自理能力完全受限老年患者发生带入压疮的状况及其危险因素分析

Risk factors of pressure ulcers in patients with fully limited self-care ability

目的探讨自理能力完全受限老年患者带入压疮发生状况,并分析其危险因素。方法采取便利取样法,选取2015年1月-2017年12月在本院老年病区住院的82例自理能力完全受限老年患者为研究对象,了解其带入压疮发生率及其危险因素。结果82例自理能力完全受限患者中,27例发生带入压疮,占32.93%,未发生55例,占67.07%;Logistic回归分析结果显示,肢体功能障碍、压疮评分和社会支持评分进入回归方程,分别OR=4.316、3.625、5.862,均P<0.05,差异有统计学意义。结论自理能力完全受限老年患者带入压疮发生率较高,其中有肢体功能障碍、压疮评分与社会支持评分越低者其发生压疮的风险越大。

Objective To study the incidence of pressure ulcers in patients with fully limited self-care ability and to analyze the risk factors. Methods Toally 82 patients of completely limited self-care ability treated in the elderly wards from January 2015 to December 2017 in our hospital were selected as the research subjects. The incidence of pressure sores was statistically analysed. The incidence of pressure sores was compared among the patients with different characteristics, and the risk factors of pressure ulcers in the patients were analyzed. Results Among the 82 patients with fully limited self-care ability, 27 cases contracted pressure ulcer, with the incidence of pressure ulcers 32.93% and 55 cases did not, accounting for 67.07%. Logistic regression analysis results showed limb dysfunction, pressure ulcer score and social support score entered the regression equation（OR =4.316, 3.625, 5.862, respectively）.Conclusion The incidence of pressure ulcers in patients with fully limited self-care ability is higher and the influencing factors included limb dysfunction, pressure ulcer score and social support score.