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Braden量表预测中晚期肿瘤患者压疮诊断界值的应用 预览

A study on the diagnostic value and risk factors of pressure ulcer in patients with advanced cancer by Braden scale
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摘要 目的探究Braden评估量表在中晚期肿瘤患者运用中不同界值的灵敏度、特异度及发生压疮的危险因素。方法采用回顾性研究方法,对2016年10月-2017年10月住院期间发生压疮的350例肿瘤患者应用Braden评估量表评估压疮风险。结果运用Braden评估量表进行评分,当其临界值为16分时,灵敏度为63.64%、特异度为80.68%,有较好的预测效果,其约登指数=0.443,为最好。年龄、血清白蛋白、神志意识、疼痛、中重度水肿与压疮的发生有关。结论运用Braden评估量表对中晚期肿瘤患者进行评估时具有良好的灵敏度和特异度,结合发生压疮的危险因素,护士能够及时采取具有针对性、个性化的护理措施,从而降低中晚期肿瘤患者的压疮发生率。 Objective To explore the sensitivity, specificity and risk factors of pressure ulcer of Braden evaluation scale in patients with middle and late stage tumor. Methods A retrospective study was conducted to assess the risk of pressure ulcer by using Braden evaluation scale in 350 patients with pressure ulcers who were hospitalized from October 2016 to October 2017. Results When using Braden rating scale, its critical value was 16 points, and its sensitivity and specificity had good prediction effect, and its youden index was the best. Age, serum albumin, mental consciousness, pain, moderate and severe edema were associated with pressure sores. Conclusion Braden evaluation scale could be used to evaluate patients with advanced tumors with good sensitivity and specificity. Combined with the risk factors of pressure ulcers, targeted nursing measures can be taken as early as possible to reduce the incidence of pressure ulcers in patients with advanced tumors.
作者 曹艳 王红丽 徐枭喻 张翠萍 CAO Yan;WANG Hongli;XU Xiaoyu;ZHANG Cuiping(Department of Nursing,Affiliated Tumor Hospital, The Third Clinical Medical College, Xinjiang Medical University, Urumqi 830011, China;College of Nursing, Xinjiang Medical University, Urumqi 830011, China)
出处 《新疆医科大学学报》 CAS 2019年第4期489-492,共4页 Journal of Xinjiang Medical University
基金 新疆维吾尔自治区自然科学基金(2017D01C396).
关键词 Braden评估量表 压疮 肿瘤 危险因素 the modified Braden scale pressure ulcer tumor risk factors
作者简介 曹艳(1983-),女,硕士,主管护师,研究方向:肿瘤护理,护理管理;通信作者:张翠萍,女,主任护师,副教授,硕士生导师,研究方向:肿瘤护理,护理管理,E-mail:1095312442@qq.com.
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