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Waterlow量表和Braden量表对重症患者压疮预测价值的比较研究

Comparison of Two Scales in Predicting Pressure Injury in ICU Patients in Our Hospital

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【作者】 王敏; 徐燕华; 袁阿珍;

【Author】 WANG Min;XU Yan-hua;YUAN A-zhen;Taizhou People’s Hospital;

【通讯作者】 袁阿珍;

【机构】 泰州市人民医院;

【摘要】 目的比较Waterlow评估量表和Braden评估量表对我院重症患者压疮的预测价值。方法运用两种评估量表对纳入标准的202例重症患者进行独立、连续的评估,比较两种评估量表的预测指标。结果 202例重症患者中,最终纳入有效样本193例,有效率为95.54%,压疮发生率为4.66%。其中,Waterlow量表首评估的各预测指标均较高,其灵敏度、特异度、阳性预测值、阴性预测值、Youden指数、Kappa值分别为100%、90.76%、 34.62%、 100%、 90.76%、 47.81%, ROC曲线下面积为0.959 (0.930-0.988)。结论 Waterlow评估量表包含了与重症患者疾病相关的压疮危险因素,对我院ICU患者压疮预测能力较好,更加适用于ICU患者。

【Abstract】 Objective To compare the ability of Waterlow assessment scale and Braden assessment scale to predict pressure injury in severe patients in our hospital. Methods Two evaluation scales were used for the independent and continuous evaluation of 202 patients with severe diseases, and the predictors of the two evaluation scales were compared. Results 193 cases were included as effective samples from 202 critically ill patients,the effective rate was 95.54%,the incidence rate of pressure injury was 4.66%.Among which, the first evaluation of the Waterlow scale showed high predictive indexes, the positive predictive value of sensitivity and specificity and the negative predictive value and Youden index and Kappa value were respectively 100%, 90.76%, 34.62%, 100% 90.76%, 47.81%, and the area under the ROC curve was 0.959(0.930-0.988). Conclusion Waterlow assessment scale contains the risk factors of pressure injury related to the disease of severe patients has a good ability to predict pressure injury in ICU patients in our hospital, it is more applicable to ICU patients.

【基金】 泰州市人民医院2017年科研指导性项目(ZD201719,项目主持人:王敏)
  • 【文献出处】 泰州职业技术学院学报 ,Journal of Taizhou Polytechnic College , 编辑部邮箱 ,2019年05期
  • 【分类号】R473.6
  • 【被引频次】4
  • 【下载频次】181
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