摘要
目的调查分析脊髓损伤3月内患者压疮发生情况,并总结护理经验。方法回顾性调查分析2012年1月至2014年6月47例脊髓损伤3月内患者的性别、年龄、脊髓损伤原因及损伤部位、瘫痪程度,压疮的发生情况,压疮风险Waterlow评分,压疮是否院内发生,压疮的部位、分期、预后、护理治疗方法等。结果 47例脊髓损伤患者中有42例患者(89.4%)发生压疮,共58处;主要发生在骶尾部27处(46.6%)和足跟部15处(25.9%);以I期、II期压疮居多,分别为14处(24.1%)、32处(55.2%);28例患者院外带入压疮40处,其中III期及以上压疮11处(27.5%),14例患者院内发生压疮18处,无III期以上压疮。经治疗与护理,除3例III期、2例IV期患者压疮未治愈自动出院外,其余患者治愈出院。结论脊髓损伤患者是压疮的高危人群,医护、患者及家属均应重视,采用有效的预防及护理措施减少压疮发生。
Objective . To investigate status of pressure sore in three months after spinal cord injury and conclude nursing experience. Method Take retrospective investigation and analysis on 47 patients gender, age, cause of spinal cord injury, damage location, degree of paralysis, status of pressure sore, Waterlow assessment of pressure sore risk, pressure sore oc cur in or out of hospital, pressure sore position, stage, prognosis and its nursing treatment in three months after spinal cord injury from Jan. 2012 to Jun. 2014. Result 42 （89. 4%） from 47 cases occur pressure sore, totally 58 positions. Pressure sore mainly occurs in sacrococcygeal region （27 positions, 46. 6%） and heel （15 positions, 25. 9%）. Pressure sore are mostly in stage Ⅰ （14 positions, 24. 1%） and stage Ⅱ （32 positions, 55.2%）. 40 positions of 28 patients occur out of hospi- tal, among which 11 positions （27.5%） are in stage Ⅲ or above. 18 positions of 14 patients occur in hospital, in which no case is in stage Ⅲ or above. All other patients are cured before discharge except 3 cases of stage III and 2 cases of stage IV uncured. Conclusion Patients with spinal cord injury are with high risks. Medical staff and their family should pay atten tion and take effective prevention and nursing measures to reduce the incidence of pressure sore.
出处
《护理与康复》
2016年第2期120-122,共3页
Journal of Nursing and Rehabilitation
关键词
脊髓损伤
压疮
现状调查
护理
spinal cord injury
pressure sore
survey on present status
nursing care
