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医疗器械相关性压力性损伤风险评估量表用于危重患者早期预警效果

Early Warning Effect of Risk Assessment Scale of Medical Device Related Pressure Injuries in Critical Patients
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摘要 目的探讨医疗器械相关性压力性损伤(MDRPI)风险评估量表应用于危重患者的早期预警效果。方法选取医院重症加强护理病房2017年1月至2018年6月收治的危重患者230例(对照组),以及2018年7月至12月收治的危重患者60例(观察组)。对照组患者予以预防压力性常规护理,观察组患者在此基础上采用MDRPI风险评估量表进行早期评估,并对临床评估结果为6~13分的患者予以早期临床干预。结果与未发生MDRPI患者比较,危重患者出现MDRPI前24 h时,MDRPI风险评估得分降低,受试者工作特征曲线下面积为0.864。MDRPI风险评估得分为13分时,约登指数最大(0.629)。对MDRPI进行预测,结果灵敏度为77.9%,特异度为85.0%。观察组患者1,2,3,4期MDRPI发生率均显著低于对照组(P<0.05);医疗器械平均使用时间、出ICU时间均显著短于对照组(P<0.05);护理总满意度为98.33%,显著高于对照组的83.48%(P<0.05)。结论MDRPI风险评估量表应用于危急重症患者评估,可降低MDRPI发生率,促进病情恢复,提高临床护理满意度。 Objective To investigate the early warning effect of risk assessment scale of medical device related pressure injuries(MDRPI)in critical patients.Methods A total of 230 critical patients admitted to the intensive care unit of the hospital from January 2017 to June 2018(control group)and 60 critical patients from July to December 2018(observation group)were selected.The patients in the control group were given the routine preventive stress nursing,on this basis,the patients in the observation group were early evaluated with the MDRPI risk assessment scale,and the patients with the clinical evaluation of 6-13 points were given the early clinical intervention.Results Compared with the those of patients without MDRPI,the MDRPI risk assessment score of critical patients decreased 24 h before MDRPI,and the area under the receiver operating characteristic curve was 0.864.When the MDRPI risk assessment score was 13 points,the Youden index was the greatest(0.629).The sensitivity of MDRPI prediction was 77.9%,and the specificity was 85.0%.The incidence of MDRPI in stages 1,2,3 and 4 in the observation group was significantly lower than that in the control group(P<0.05).The average use time of medical devices and leaving time of ICU in the observation group was significantly shorter than that in the control group(P<0.05).The total satisfaction of nursing in the observation group was 98.33%,which was significantly higher than 83.48%in the control group(P<0.05).Conclusion The application of MDRPI risk assessment scale in the assessment of critical patients can reduce the incidence of MDRPI,promote the recovery of the disease,and improve clinical nursing satisfaction.
作者 马晶 MA Jing(Department of Critical Care Medicine,Zhongnan Hospital of Wuhan University·Hubei Clinical Medical Research Center for Critical Care Medicine,Wuhan,Hubei,China 430000)
出处 《中国药业》 CAS 2022年第S02期176-179,共4页 China Pharmaceuticals
关键词 医疗器械相关性压力性损伤 危重患者 风险评估量表 早期预警 medical device related pressure injuries critical patient risk assessment scale early warning
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