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

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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.

Key words： Intensive care unit Pressure injury Braden scale Scott Triggers scale Elderly hip arthroplasty

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	LI Yang1 QI Jinfang1 DONG Zhenghui2▲ LI Zhengang1

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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[J]. 中国医药导报, 2022, 19(14): 171-174,179.

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https://www.yiyaodaobao.com.cn/EN/ OR https://www.yiyaodaobao.com.cn/EN/Y2022/V19/I14/171

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