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住院患者压疮发生情况调查及Logistic回归分析

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目的:探究院内压疮发生情况,分析其发生的影响因素,为进一步提高院内压疮管理、改进预防措施提供依据.方法:回顾性分析本院2018年1月至2021年12月发生院内压疮的54例住院患者的临床资料,另选取同期在本院住院的50例未发生压疮患者作为研究对象,对比压疮组与无压疮组患者的一般资料,采用多元Logistic回归分析影响患者发生压疮的危险因素.结果:54例压疮患者中,男女比例一致,平均年龄(70.89±18.21)岁,平均Braden评分(9.74±2.56)分,压疮发生部位大多集中在骶尾部(27/54),压疮分期主要为2期(43/54),46.30%的患者转归情况为好转(25/54),压疮患者科室分布较为复杂.多元Logistic回归分析结果显示,Braden评分、是否合并慢性疾病、卧床时间、皮肤水肿、失禁、肢体活动情况均是导致发生压疮的独立危险因素,P<0.05.结论:压疮的发生在性别上无显著差异,以老年患者发生率较高为主,患者的Braden评分普遍处于低水平且压疮多发生在骶尾部,大多在治疗后好转.Braden评分、是否合并慢性疾病、卧床时间、皮肤水肿、失禁、肢体活动情况是导致患者发生压疮的独立性危险因素,提示临床医护人员需对存在危险因素的患者多加关注,提高压疮的防范意识.
Objective:To explore the occurrence of pressure ulcers in the hospital,analyze its influencing factors,and provide a basis for further improving the management of pressure ulcers in the hospital and improving preventive measures.Methods:The clinical data of 54 inpatients with in-hospital pressure ulcers from January 2018 to December 2021 in our hospital were retrospectively analyzed,and 50 patients who were hospitalized in our hospital during the same period without pressure ulcers were selected as the research objects,and compared with the pressure ulcer group.Compared with the general data of patients in the non-pressure ulcer group,multivariate Logistic regression was used to analyze the risk factors for the occurrence of pressure ulcers.Result:Among the 54 patients with pressure ulcers,the proportion of males and females was the same,the average age was(70.89±18.21)years,and the average Braden score was(9.74±2.56)points.Most of the pressure ulcers occurred in the sacrococcygeal region(27/54).In stage 2(43/54),46.30%of patients had improved outcomes(25/54),and the distribution of pressure ulcer patients was complicated.The results of multiple logistic regression analysis showed that Braden score,whether there was chronic disease,bedtime,skin edema,incontinence,and limb activity were independent risk factors for pressure sores(P<0.05).Conclusion:There was no significant gender difference in the incidence of pressure ulcers.The incidence of pressure ulcers was higher in elderly patients.The Braden score of the patients was generally low and the pressure ulcers mostly occurred in the sacrococcygeal region,which mostly improved after treatment.Braden score,whether there are chronic diseases,bedtime,skin edema,incontinence,and physical activity are independent risk factors leading to pressure ulcers,which suggests that clinical doctors and nurses should pay more attention to patients with risk factors and improve the prevention awareness of pressure ulcers.

In-hospital pressure ulcerincidenceinfluencing factors

杨靖、秦晓燕

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蚌埠市第三人民医院 安徽蚌埠 233000

院内压疮 发生率 影响因素

2023

黑龙江中医药
黑龙江省中医研究院

黑龙江中医药

影响因子:0.425
ISSN:1000-9906
年,卷(期):2023.52(4)
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