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某三甲医院院外带入压疮临床特点的回顾性研究
Retrospective study on clinical occurrence characteristics of pressure ulcers brought out of hospital in a tertiary hospital
【摘要】 目的分析院外压疮发生的临床特点,为预防院外压疮提供参考依据。方法采用回顾性研究的方法,对2017年1月1日至2019年12月31日期间我院所有科室压疮上报数据进行收集,并对患者的一般资料和压疮的基本信息进行统计分析。结果带入压疮中家庭带入87.2%,非家庭(养老院、医疗机构)带入12.8%;男性占61.0%,女性占39.0%;65岁以上79.5%,发生比例较高的年龄段集中在75~84岁(266例,31.8%);内科患者82.6%,压疮多发科室前3位是肿瘤科、重症监护室和神经内科;多发部位依次为骶尾部、髋部、臀部、足跟、踝部;压疮分期以Ⅰ期、Ⅱ期、不可分期为主;压疮创面面积超过10分的约占48.4%;经过压疮护理治疗,患者比治疗前明显好转和愈合。结论通过对3年的院外压疮患者发生特点统计分析,为指导护理人员做好压疮预防措施,减少院外带入压疮患者的发生提供参考依据。
【Abstract】 Objective To analyze the clinical characteristics of out-of-hospital pressure ulcers and provide a reference for preventing out-of-hospital pressure ulcers.Methods A retrospective study was used to collect data on pressure ulcers reported in all departments from January 1, 2017 to December 31, 2019, and statistical analysis was conducted of the patients′ general information and basic information on pressure ulcers.Results Eighty-seven point two percent families brought into pressure ulcers, and 12.8% of non-families(nursing homes, medical institutions); 61.0% of men, 39.0% of women; 79.5% over 65 years old, with a higher proportion of age groups concentrated at the age of 75-84 old years(266 cases, 31.8%); 82.6% of internal medicine patients, the top three pressure ulcers were departments of tumor, intensive care unit, and neurology; the most common sites were sacral tail, hip, buttock, heel, ankle; the main stages of pressure ulcers were stage Ⅰ, stage Ⅱ, and non-stage; about 48.4% of the pressure ulcer wound area exceeded 10 scores; after nursing care of pressure ulcers, the patients improved and healed significantly before the treatment.Conclusion Statistical analysis of the occurrence characteristics of patients with pressure ulcers outside the hospital for 3 years can provide reference basis for guiding nursing staff to make preventive measures against pressure ulcers and reduce the incidence of pressure ulcers brought out of the hospital.
【Key words】 pressure ulcer out-of-hospital; clinical characteristics; retrospective study;
- 【文献出处】 中国医院统计 ,Chinese Journal of Hospital Statistics , 编辑部邮箱 ,2021年01期
- 【分类号】R473
- 【被引频次】2
- 【下载频次】239