三种压力性损伤评估量表在老年髋部骨折围手术期患者中的应用研究  

Application of three stress injury assessment scales in elderly patients with hip fracture during perioperative period

作　　者：闫林平 崔怡[2] 周红艳[1] 周颖[1] 周文琦[1] 张亚辉[3] 东潇妹 Yan Linping;Cui Yi;Zhou Hongyan;Zhou Ying;Zhou Wen Qi;Zhang Yahui;Dong Xiao-mei(Department of Nursing,Shijiazhuang Third Hospital,Shijiazhuang 050011,China;Department of Nursing,the Third Hospital of Hebei Medical University,Shijiazhuang 050051,China;Department of Day operationthe,the Third Hospital of Hebei Medical University,Shijiazhuang 050051,China;Department of Geriatric Orthopedics,the Third Hospital of Hebei Medical University,Shijiazhuang 050051,China)

机构地区：[1]石家庄市第三医院护理部,050011 [2]河北医科大学第三医院护理部,石家庄050051 [3]河北医科大学第三医院日间手术部,石家庄050051 [4]河北医科大学第三医院老年骨科,石家庄050051

出　　处：《中华老年骨科与康复电子杂志》2021年第4期231-237,共7页Chinese Journal of Geriatric Orthopaedics and Rehabilitation(Electronic Edition)

基　　金：石家庄市科技局研究课题(201461223)。

摘　　要：目的探讨Braden、Waterlow、汉化版Munro三种压力性损伤风险评估量表在老年髋部骨折患者围手术期中的应用效果。方法本研究采用方便抽样法前瞻性收集2019年8月至12月在某两所三级甲等医院老年髋部骨折围手术期患者作为研究对象,运用三种压力性损伤风险评估量表对180例患者进行术前、术中、术后风险评估与护理。采用SPSS17.0、中文版MedCalc19.5.2,统计软件进行数据分析。结果老年髋部骨折患者围手术期压力性损伤发生率为15%;Braden、Waterlow、汉化版Munro三种量表术前、术中、术后约登指数分别为0.1285、0.3878、0.1264;0.6471、0.5490、0.5599;0.3878、0.4989、0.4902,ROC曲线下面积分别为0.565、0.716、0.571;0.856、0.809、0.835;0.757、0.793、0.820。结论Waterlow风险评估量表综合预测能力优于Braden、汉化版Munro风险评估量表,更适用于老年髋部骨折患者围手术期压力性损伤风险筛查,可优先选择使用。Objective To explore the application effect of Braden,Waterlow and Munro pressure injury risk assessment scales in perioperative period of senile patients with brittle fracture of hip.Methods In this study,convenient sampling method was used to select the elderly patients with hip fracture during the perioperative period from August to December in 2019 and from October to November in 2019 in two Grade A hospitals,and the risk assessment and nursing of 180 patients before,during and after operation were carried out using three risk assessment scales for pressure injury.SPSS17.0 and Chinese MedCalc19.5.2 statistical software were used for data analysis.Results The incidence of perioperative stress injury in senile patients with brittle fracture of hip was 15%.The indexes of Braden,Waterlow and Munro were 0.1285,0.3878 and 0.1264 respectively before,during and after operation.0.6471,0.5490,0.5599.The area under the ROC curve was 0.565,0.716 and 0.571,respectively,0.856,0.809,0.835;0.757,0.793,0.820.Conclusion The comprehensive predictive ability of Waterlow risk assessment scale is superior to Braden and Munro risk assessment Scale,which is more suitable for the risk screening of pressure injury in the perioperative period of elderly patients with hip fracture,and can be preferred.

关 键 词：髋骨折 围手术期 压力性溃疡 风险评估 

分 类 号：R473.6[医药卫生—护理学]