摘要
目的探讨Cubbin&Jackson量表在冠心病重症监护病房(CCU)低温体外循环术后患者压疮风险评估中的应用效果。方法选取2017年1月至2019年8月安阳市人民医院CCU低温体外循环术后患者159例作为研究对象,均采用Cubbin&Jackson量表、常规Braden量表评估压疮风险。记录压疮发生率、发生时间Cubbin&Jackson量表、常规Braden量表评分;根据发生压疮患者及未发生压疮患者一般情况分析压疮危险因素;分析Cubbin&Jackson量表、常规Braden量表预测压疮的预测价值。结果 159例患者未发生压疮134例,发生压疮25例,压疮发生率15.72%;压疮发生时间12~21 d,平均(16.95±1.71) d;发生压疮患者Cubbin&Jackson量表、常规Braden量表评分低于未发生患者,差异有统计学意义(P<0.05);体质量指数、血流动力学参数、活动、皮肤一般状况为发生压疮的独立危险因素(P<0.05);Cubbin&Jackson量表预测压疮的接受者操作特性曲线下面积(AUC值)最大,为0.781。结论 Cubbin&Jackson量表更适用于CCU低温体外循环术后患者压疮风险评估,可为临床预测、针对性干预提供客观依据。
Objective To evaluate the effect of Cubbin&Jackson scale on risk assessment of pressure ulcer in patients undergoing hypothermic cardiopulmonary bypass(CPB)in coronary heart disease intensive care unit(CCU).Methods From January 2017 to August 2019,159 patients with CCU hypothermic cardiopulmonary bypass at Anyang People's Hospital were selected as study subjects,and the risk of pressure ulcer was assessed with Cubin&Jackson scale and Braden scale.The incidence and time of pressure sore were recorded,and the risk factors of pressure sore were analyzed according to the general condition of patients with pressure sore and patients without pressure sore.Results 134 of 159 patients had no pressure sore,25 patients had pressure sore,the rate of pressure sore was 15.72%,the time of pressure sore was 12~21 days,average(16.95±1.71)d,The score of Cubbin&Jackson scale and routine Braden scale was lower than that of the patients without pressure sore(P<0.05),BMI,hemodynamics,activity and skin condition were the independent risk factors for pressure ulcer(P<0.05);The maximum area under the receiver operating characteristic curve(AUC)predicted by Jackson scale was 0.781.Conclusion Cubbin&Jackson scale is more suitable for the risk assessment of pressure ulcer after CCU hypothermic cardiopulmonary bypass,which can provide objective basis for clinical prediction and targeted intervention.
作者
张研
ZHANG Yan(Surgical intensive Care Unit,Anyang People's Hospital,Anyang Henan 455000,China)
出处
《临床研究》
2021年第2期30-31,34,共3页
Clinical Research
