CAJ | 학술논문

目的评价并比较Braden Q和Braden 2种压疮评估量表在儿科重症患者中的应用效果,探索区分患儿发生压疮风险的临界值.方法采用多中心前瞻性队列研究设计,研究地点为3家儿童医院的重症监护室,派遣2名临床护士充当数据收集员,分别负责量表评分和皮肤评估,两者分别独立进行.结果本次研究收集样本145例,实际发生压疮9例,发生率为6.2%.Braden Q量表和Braden量表的预测临界值分别是17分和14分;而两者的ROC曲线(受试者工作特征曲线)下面积分别为0.481和0.398.结论 Braden Q量表更加适用于儿科患者,且需要进一步研究改进量表.
목적 평개병비교Braden Q화Braden 2충압창평고량표재인과중증환자중적응용효과,탐색구분환인발생압창풍험적림계치.방법 채용다중심전첨성대렬연구설계,연구지점위3가인동의원적중증감호실,파견2명림상호사충당수거수집원,분별부책량표평분화피부평고,량자분별독립진행.결과 본차연구수집양본145례,실제발생압창9례,발생솔위6.2%.Braden Q량표화Braden량표적예측림계치분별시17분화14분;이량자적ROC곡선(수시자공작특정곡선)하면적분별위0.481화0.398.결론 Braden Q량표경가괄용우인과환자,차수요진일보연구개진량표.
Objective To evaluate and compare the predictive validity of the Braden Q and Braden pressure ulcer risk assessment scales in the acute pediatric patients, and explore the cutoff score of the scales. Methods We adopted the prospective cohort study design.The settings included three PICU of three different children's hospitals. Two nurses were appointed as the data collectors, and they were in charge of both the scoring and the skin assessment separately. Results We collected 145 samples. There were 9 patients who developed the pressure ulcers, and the incidence rate was 6.2%. The cutoff score of Braden Q and Braden scale was 17 and 14. The AUC of the ROC curve of the two scales was 0.481 and 0.398. Conclusions The Braden Q scale is more suitable for the pediatric patients. Further study is neededed to improve the scale.