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目的:分析神经内科患者压疮发生情况和其相关危险因素,为及时识别高危因素,积极采取有效措施预防压疮发生提供依据。方法:随机选取平煤神马医疗集团总医院神经内科2015年6月至2016年6月未发生压疮患者212例设为未发生压疮组,选取同期住院发生压疮患者101例作为压疮组,对其进行调查和分析,应用Braden量表进行压疮风险因素评估,同时对高危患者(Braden评分≤14分)进行动态评估,了解患者住院期间压疮发生及转归情况。结果:通过分析发现,年龄、Braden评分、意识、排泄控制、体温、循环、消瘦、白蛋白与压疮发生有关(P<0.01)。结论:积极总结和分析压疮发生的危险因素,制定更加全面有效的护理对策,对降低神经内科患者压疮发生的风险有重要作用。
OBJECTIVE: To analyze the incidence of pressure ulcers and related risk factors in patients with neurosurgical diseases and provide the basis for timely identification of risk factors and effective measures to prevent the occurrence of pressure ulcers. METHODS: A total of 212 patients without pressure ulcer from June 2015 to June 2016 in Pingdingshan Shenma Medical Group General Hospital were enrolled as pressure ulcer patients randomly. One hundred and eleven patients with pressure ulcer in hospital during the same period were selected as pressure ulcer Group, to investigate and analyze them. The Braden scale was used to evaluate the pressure ulcer risk factors. At the same time, high-risk patients (Braden score ≤14) were dynamically evaluated to understand the occurrence and prognosis of pressure ulcers during hospitalization. Results: Age, Braden score, consciousness, excretion control, body temperature, circulation, weight loss, and albumin were associated with pressure ulcer development (P <0.01). Conclusion: To summarize and analyze the risk factors of pressure ulcer and make more comprehensive and effective nursing countermeasures, it plays an important role in reducing the risk of pressure ulcer in neurology patients.