两种压疮评估量表在骨科患者中的应用研究

目的:比较分析Waterlow和Norton两种压疮评估量表在预测骨折患者压疮中的临床效果。方法:选取某院骨科患者186例,由2名临床护士分别用2种量表对患者进行皮肤评估和量表评分,两者分别独立进行,比较分析两种量表对患者压疮的预测效果。结果:患者共发生压疮5例,发生率为2.69%(5/186);Waterlow量表和Norton量表的临界预测值分别为17分和14分;而二者的受试者工作特征曲线(Receiver Operator Curve,ROC)下面积分别为0.647和0.439。结论:Waterlow量表包含了与骨科疾病相关的压疮危险因素,更加适用于预测骨科患者压疮,但仍需要做进一步改进。

The Application of two Pressure Sores Assessment Scale in the Orthopedic Patients

Objective:To compare two types of pressure sores Assessment Scale (Waterlow and Norton Scale) in the prediction of pressure sores of orthopedic patients.Methods:186 orthopedic patients were selected, the Waterlow and Norton Scale were used to assess the skin situation by two clinical independent nurses respectively, the predict effects of the two scales were compared.Results:5 cases of orthopedic patients got pressure sores, and the rate was 2.69% (5/186); The predictive value ofWaterlow and Norton were 17 points and 14 points; while their receiver operating characteristic curve (Receiver Operator Curve, ROC) area were 0.562 and 0.478 respectively.Conclusion:Waterlow scale contained pressure sores risk factors associated with orthopedic disorders, and it was more suitable for orthopedic patients, but further improvement was still needed.