神經(jīng)內(nèi)科老年患者壓瘡危險因素分析及相關(guān)護理措施
發(fā)布時間:2018-01-13 18:20
本文關(guān)鍵詞:神經(jīng)內(nèi)科老年患者壓瘡危險因素分析及相關(guān)護理措施 出處:《實用臨床醫(yī)藥雜志》2016年06期 論文類型:期刊論文
【摘要】:目的探討神經(jīng)內(nèi)科老年患者壓瘡的危險因素和護理措施。方法選取神經(jīng)內(nèi)科收治的老年患者675例為研究對象,應用自制壓瘡危險度評估量表動態(tài)評估壓瘡發(fā)生的危險性,并根據(jù)不同危險度實施護理干預,應用多因素Logistic回歸分析篩選出獨立危險因素。結(jié)果護理干預包括減少受壓、皮膚護理、營養(yǎng)支持和健康宣教。觀察期內(nèi),82例患者發(fā)生壓瘡,其中Ⅰ期壓瘡61例(74.3%),Ⅱ期壓瘡18例(22.0%),Ⅲ期壓瘡3例(3.7%)。多因素Logistic回歸分析結(jié)果顯示,意識障礙、活動能力和移動能力是壓瘡的獨立危險因素(P0.01)。結(jié)論意識障礙、活動能力和移動能力降低是影響神經(jīng)內(nèi)科老年患者壓瘡發(fā)生的危險因素,應結(jié)合壓瘡危險度動態(tài)評估結(jié)果制定預防措施。
[Abstract]:Objective to explore the risk factors and nursing measures of pressure sore in senile patients in neurology department. Methods 675 cases of senile patients treated in Department of Neurology were selected as study objects. Self-made pressure sore risk assessment scale was used to dynamically assess the risk of pressure sore and carry out nursing intervention according to different risk degree. Independent risk factors were screened by multivariate Logistic regression analysis. Results Nursing intervention included reduction of pressure, skin care, nutrition support and health education. During the observation period, 82 patients suffered from pressure sores. Among them, 61 cases had stage 鈪,
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