论文部分内容阅读
目的:观察Braden评分用于预测肾内科卧床病人压疮的临床效果。方法:回顾分析2015年1月至2016年1月我院肾内科的80例住院患者的临床资料,依据患者病历记录,探讨Braden量表在诊断压疮中适宜的界值、灵敏度、特异度和压疮发生的危险因素。结果:当Braden量表评分为12时得到最佳切点,此时灵敏度为83%,特异度为46%;经单因素分析发现,中重度水肿、白蛋白、神志及休克均是压疮发生的相关因素(P<0.05)。结论:Braden量表应用于肾内科卧床病人,通过诊断分界值并确定相关危险因素对压疮预测具有显著的有效性。
OBJECTIVE: To observe the clinical effect of Braden’s score in predicting bedsore in renal patients. Methods: The clinical data of 80 hospitalized patients in our hospital from January 2015 to January 2016 were retrospectively analyzed. According to the records of patients’ medical history, the appropriate cut-off value, sensitivity and specificity of the Braden scale in the diagnosis of pressure ulcer and Pressure ulcer risk factors. Results: When the Braden scale score was 12, the best cut point was obtained, the sensitivity was 83% and the specificity was 46%. According to the univariate analysis, moderate to severe edema, albumin, consciousness and shock were the occurrence of pressure sores Related factors (P <0.05). Conclusion: The Braden scale is applied to bedridden patients in the department of nephrology. It is remarkably effective in predicting pressure ulcer by diagnosing the cut-off value and determining the related risk factors.