Waterlow评分对急危重症患者采用分级护理在降低压疮发生率中的作用效果观察

摘要

目的：观察Waterlow评分对急危重症患者采用分级护理在降低压疮发生率中的作用效果，并探究其临床适用性。方法：选择2012年2月-2014年8月于本院接受治疗的200例急危重症患者作为研究对象，两组患者均采用Waterlow评分进行危险分层，根据护理方案不同，分为研究组和对照组两组，对照组患者采用常规护理方案进行护理，研究组患者采用分级护理方案进行护理。观察两组患者Waterlow评估表危险分层情况；并比较两组患者不同危险程度压疮发生率情况。结果：两组患者的Waterlow评估表危险分层情况基本相符，两组比较差异无统计学意义（P>0.05）；两组患者中无危险者、低危险者的压疮发生率均基本相符，两组比较差异均无统计学意义（P>0.05），研究组患者中的高危险者、极高危险者发生率均低于对照组，两组比较差异均有统计学意义（P<0.05）；研究组患者的护理满意度高于对照组，两组比较差异具有统计学意义（P<0.05）。结论：Waterlow评分对急危重症患者采用分级护理在降低压疮发生率中的作用效果显著，预后效果良好，适合基层临床推广应用。%Objective:To observe the effect of Waterlow score for critically ill patients with grading nursing role in reducing the incidence of pressure sores, and explore its clinical applicability.Method: 200 cases of critically ill from February 2012 to August 2014 in our hospital were treated , two groups of patients were treated with Waterlow score for risk stratification, according to the nursing program, they were divided into the study group and the control group, the control group were treated with conventional care regimens for care, the study group were treated with grading nursing care programs. The Waterlow assessment and risk stratification circumstances were observed and compared, different degree of risk incidence of pressure ulcers situation of the two groups were observed.Result: Compared the two groups with table Waterlow assessment for risk stratification of patients, the difference was not statistically significant (P>0.05). Two groups with non-hazardous, low-risk persons incidence of pressure sores were basic line, the differences were not statistically significant (P>0.05), high-risk patients, extremely dangerous incidence of the study group were significantly lower than the control group, the differences were statistically significant (P<0.05).The study group of patients with care satisfaction was significantly higher than the control group , The difference was statistically significant (P<0.05).Conclusion: The effect of Waterlow score for critically ill patients with grading nursing role in reducing the incidence of pressure sores is significantly, the prognosis is good, and it is suitable for primary clinical application.