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目的:探讨偏瘫患者压疮高危因素的动态评估在预防干预中的作用。方法:将86例偏瘫患者随机分为主动预防组(即采用压疮危险因素动态评估指导下的预防)和被动预防组(即常规的预防护理),观察并比较两组在住院期间压疮发生率、资源利用的有效性。结果:被动预防组发生Ⅰ期压疮5例,Ⅱ期压疮2例;主动预防组仅有1例Ⅰ期压疮。结论:经动态评估对压疮高危患者实行重点预防,既节省资源,又提高了预防干预的有效性。
Objective: To investigate the role of dynamic assessment of risk factors for pressure ulcer in patients with hemiplegia during preventive intervention. Methods: Eighty-six patients with hemiplegia were randomly divided into active prevention group (ie, preventive treatment under the dynamic assessment of pressure ulcer risk factors) and passive prevention group (conventional preventive care). The pressure ulcers during hospitalization were observed and compared Rate, the effectiveness of resource utilization. Results: There were 5 cases of stage Ⅰ pressure ulcer and 2 cases of stage Ⅱ pressure ulcer in passive prevention group. There was only 1 stage Ⅰ pressure ulcer in active prevention group. Conclusion: The dynamic assessment of key patients with high pressure ulcer implementation of prevention, save resources, but also improve the effectiveness of preventive intervention.