改良早期预警评分联合Braden评分对ICU老年患者压力性损伤的预测研究

中华急危重症护理杂志 ›› 2020, Vol. 1 ›› Issue (5): 394-397.

改良早期预警评分联合Braden评分对ICU老年患者压力性损伤的预测研究

张宁李晓刚商之涵江宇星邸鑫娜丁慧芳

收稿日期:2020-05-25 出版日期:2020-09-10 发布日期:2020-12-15

Prediction of pressure injury in elderly patients using MEWS score combined with Braden score

ZHANG Ning， LI Xiaogang， SHANG Zhihan， JIANG Yuxing， DI Xinna, DING Huifang

Received:2020-05-25 Online:2020-09-10 Published:2020-12-15

摘要/Abstract

摘要： 目的探讨改良早期预警评分( Modified Early W armning Score , MEWS)联合Braden评分对ICU老年患者压力性损伤的预测作用。方法收集某三级甲等医院201例ICU老年患者的一般资料、MEWS评分、Braden评分以及住院期间发生压力性损伤的资料。通过受试者
工作特征(receiver operating characteristic , ROC)曲线,评价MEWS评分、Braden评分及两者联合对老年患者压力性损伤的预测作用。结果MEWS评分联合Braden评分预测老年患者压力性损伤发生的ROC曲线下面积(area under the curve,AUC)0.948[95%CI(0.891 ,0.982)],显著高于单独应用MEWS评分、Braden评分的0.834 [ 95%CI(0.762 ,0.942)]、0.863 [95%CI(0.783 ,0.939)](P<0.001);联合应用的灵敏度和特异度分别为92.6%和93.1%。结论MEWS评分联合Braden评分能够有效预测ICU老年患者压力性损伤的发生。

关键词: 重症监护病房;老年人;压力性损伤, 预测, 降低风险行为

Key words:

Intensive , Care Units, Aged, Pressure Injury, Forecasting, Risk Reduction Behavior ,

张宁李晓刚商之涵江宇星邸鑫娜丁慧芳. 改良早期预警评分联合Braden评分对ICU老年患者压力性损伤的预测研究[J]. 中华急危重症护理杂志, 2020, 1(5): 394-397.

ZHANG Ning, LI Xiaogang, SHANG Zhihan, JIANG Yuxing, DI Xinna, DING Huifang. Prediction of pressure injury in elderly patients using MEWS score combined with Braden score[J]. Chinese Journal of Emergency and Critical Care Nursing, 2020, 1(5): 394-397.