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[对一家三级护理中心收治的压疮患者的评估]

[Assessment of patients with pressure sores admitted in a tertiary care center].

作者信息

Moro Adriana, Maurici Alice, do Valle Juliana Barros, Zaclikevis Viviane Renata, Kleinubing Harry

机构信息

Hospital Regional Hans Dieter Schimidt, Santa Catarina, SC.

出版信息

Rev Assoc Med Bras (1992). 2007 Jul-Aug;53(4):300-4. doi: 10.1590/s0104-42302007000400013.

Abstract

BACKGROUND

To determine the prevalence and analyze the profile of patients with pressure sores, focusing on risk factors, the patients' clinical characteristics at a tertiary care center, as well as stage and location of the lesions on the body.

METHODS

This was a cross sectional not controlled observational study, all patients admitted from April to June of 2005 were observed daily to identify all cases of pressure sores. The affected patients were evaluated by a standard questionnaire and the Scale of Braden was applied to define the risk of developing ulcers.

RESULTS

Of the 690 patients admitted during the referred period, a prevalence of 5.9% of patients with lesions was observed, equivalent to 41 patients 63.9% of which were elderly and the average length of stay was 18 days. In the sample studied 41.5% of patients were found in the internal medicine section and the intensive care unit, ICU. The most common location for sores was the sacral area, corresponding to 73.1% of the patients, and stage II was the most frequent, observed in 58.5% of those patients. According to the Braden scale, most patients, 80.4%, had a high risk of developing pressure ulcers, compared to 9.7% of patients with moderate risk and 7.4% with low risk.

CONCLUSION

The affected patients were at high risk of developing pressure sores. Prevalence of these lesions and the clinical and demographic profile of the affected patients are in accordance with the data in literature.

摘要

背景

为了确定压疮患者的患病率并分析其概况,重点关注危险因素、三级护理中心患者的临床特征以及身体上病变的阶段和位置。

方法

这是一项非对照横断面观察性研究,对2005年4月至6月收治的所有患者进行每日观察,以确定所有压疮病例。对受影响的患者采用标准问卷进行评估,并应用Braden量表来确定发生溃疡的风险。

结果

在所提及期间收治的690例患者中,观察到病变患者的患病率为5.9%,即41例患者,其中63.9%为老年人,平均住院时间为18天。在研究样本中,41.5%的患者在内科和重症监护病房(ICU)。溃疡最常见的部位是骶骨区域,占患者的73.1%,II期最为常见,在这些患者中占58.5%。根据Braden量表,大多数患者(80.4%)发生压疮的风险较高,中度风险患者占9.7%,低风险患者占7.4%。

结论

受影响的患者发生压疮的风险较高。这些病变的患病率以及受影响患者的临床和人口统计学概况与文献数据一致。

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