老年住院患者压力性损伤影响因素分析及其与自我忽视的相关性研究

Analysis of influencing factors pressure ulcer in elderly hospitalized patients and its correlation with self-ignorance

目的调查分析老年住院患者发生压力性损伤的影响因素,并分析其与自我忽视之间的相关性。方法采用便利抽样法,选取江苏省人民医院2018年9月—2019年5月收治的132例老年住院患者作为研究对象,采用一般资料量表、Norton压力性损伤风险评估量表和自我忽视量表进行问卷调查,分析住院老年患者发生压力性损伤的影响因素及其与自我忽视之间的相关性。结果共发放问卷132份,回收有效问卷130份。老年住院患者Norton压力性损伤风险评估量表和自我忽视量表总分分别为(15.78±1.89)、(8.17±1.11)分;多重线性回归分析结果显示,学历、卧床时间、独居、BMI均是住院患者发生压力性损伤风险的影响因素(P<0.01);住院患者自我忽视量表各维度得分与Norton压力性损伤风险评估量表各维度得分均呈负相关(r=-0.379^-0.238,P<0.01)。结论老年住院患者发生压力性损伤的风险与自我忽视密切相关,自我忽视程度越高,发生压力性损伤风险的可能性越大,同时医护人员应对低学历、卧床时间长、独居以及低BMI的老年住院患者行积极干预,以降低其压力性损伤发生风险。

Objective To investigate and analyze the influencing factors of pressure ulcer and the correlation between it and self-negligence.Methods A total of 132 cases of elderly inpatients admitted from September 2018 to May 2019 in People's Hospital of Jiangsu Province were selected as subjects by convenience sampling method.General Information Questionnaire,the Norton Pressure Ulcer Risk Assessment Scale and the Self-Ignore Scale were applied in the investigation to explore the influencing factors of pressure ulcer in hospitalized patients and their correlation with self-negation.Results A total of 132 questionnaires were distributed and 130 valid questionnaires were returned.The scores of Norton Pressure Ulcer Risk Assessment Scale and the inelderly hospitalized patients were(15.78±1.89)and(8.17±1.11)respectively.Multiple linear regression analysis showed that education level,bed rest time,solitary living and BMI were all risk of pressure ulcers in hospitalized elderly patients(P<0.01).There was a negative correlation between the scores of each dimension of Self-Ignore Scale and the scores of each dimension of Norton Pressure Ulcer Risk Assessment Scale(r=-0.379--0.238,P<0.01).Conclusions The risk of pressure ulcer is closely related to self-neglect.The higher the degree of self-ignore,the greater the risk of pressure ulcer.Meanwhile,the inpatients with low education background,long time in bed,living alone and low BMI should be actively intervened to reduce the risk of pressure sore.