压疮危险因素评估的研究进展

The progress on risk assessment for pressure ulcer

压疮危险因素的准确评估是制定有效预防和治疗策略最为至关重要的一步，目前临床应用的各种压疮危险因素评估表中的各个参数赋予相等的权重、总评分只是各参数计分的算术和，评判过于简单、主观性过强。压疮危险因素评估的发展趋势是由经过正规训练、经验丰富的护士对患者进行评估，并应用计算机压力监测装置、皮肤血流激光多普勒，同时将不同权重记分法与先进的统计技术相结合研发出更确切的数据驱动的RASs系统。

The accurate risk -assessment scales （RASs） is considerable for instituting strategy for prevention and management of pressure ulcers （PU） . In the current, the values achieved within each risk factor are summed to derive the total score. The equal -weigh- ring scoring technique is too simplistic and subjective leads to limitations. It shows that properly trained, experienced nurses should conduct PU risk assessments, whilst more robust data - driven PASs should be developed using the computation pressure monitoring, skin blood flow laser - Doppler and differential weighting scoring method together with advanced statistical techniques.