老年重症患者压疮护理以及引发因素分析

Analyze the nursing interventions and influence factors for elderly critical patients with pressure sore

目的对可引起老年重症患者压疮的影响因素进行分析,并根据所得的影响因素分析护理措施。方法 2012年3月~2015年6月我院共选取593例老年重症患者,所有患者均行常规护理,采用美国国家压疮顾问组(NPUAP)的Ⅰ~Ⅳ分期的判定标准将所有患者分为有压疮(A组)和无压疮(B组)两组。将所有患者的一般资料进行对比,采用Logistic回归分析探讨对患者压疮的影响因素。结果所有选取的593老年重症患者中,A组表示有压疮发生,共134例,占比22.60%;B组无压疮的发生,共459例,占比77.40%。A、B两组患者在皮肤受损情况、意识障碍情况、卧床时间、营养状况方面比较差异有统计学意义(P<0.05),将上诉有差异资料带入Logistic回归方程中计算,结果发现,皮肤受损情况、意识障碍情况、卧床时间、营养状况均是会引起老年重症患者发生压疮的影响因素。结论临床中对于老年重症患者,应加强对于皮肤有破损、意识有障碍、卧床时间长、营养状态差的老年患者。

Objective To analyze the influence factors and nursing interventions for elderly critical patients with pressure sore.Methods593elderly critical patients treated from March2012to June2015in our hospital were selected.All the patients received the conventional nursing care;according to NPUAP criterion(stageⅠ-Ⅳ),the subjects were divided into pressure sore group(Group A)and non-pressure sore group(Group B).The patient’s clinical data was collected.Through the Logistic regression analysis,the influence factors of pressure sore were analyzed.Results For593patients,there were134cases with pressure sore(22.60%)and459without pressure sore(77.40%);the skin damage,disturbance of consciousness,in-bed time and nutritional status for Group A and Group B was significantly different(P<0.05);according to the Logistic regression equation,the influence factors of pressure sore included skin damage,disturbance of consciousness,in-bed time and nutritional status.Conclusion It is necessary to focus on the nursing intervention in elderly critical patients with skin damage,disturbance of consciousness,long in-bed time and poor nutritional status.