手术获得性压力性损伤风险评估量表对手术患者压力性损伤预测效果的研究

目的 比较并评价手术获得性压力性损伤风险评估量表、Braden性压力性损伤风险评估量表、Munro围术期成人压力性损伤风险评估量表对外科择期手术患者手术获得性压力损伤的预测效果,为临床选择使用适宜量表提供依据。方法 选取2所三级甲等医院2019年12月—2020年6月外科择期手术患者237例,应用3种量表于术前、术中、术后对患者进行压力性损伤风险评估和皮肤检查。比较3种量表的预测效果和操作便利性。结果 手术获得性压力性损伤风险评估量表、Braden压力性损伤风险评估量表、Munro围术期成人压力性损伤风险评估量表,术前ROC曲线下面积AUC分别为0.695、0.619、0.684;术中ROC曲线下面积AUC分别为0.848、0.633、0.882;术后ROC曲线下面积AUC分别为0.861、0.757、0.870;3种量表的评估用时比较,手术获得性压力性损伤风险评估量表评估用时最短。结论 手术获得性压力性损伤风险评估量表对手术获得性压力性损伤患者预测能力较好,方便使用,值得临床推广应用。

A Comparative Study of Predictive Effects of Three Assessment Scales on Surgical Acquired Pressure Injuries

Objective To compare and evaluate the prediction effect of Intraoperatively Acquired Pressure Injury Risk Assessment Scale, Braden Pressure Injury Risk Assessment Scale and the Munro Assessment Scale for pressure injury risk in adult patients with selective operations, and to provide reference for appropriate scale of clinical practice. Methods A total of 237 patients with selective operations from December 2019 to June 2020 were selected from two tertiary, grade A hospitals and they were surveyed by using the three scales to assess the risk of pressure injury and skin examination for each patient before, during and after the surgery. The prediction effect and operation convenience of the three scales were analyzed and compared. Results For intraoperatively acquired pressure injury risk assessment scale, Braden pressure injury risk assessment scale and the Munro assessment scale for pressure injury risk, the AUC of preoperative area under the ROC curve of the three scale during perioperative period was 0.695, 0.619 and 0.684, respectively; that was 0.848, 0.633 and 0.882, respectively during the surgery and that after the operation was 0.861, 0.757 and 0.870, respectively. By comparing the assessment time of the three scales, the assessment time of intraoperatively acquired pressure injury risk assessment scale was the shortest. Conclusion The intraoperatively acquired pressure injury risk assessment scale has good predictive effect in patients with surgical acquired pressure injury. It is convenient and worthy of clinical application.