护士观察量表联合Braden压疮危险评估量表在精神心理科住院患者压疮风险中的评估价值

Evaluation value of nurses′ observation scale combined with Braden scale in pressure ulcer risk of inpatients in Department of Psychiatry and Psychology

目的探讨护士观察量表(NOSIE)联合Braden压疮危险评估量表在精神心理科住院患者压疮风险中的评估价值。方法选择2018年1～5月南方医科大学南方医院精神心理科新入院的患者90例,依据NOSIE评分情况分为轻度病情组(48例)和严重病情组(42例)。采用Braden压疮危险评估量表评估并比较两组病例并发压疮的风险情况,在采取相应护理措施干预后进一步比较两组病例实际发生压疮情况。结果严重病情组并发压疮的风险率高于轻度病情组,差异有统计学意义(P <0.05);经护理干预后两组病例压疮实际的发生率均明显低于其预测的风险率,差异有统计学意义(P <0.05),但两组之间差异无统计学意义(P> 0.05)。结论联合NOSIE和Braden压疮危险评估量表可以有效评估精神心理科住院患者并发压疮的风险,有利于针对病情采取适当的护理措施。

Objective To investigate the value of nurses＇ observation scale for inpatient evaluation （NOSIE） combined with Braden scale in pressure ulcer risk of inpatients in Department of Psychiatry and Psychology. Methods From January to May 2018, in Department of Psychiatry and Psychology, Nanfang Hospital of Southern Medical University, 90 newly admitted patients were selected, according to the NOSIE score, they were divided into mild condition group （48 cases） and severe condition group （42 cases）. The risk of pressure ulcer in two groups were evaluated and compared with Braden pressure ulcer risk assessment scale. After taking the corresponding nursing measures, the actual situation of pressure ulcer in two groups were compared. Results The risk rate of pressure ulcer in severe condition group was higher than mild condition group, the difference was statistically significant （P 〈 0.05）. After nursing intervention, the incidence rate of pressure ulcer in two groups was significantly lower than the risk rate, the difference was statistically significant （P 〈 0.05）, but there was no statistically significant difference in the incidence of pressure ulcer between two groups （P 〉 0.05）. Conclusion Combined application of NOSIE and Braden scale can effectively assess the risk of pressure ulcer in inpatients of Department of Psychiatry and Psychology. It is benefit to take appropriate nursing mea- sures for the patients with the disease.