3种评估量表对术中急性压疮预测能力的比较研究

[摘要] Abstract：Objective To compare the value of Braden scale, Norton scale and Waterlow scale in predicting the risk of intraoperative acute pressure ulcers in patients with selective operation. Methods A total of 383 patients with selective operation in surgical ward were selected and evaluated by three scales before preoperative interview. The sensitivity and best diagnosis cutoff point of each assessment was compared. Results Out of 383 patients, 21 cases (5.48%) were diagnosed as intraoperative acute pressure ulcers occurred in one area of body. Only one case (4.76%) had stage Ⅱ pressure ulcer at the hip. Pressure ulcers were the mostly occurred in sacrococcygeal region in 12 cases (57.14%). The best diagnosis cutoff points of Braden, Norton and Waterlow scales were 16, 18 and 14 score respectively, and the corresponding AUC of ROC were 0.635, 0.717 and 0.624 respectively. Conclusion Norton scale is recommended as the first choice to estimate the risk of acute pressure ulcers in patients with selective operation.

[学科分类] 护理学

[关键词] 压疮危险评估量表;术中急性压疮;Braden量表;Norton量表;Waterlow量表