老年长期卧床患者压疮发生的相关因素及护理

Analysis of the related factors and nursing strategy of pressure ulcer in senile long-term bedridden patients

目的分析老年长期卧床患者压疮发生的相关因素及护理对策。方法选取2016年3月至2018年2月我院收治的老年长期卧床患者120例,根据有无发生压疮分为两组,对照组患者80例,未发生压疮;观察组患者40例,发生压疮。调查分析压疮发生的相关因素。结果两组患者年龄、营养状况、卧床时间、合并糖尿病、康复训练配合情况、家属压疮知晓程度及Barden评分对比,差异有统计学意义(P<0.05);Logistic多因素分析结果显示,年龄、营养状况、卧床时间、合并糖尿病及Barden评分均是老年长期卧床患者压疮发生的危险因素(P<0.05);康复训练配合情况和患者家属压疮知晓程度均为老年长期卧床患者压疮发生的保护因素(P<0.05)。结论老年长期卧床患者压疮发生率较高,危险因素包括年龄、营养状况、卧床时间、合并糖尿病和Barden评分,故根据上述危险因素应及时采取相应的护理对策,以减少压疮的发生。

Objective To analyze the related factors and nursing strategy of pressure ulcer in senile long-term bedridden patients. Methods 120 senile long-term bedridden patients in the hospital from March 2016 to February 2018 were selected, and they were divided into two groups according to the presence or absence of pressure ulcer. 80 patients with pressure ulcer were taken as control group;40 patients without pressure ulcer were taken as observation group. The related factors of pressure ulcer were analyzed. Results There was statistical difference in the age, nutritional status, bedridden time, combined with diabetes, cooperation of rehabilitation training, cognition of pressure ulcer of family members, Barden score between the two groups ( P <0.05);Logistic multiple-factor analysis showed that age, nutritional status, bedridden time, combined with diabetes, Barden score were risk factors of pressure ulcer in senile long-term bedridden patients ( P <0.05);The cooperation of rehabilitation training, cognition of pressure ulcer of family members were protective factors of pressure ulcer in senile long-term bedridden patients ( P <0.05). Conclusion The incidence of pressure ulcer in senile long-term bedridden patients is higher, and its risk factors include age, nutritional status, bedridden time, combined with diabetes and Barden score. Therefore, it is necessary to take specific nursing strategy according to the above-mentioned risk factors, so as to reduce the incidence of pressure ulcer.