两种压疮评估表在外科长期卧床患者中的应用效果比较

目的:比较我院自行研制的压疮危险评估量表(SPURAS)与Braden评估量表在外科长期卧床住院患者压疮评估中的应用效果。方法:将我院457例外科住院、丧失下肢行动能力患者随机分为A,B两组,A组(228例)采用外科住院患者SPURAS量表进行评估,B组(229例)采用Braden量表评估,根据评估结果分别给予相应的护理措施。结果:A组实际发生压疮7例,发生率为3.10%;B组实际发生压疮17例,发生率为7.42%,两组比较有统计学意义(P0.05)。结论:SPURAS量表预测外科长期卧床住院患者压疮的效果与Braden压疮评估表比较,SPURAS量表更加直观,易于操作,节省时间,提高效率。

Prediction effect using two types of pressure ulcer assessment in surgery hospitalized bedridden patients

Objective：To compare the effect of two different pressure ulcer risk assessment scales in surgical residents in hospitalized patients in the long run. Methods：This research adopted the prospectie cohort study design,457 cases of patients with surgery in hospital for a long time,lost the ability of lower limb action were divided into Braden group （group A,n=229） and SPURAS group （group B,n=228） scale. And the two groups were given appropriate care measures based on the assessment results. Results：Group A of actual pressure sores occurred in 7cases,the incidence was 3. 10%. Groups was 14 cases occured pressure sores,the incidence was 6. 06%. Compared with the Braden scale,SPURAS scale sensitivity,predictive value of the difference has statisti-cal significance （P〈0. 05）. Conclusion：SPURAS scale prediction of pressure ulcers in patients with surgical residents long-term effect is better than Bra-den scal. SPURAS scale is more intuitive,convenient and effective.