CAJ | 학술논문

[目的]探讨压疮愈合计分（ PUSH）法在老年压疮病人的不同清创方法效果评定中的应用价值。[方法]2010年5月-2012年8月，60例（82处） II～IV期压疮并有清创指征的压疮伤口，随机分为自溶性清创组30例（42处）；联合清创组30例（40处）。2组均按流程分别评估伤口与全身情况后，再进行冲洗、清创。2组伤口在清创后第7天、第14天、第21天进行观察和评价，按照PUSH计分表内容动态计分，用SPSS 11．0软件进行统计学分析。[结果]联合清创组与自溶性清创组的PUSH分值比较，在清创后第7天（P＞0．05）、第14天（P＜0．05）、第21天（ P＜0．01），联合清创组伤口PUSH分值下降快于自溶性清创组。[结论]联合清创是老年病人压疮的较好的清创方法，可缩短清创期，促进伤口的愈合。用PUSH计分法评价清创效果，方法简便易行，结果可信有效。
[목적]탐토압창유합계분（ PUSH）법재노년압창병인적불동청창방법효과평정중적응용개치。[방법]2010년5월-2012년8월，60례（82처） II～IV기압창병유청창지정적압창상구，수궤분위자용성청창조30례（42처）；연합청창조30례（40처）。2조균안류정분별평고상구여전신정황후，재진행충세、청창。2조상구재청창후제7천、제14천、제21천진행관찰화평개，안조PUSH계분표내용동태계분，용SPSS 11．0연건진행통계학분석。[결과]연합청창조여자용성청창조적PUSH분치비교，재청창후제7천（P＞0．05）、제14천（P＜0．05）、제21천（ P＜0．01），연합청창조상구PUSH분치하강쾌우자용성청창조。[결론]연합청창시노년병인압창적교호적청창방법，가축단청창기，촉진상구적유합。용PUSH계분법평개청창효과，방법간편역행，결과가신유효。
[Objective] To explore the value of the Pressure Ulcer Scale for Healing ( PUSH) tool in evaluating the effect of debridement on pressure ulcers in elder patients . [ Methods] A group of 60 patients with (82 sites) II-IV grade pressure ulcers were recruited in the study .The ulcers were randomly assigned into autolytic debridement group ( n=42 ) and combined debridement group ( n=40 ) .Two groups of wounds were assessed and debrided by consensus procedure porcess respectively .The wounds were ob-served and evaluated by trained nurses at 7,14,21days after debredement , and the results used in PUSH scoring were recorded and subjected to statistical analysis with the SPSS 11.0 software. [Results] The value of pressure ulcer scale for healing ( PUSH) for autolytic、combined debridement group , at 7days( P>0.05) were not significantly different, at 14 days(P<0.05),and at 21days (P<0.01) were significantly different.With wounds in combined debridement group , PUSH scores decreased faster than those in the au-tolytic debridement group . [ Conclusion] The combined debridement method used in elder patients is safe and effective , which can shorten debridement time and improve wounds healing as well .The Pressure Ulcer Scale for Healing is easy to use and its result is reliable , giving a quantitative objective evaluation of debridement effect on pressure ulcers .