Norton评分原始切点提高对老年患者压疮的预防效果

Prevention of pressure ulcer by elevating original incisal point of Norton Score for elderly patients

目的探讨提高Norton评分原始切点至17分对老年患者压疮管理的效果。方法将80例Norton评分15-17分（研究过程中分值未变）的老年住院患者实施自身前后对照研究。对照阶段加强预防教育,教会家属与患者自护技巧;试验阶段采取压疮预防专项护理措施。结果对照阶段压疮发生率为26.25%,试验阶段未发生压疮。两阶段压疮发生率比较,差异有统计学意义（P〈0.01）。结论提高Norton评分的原始切点至17分,并采取预防措施,能有效预防老年住院患者压疮的发生,规范老年压疮的护理管理。

Objective To explore pressure-ulcer-preventing effect by elevating original incisal point of Norton Score to 17 for elderly patients.Methods A total of 80 hospitalized aged patients with a Norton Score of 15-17 were studied by using self-control method.At the control stage,nurses gave education on how to prevent pressure ulcers,and taught patients and their family members with self-care skills.At the experimental stage,nurses applied special nursing intervention to prevent pressure ulcers.Results Totally,26.25% at the control stage developed pressure ulcers,against 0 case at the experimental stage,with statistical difference between the two stages（P0.01）.Conclusion If we elevate the original incisal point of Norton Score to 17,and take preventive precautions for aged patients,pressure ulcers will be effectively prevented.