非长期卧床患者发生压疮原因分析及对策

目的总结分析临床非长期卧床患者被动发现压疮的原因,并提出针对性对策。方法回顾性分析2003年4月-2007年8月在本院住院的17例非卧床发生压疮患者的临床资料,应用Norton量表对压疮进行评分,分析发生压疮的原因。结果Norton量表评分轻度危险11例、中度危险5例、重度危险1例,通过局部清创、全身营养等支持治疗和护理,除1例患者病情恶化死亡外,其他患者压疮均得到有效控制或治愈。结论加强压疮相关知识培训,以《压疮危险因素评估表》为依据,对患者做好连续评估和分期护理,重视特殊部位皮肤交接班,可以及时、主动发现压疮,积极干预,及时控制患者压疮的发展,减少患者的痛苦。

Objective To analyze the possible reasons of pressure sores in the non-long-term bedridden patients, and summarize the corresponding treatment strategies. Methods The reasons of pressure sore in 17 cases patients in our hospital from April 2003 to August 2007 were retrospectively analyzed. Norton pressure sore rating scale was used to evaluate the pressure sore. Results Evaluated by the risk factors table of pressure sore, 11 patients were determined to be at low risk, 5 at mediate risk, and one patient at critical risk. Treated with local debridement, general nutrition and properly nursing, one patient died of primary disease, the pressure sores in other patients was improved or totally healed. Conclusions The training on nursing knowledge about pressure sore, continuous evaluation on the patients, nursing based on different phrases, and reports specially on skin of special parts at nursing shift are key for findings of pressure sores. The timely discovery of bed sore and active nursing can lower the incurrenee rate of pressure sore and contain its deterioration.