Abstract:Objective To explore the effect of improved Braden scale (BRADEN) and acute physiology and chronic health evalution Ⅱ (Apache Ⅱ) on the early warning of pressure ulcer in critically ill patients. Methods A total of 60 critically ill patients admitted to our hospital from January to March in 2019 were selected. All the patients were evaluated with BRADEN score, improved BRADEN score and ApacheⅡto predict the occurrence of pressure ulcer.Combining with the actual number of patients who got pressure ulcer, the specificity, sensitivity and accuracy of the two scoring methods were compared. Results Totally 12 of the 60 critically ill patients got pressure ulcer. The BRADEN score indicated 50 cases of high risk of pressure ulcer, and the improved BRADEN and Apache Ⅱhinted 13 cases of high risk of pressure ulcer. The early warning′s specificity and accuracy of the improved BRADEN score and ApacheⅡwere 95.83% and 95.00%, higher than those of the BRADEN score, which accounting for 18.75% and 33.33% with statistical differences (P<0.05). The difference in the early warning′s sensitivity of the two scoring methods had no statistical significance (P>0.05). Conclusion The improved BRADEN and ApacheⅡscoring methods are reliable for the early warning of pressure ulcer in high-risk patients and have significant application value.
吴姗姗. 改良的压疮评分量表与急性生理学及慢性健康状况评分Ⅱ在压疮高危患者中的应用[J]. 中国当代医药, 2020, 27(16): 204-206.
WU Shan-shan. Application of improved Braden scale and acute physiology and chronic health evaluation Ⅱin patients with high risk of pressure ulcer. 中国当代医药, 2020, 27(16): 204-206.