肿瘤医院患者压疮发病率及护理干预效果的调查分析

目的调查肿瘤医院患者压疮的发病率，探讨压疮护理干预的效果。方法2015年9月第一次调查全院住院患者的压疮发病率，然后采取入院患者压疮风险评估、加强翻身、减压气垫及压疮敷料等相应的治疗护理干预措施，2016年9月再对全院住院患者进行压疮发病率调查，比较两次压疮发病率。结果第1次调查住院患者1388例，发生压疮患者13例，压疮发病率为0．94％；第2次调查住院患者1560例，发生压疮患者5例，压疮发病率为0．32％；两次调查的压疮发病率差异具有统计学意义（P〈0．05）。结论肿瘤医院住院患者的压疮发病率较低对入院患者进行压疮风险评估、采取适当的护理干预措施，可有效地降低压疮的发病率。

Objective To investigate the prevalence rate of pressure ulcer in cancer hospital, and to explore the effect of nursing intervention. Methods The pressure ulcer prevalence rate of all inpatients were investigated firstly in September 2015, then the pressure ulcer risk for all new inpatients were evaluated, and corresponding nursing intervention measures of roll over regularly were taken using pressure reducing air cushion and pressure ulcer dressings. The pressure ulcer prevalence rate of all inpatients was investigated again in September 2016, then the pressure ulcer prevalence rate 0ftwo investigations were compared. Results In the first investigation, there were 13 cases with pressure ulcer in all 1388 inpatient cases, the pressure ulcer prevalence rate was 0.94%. In the second investigation, there were 5 cases with pressure ulcer in all 1560 inpatient cases, the pressure ulcer prevalence rate was 0.32%.The difference of two pressure ulcer prevalence rate investigation had statistical significance （ P〈0.05 ） . Conclusion The pressure ulcer prevalence rate of cancer hospital inpatient is lower relatively. Evaluating the pressure ulcer risk for all new inpatients and taking appropriate nursing intervention measures can reduce the pressure ulcer prevalence rate effectively.