Application study of Braden scale and Scott triggers scale in ICU elderly patients undergoing hip arthroplasty with pressure injury
LI Yang1 QI Jinfang1 DONG Zhenghui2▲ LI Zhengang1
1.School of Nursing, Xinjiang Medical University, Xinjiang Uygur Autonomous Region, Urumqi 830011, China;
2.Department of Nursing, the Sixth Affiliated Hospital of Xinjiang Medical University, Xinjiang Uygur Autonomous Region, Urumqi 830092, China
Abstract:Objective To explore the predictive value of Braden scale and Scott triggers scale in the risk assessment of pressure injury in elderly patients undergoing hip arthroplasty in ICU. Methods A total of 220 elderly patients admitted to ICU after hip replacement the Sixth Affiliated Hospital of Xinjiang Medical University from November 2020 to May 2021 were selected as the study subjects. Taking the occurrence of post-operative stress injury as the gold standard, the risk of stress injury was assessed by the Braden Scale and Scott Triggers Scale and the predictive value was compared. Results A total of 27 cases(12.27%) of 220 patients developed stress injury, all of which were stage Ⅰ. When the area under ROC curve of Braden scale was 0.735, the total score was 14.5, and the Jorden index was 0.373, the predictive value was the best. The prediction value was best when the area under the ROC curve of the Scott Triggers scale was 0.934, the total score was 5.5 and the Youlden index was 0.678. The Hosmer-Lemeshow goodness-of-fit test showed that (χ2=3.709, P = 0.295) of the Braden scale, and the (χ2=1.141, P = 0.565) of the Scott triggers scale. Conclusion Both the Braden scale and the Scott triggers scale can assess the risk of pressure injury in elderly patients undergoing hip arthroplasty in the ICU. The predictive value of the Scott triggers scale is better than that of the Braden scale, and the items are concise and objective, and the time is shorter.
李阳1 祁进芳1 董正惠2▲ 李振刚1. Braden量表和Scott triggers量表在ICU老年髋关节置换术患者压力性损伤中的应用研究[J]. 中国医药导报, 2022, 19(14): 171-174,179.
LI Yang1 QI Jinfang1 DONG Zhenghui2▲ LI Zhengang1. Application study of Braden scale and Scott triggers scale in ICU elderly patients undergoing hip arthroplasty with pressure injury. 中国医药导报, 2022, 19(14): 171-174,179.
[1] 陈丽娟,孙林利,刘丽红,等.2019版《压疮/压力性损伤的预防和治疗:临床实践指南》解读[J].护理学杂志,2020,35(13):41-43,51.
[2] Chaboyer,Wendy P. Incidence and Prevalence of Pressure Injuries in Adult Intensive Care Patients:A Systematic Review and Meta-Analysis [J]. Critical care medicine,2018,46(11):e1074-e1081. DOI:10.1097/CCM.0000000 000003366.
[3] Adibelli S,Korkmaz F. Pressure injury risk assessment in intensive care units:Comparison of the reliability and predictive validity of the Braden and Jackson / Cubbin scales [J]. J Clin Nurs,2019,28. DOI:10.1111/jocn.15054.
[4] Sullivan R,Barnby E,Graham S. Evaluation of a Modified Version of the Norton Scale for Use as a Pressure Injury Risk Assessment Instrument in Critical Care:A Quality Improvement Project [J]. Journal of Wound Ostomy & Continence Nursing,2020,47. DOI:10.1097/WON.000000 0000000642.
[5] Engels D,Austin M,Mcnichol L,et al. Pressure Ulcers:Factors Contributing to Their Development in the OR[J]. Aorn J,2016,103(3):271-281. DOI:10.1016/j.aorn.2016. 01.008
[6] 朱琳.手术室急性压力性损伤形成的危险因素分析[J].感染、炎症、修复,2020,21(3):167-170. DOI:10.3969/j.issn.1672-8521.2020.03.011.
[7] 宫翠姣,曲梅.老年人髋关节骨折并发压力性损伤影响因素的前瞻性队列研究[J].中国实用护理杂志,2019,35(3):192-195. DOI:10.3760/cma.j.issn.1672-7088.2019. 03.007.
[8] 陈娟,陈文君,李仕君,等.集束化干预策略对预防老年高危压力性损伤患者发生压力性损伤的效果研究[J].重庆医学,2018,47(7):1005-1006. DOI:10.3969/j.issn.1671-8348.2018.07.044.
[9] Spruce L. Back to Basics:Preventing Perioperative Pressure Injuries [J]. Aorn J,2017,105(1):92-99. DOI:10. 1016/j.aorn.2016.10.018.
[10] 陈文芳,蒋琪霞,苗素琴,等.手术获得性压力性损伤风险评估量表的构建[J].东南国防医药,2021,23(1):3. DOI:10.3969/j.issn.1672-271X.2021.01.019.
[11] Bergstrom N,Braden BJ,Laguzza A,et al. The Braden Scale for Predicting Pressure Sore Risk [J]. Nurs Res,1987,36(4):205-210. DOI:10.1097/00006199-198707000-00002.
[12] Scott SM. Progress and challenges in perioperative pressure ulcer prevention [J]. J Wound Ostomy Continence Nurs,2015,42(5):480-485. DOI:10.1097/WON.000000 0000000161.
[13] 史桂蓉,王晓慧,刘萍,等.Scott Triggers评分表与Munro量表评估手术患者压力性损伤的效果比较[J].护理学杂志,2020,35(7):43-46. DOI:10.3870/j.issn.1001-4152.2020.07.043.
[14] Whlin I,Anna hristina Ek,Lindgren M,et al. Development and validation of an ICU﹕pecific pressure injury risk assessment scale [J]. Scandinavian Journal of Caring Sciences,2020. DOI:10.1111/scs.12891.
[15] Gumieiro DN,Rafacho B,Gon?觭alves AF,et al. Serum Metalloproteinases 2 and 9 as Predictors of Gait Status,Pressure Ulcer and Mortality after Hip Fracture [J]. PLoS One,2013,8(2):e57424. DOI:10.1371/journal.pone.0057424.
[16] 应春晓,温育芳,陈苗妙.ICU重症患者压疮发生危险因素与管理对策[J].中医药管理杂志,2019,27(9):205-207. DOI:CNKI:SUN:ZYYG.0.2019-09-103.
[17] Osis SL,Diccini S. Incidence and risk factors associated with pressure injury in patients with traumatic brain injury [J]. Int J Nurs Pract,2020,26(3):e12821. DOI:10.1111/ijn.12821.
[18] 胡敏岚.骨科手术患者压力性损伤发生的危险因素及前瞻性护理对策[J].中国现代医生,2021,59(18):167-170.
[19] 石佳佳,李贤.血清生化指标与早期压力性损伤的相关性研究[J].循证护理,2021,7(8):1072-1074. DOI:10. 12102/j.issn.2095-8668.2021.08.018.
[20] Lindgren M,Unosson M,Krantz AM,et al. Pressure ulcer risk factors in patients undergoing surgery. [J]. J Advanced Nurs,2010,50(6):605-612. DOI:10.1111/j.1365-2648. 2005.03441.x.
[21] Park SK,Park HA,Hwang H. Development and Comparison of Predictive Models for Pressure Injuries in Surgical Patients:A Retrospective Case-Control Study [J]. Journal of wound,ostomy,and continence nursing:official publication of The Wound,Ostomy and Continence Nurses Society / WOCN,2019,46(4):291-297. DOI:10. 1097/WON.0000000000000544.
[22] Tschannen D,Bates O,Talsma A,et al. Patient-specific and surgical characteristics in the development of pressure ulcers [J]. American journal of critical care:an official publication,American Association of Critical-Care Nurses,2012,21(2):116-125. DOI:10.4037/ajcc2012716.
[23] Houwing R,Rozendaal M,Wouters-Wesseling W,et al. Pressure ulcer risk in hip fracture patients [J]. Acta Orthopaedica Scandinavica,2009,75(4):390. DOI:10.1080/00016470410001132-1.
[24] 梁佳佳,鲍宗明,孟莉,等.围手术期白蛋白,ASA分级对骨科患者术后1期压力性损伤的预测研究[J].实用医院临床杂志,2020,17(3):123-126. DOI:CNKI:SUN:YYLC.0.2020-03-035.
[25] 杨昭霞,吴春梅,戴靖华,等.斯卡特触发点用于胃肠外科手术患者的信效度检验[J].护士进修杂志,2020,35(12):1100-1104. DOI:10.16821/j.cnki.hsjx.2020.12.010.
[26] 郭伟,徐静.ST量表和MPUR量表对ICU病人发生压力性损伤的预测价值[J].护理研究,2021,35(17):3032-3036. DOI:10.12102/j.issn.1009-6493.2021.17.005.