护士进修杂志
護士進脩雜誌
호사진수잡지
JOURNAL OF NURSES TRAINING
2014年
12期
1072-1075
,共4页
老年人%日常生活自理能力%压疮%居家护理
老年人%日常生活自理能力%壓瘡%居傢護理
노년인%일상생활자리능력%압창%거가호리
Elderly%Self-care ability of daily life%Pressure ulcer%Home-baseol
目的:描述长期居家老年人压疮发生状况,明确日常生活自理能力和老年人压疮之间的关系。方法运用分层整群抽样方法,采用日常生活能力量表等对长期居家的909位老年人进行调查。结果长期居家老年人压疮发生率25.77%;其中Ⅰ期压疮33.33%,Ⅱ期压疮49.57%;压疮组老年人ADL、IADL 总分为(47.19±24.20)分和(4.40±5.20)分,明显低于无压疮组,差异有显著意义(P<0.05);两组老年人ADL及IADL 分级差异也有显著意义(P<0.05)。Logistic回归分析显示,中度及重度功能障碍、失能是压疮发生的影响因素。结论长期居家老年人压疮发生率高,以Ⅱ期压疮为主;日常生活活动能力和工具性日常生活活动能力是其压疮发生的重要影响因素。居家护理应采取针对性的预防和干预。
目的:描述長期居傢老年人壓瘡髮生狀況,明確日常生活自理能力和老年人壓瘡之間的關繫。方法運用分層整群抽樣方法,採用日常生活能力量錶等對長期居傢的909位老年人進行調查。結果長期居傢老年人壓瘡髮生率25.77%;其中Ⅰ期壓瘡33.33%,Ⅱ期壓瘡49.57%;壓瘡組老年人ADL、IADL 總分為(47.19±24.20)分和(4.40±5.20)分,明顯低于無壓瘡組,差異有顯著意義(P<0.05);兩組老年人ADL及IADL 分級差異也有顯著意義(P<0.05)。Logistic迴歸分析顯示,中度及重度功能障礙、失能是壓瘡髮生的影響因素。結論長期居傢老年人壓瘡髮生率高,以Ⅱ期壓瘡為主;日常生活活動能力和工具性日常生活活動能力是其壓瘡髮生的重要影響因素。居傢護理應採取針對性的預防和榦預。
목적:묘술장기거가노년인압창발생상황,명학일상생활자리능력화노년인압창지간적관계。방법운용분층정군추양방법,채용일상생활능역량표등대장기거가적909위노년인진행조사。결과장기거가노년인압창발생솔25.77%;기중Ⅰ기압창33.33%,Ⅱ기압창49.57%;압창조노년인ADL、IADL 총분위(47.19±24.20)분화(4.40±5.20)분,명현저우무압창조,차이유현저의의(P<0.05);량조노년인ADL급IADL 분급차이야유현저의의(P<0.05)。Logistic회귀분석현시,중도급중도공능장애、실능시압창발생적영향인소。결론장기거가노년인압창발생솔고,이Ⅱ기압창위주;일상생활활동능력화공구성일상생활활동능력시기압창발생적중요영향인소。거가호리응채취침대성적예방화간예。
Objective To describe the incidence of pressure ulcer in the elderly for long-term care at home ,and to clearly the relationships between self-care ability of daily life(ADL) and pressure ulcers in the elderly .Method Strat-ified cluster sampling method and activity of daily living scale was used to investigate 909 elderly with long-term care at home .Result The pressure sore occurred 25 .77% among in-home long-term care elderly patients ,among which stage I pressure ulcers was 33 .33% ,stage Ⅱ pressure ulcer 49 .57% ;Pressure ulcer group aged ADL ,IADL scores were 47 .19 ± 24 .20 ,4 .40 ± 5 .20 ,it's significantly lower than that of the no pressure ulcer group ,There was significant difference (P<0 .05);Logistic regression analysis showed that moderate and severe dysfunction , disability were important influence factors of pressure sore .Conclusion The incidence of pressure sore in in-home elderly patients with long-term care is high ,stage Ⅱ pressure ulcer is common ,and ability and instrumental activi-ties of daily living activities of daily life is an important factor influencing the pressure ulcer .Home care should be taken for prevention and intervention .