老年压疮相关因素的Logistic回归分析

目的 发现老年患者发生院内压疮的相关因素.方法 选取某三级甲等医院压疮高发科室中的老年住院患者271例,连续观察各种指标变化和压疮结局,运用Logistic回归分析观察指标与压疮的关联.结果 医疗护理措施、手术、活动度受损、组织耐受性改变等与压疮发生相关显著.2种压疮结局(I度以上压疮和II度以上压疮)的因素分析结果 基本一致.结论 医疗护理措施、手术、活动度受损、组织耐受性改变等可增加老年住院患者的压疮风险,临床护理中需实施针对性的预防和干预.

Logistic regression analysis of pressure ulcer risk factors among elderly

Objective To explore pressure ulcer risk factors among hospitalized elderly patients.Methods 271 patients were selected from departments of high pressure ulcer incidence of a srade three A hospital.Multiple factors were assessed prospectively and the occurrence of pressure ulcer monitored.Logistic regression was applied to analyze the correlation between the factors and the occurrence of pressure ulcer.Results Correlated factors included medical and nursing interventions,surgery,impaired activity and impaired tissue tolerance.Similar results were found for two kinds of dependent variables,namely suge I and stage Ⅱ pressure ulcers.Conclusions Medical and nursing interventions,surgery,impaired activity and impaired tissue tolerance are considered risk factors of pressure ulcers for hospitalized elderly patients.Relative prevention and interventions should be integrated in clinical nursing care.