危重症患者压疮风险评估：临床与社会特征
Pressure Ulcer Risk Evaluation in Critical Patients: Clinical and Social Characteristics.
作者信息
de Azevedo Macena Mônica Suêla, da Costa Silva Rayanne Suely, Dias Fernandes Maria Isabel Da Conceição, de Almeida Medeiros Ana Beatriz, Batista Lúcio Kadyjina Daiane, de Carvalho Lira Ana Luisa Brandão
机构信息
Nursing Department, Federal University of Rio Grande of Norte, Natal, Rio Grande of Norte, Brazil.
出版信息
Open Nurs J. 2017 Jul 28;11:91-97. doi: 10.2174/1874434601711010091. eCollection 2017.
BACKGROUND
Pressure ulcers increase hospital stays and treatment costs due to their complications. Therefore, recognizing factors that contribute to pressure ulcer risk are important to patient safety.
OBJECTIVE
To evaluate the association between the scores of the Waterlow, Braden, and Norton scales and clinical and social characteristics in critically ill patients.
METHOD
A cross-sectional study of 78 patients in an adult intensive care unit of a university hospital in Northeastern Brazil was conducted from July to December 2015. Data included social and clinical information and the risk factors of the Braden, Norton and Waterlow scales. Data were analysed by the descriptive and inferential statistics.
RESULTS
Most of the participants were female, adults and elderly people with brown skin colour, low education levels and insufficient income. Most of them showed a high risk for developing pressure ulcers using the three evaluated scales. Age, smoking status, diabetes and hypertension were associated with scores on the Waterlow, Braden and Norton scales.
CONCLUSION
Age, use of the tobacco, diabetes and hypertension were associated with the risk of pressure ulcers in ICU patients.
背景
压疮因其并发症会增加住院时间和治疗成本。因此，识别导致压疮风险的因素对患者安全很重要。
目的
评估沃特洛量表、布拉德恩量表和诺顿量表得分与重症患者临床及社会特征之间的关联。
方法
2015年7月至12月，对巴西东北部一所大学医院成人重症监护病房的78名患者进行了横断面研究。数据包括社会和临床信息以及布拉德恩量表、诺顿量表和沃特洛量表的风险因素。采用描述性和推断性统计方法对数据进行分析。
结果
大多数参与者为女性、成年人及老年人，肤色为棕色，教育水平低且收入不足。使用三种评估量表评估，他们中的大多数显示出发生压疮的高风险。年龄、吸烟状况、糖尿病和高血压与沃特洛量表、布拉德恩量表和诺顿量表的得分相关。
结论
年龄、吸烟、糖尿病和高血压与重症监护病房患者发生压疮的风险相关。
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