;Department of Internal Medicine;Department of Oncology,Suzhou Hospital Affiliated to Nanjing Medical University,Suzhou,Jiangsu,215001)

机构地区：[1]南京医科大学附属苏州医院江苏省苏州市立医院护理部,江苏苏州215001 [2]南京医科大学附属苏州医院江苏省苏州市立医院内科,江苏苏州215001 [3]南京医科大学附属苏州医院江苏省苏州市立医院肿瘤科,江苏苏州215001

出　　处：《中西医结合护理（中英文）》2018年第9期23-25,共3页Journal of Clinical Nursing in Practice

基　　金：苏州市科技局立项课题(SYSD2016119)

摘　　要：目的探讨KPS评分与营养水平对肿瘤患者发生院内获得性压力性损伤的影响,为临床筛选重点预防对象、采取干预措施提供依据。方法选取2017年1月—2018年1月入住肿瘤内科的恶性肿瘤晚期患者261例,评估患者的一般资料及KPS评分、血清白蛋白、血红蛋白、Braden评分,给予相应的预防措施,每天观察院内获得性压力性损伤的发生情况。结果院内获得性压力性损伤发生率为13. 03%(34/261)。不同KPS评分、年龄、皮肤类型、血清白蛋白、血红蛋白含量、Braden评分患者压力性损伤发生情况差异有统计学意义(P <0. 05)。高龄、KPS评分≤30分、低血清白蛋白、低血红蛋白、Braden评分≤16分患者压力性损伤发生率更高。结论肿瘤患者KPS评分、血清白蛋白、血红蛋白水平与压疮发生密切相关,压疮的高发生率提示晚期肿瘤患者需要早期干预、强化结构化的压力性损伤预防措施。Objective To investigate the influence of Karnofsky Performance Status scale （KPS） and nutrition levels on pressure injury in cancer patients, and provide evidence for clinical screening of high-risk objects and take intervention measures. Methods A convenient sampling method was used to select 261 patients with advanced malignant tumors who were admitted to hos- pital from January 2017 to January 2018. The KPS score, serum albumin, hemoglobin, and Bra- den scores were evaluated. Corresponding prevention measures and the daily observation of hospi- tal-acquired stress injuries were carried out in the hospital. Results The incidence of hospital-ac- quired stress injuries in the hospital was 13.03 % （34/261）. Univariate analysis showed that there were significant differences in stress injury condition of patients with different KPS score, age, type of skin, serum albumin, hemoglobin level and Braden score （P 〈 0.05 ）. Patients with high- er age, KPS score ≤30 points, lower serum protein, lower hemoglobin, Braden score ≤ 16 points were more vulnerable to the stress injury. Conclusions This study showed that KPS scores, serum protein, and hemoglobin levels were closely related to pressure ulcers. Give the high incidence of pressure ulcers, early intervention and enhanced structural pressure ulcer preven- tion measures should be carried out for patients with advanced cancer.

关 键 词：肿瘤 KPS评分 营养水平 压力性损伤 危险因素 

分 类 号：R472[医药卫生—护理学]