农村三级医院住院患者压疮发生情况及预后的回顾性研究

Akshaya Narayan Shetti, Ch. Chandana Chowdary, Rachita Mustilwar
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摘要

这项回顾性研究解决了压疮预防在评估重症监护病房护理质量中的关键作用。压疮的发生率是影响患者康复和使治疗复杂化的关键指标。在这项基于数据的回顾性研究中,我们评估了持续6年的压疮患病率。在这个数据中,我们包括了在2016年6月1日至22年6月1日期间入院的外科、内科、呼吸和心脏重症监护病房的患者。所有年龄在18岁以上的男性和女性患者均被纳入。排除48小时内出院的患者。2016年6月至2022年6月,共有35名患者在内科和外科部门的重症监护病房被发现患有褥疮。70岁以上占34.3%,其中男性占87.9%。最常见的1-2褥疮(97.1%)主要累及2-5cm的臀部(82.9%)(45.7%)。内科分科患者褥疮发生率高于外科分科,多为住院后出现(77.1%),住院时间15 ~ 30 d(31.4%)。这项研究为我们在农村三级医院内科和外科重症监护室改善患者护理和预防压疮发展指明了前进的道路。这些发现为有针对性的干预铺平了道路,强调了我们对提高重症患者护理标准的承诺。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Retrospective study of occurrence of pressure ulcers among the patients admitted in rural tertiary care hospital and their outcome
This retrospective study addresses the pivotal role of pressure ulcer prevention in evaluating the quality of care within critical care units. The incidence of pressure ulcers serves as a crucial indicator, impacting patient recovery and complicating treatment. In this data based retrospective study we assessed the prevalence of pressure ulcers for a duration of 6 years. In this data we included the patients from surgical, medical, respiratory and cardiac critical care units who were admitted between 01/06/16 to 01/06/22. All male and female patients aged above 18 years were included. Patients who got discharge within 48 hours were excluded. Total of 35 patients were noted to have bedsores in intensive care unit from June 2016-June 2022 admitted under both medical and surgical branches. Out of which 34.3% were in age group above 70yrs where 87.9% were male patients. Most commonly 1-2 bedsores (97.1%) were present involving mostly buttock area (82.9%) of 2-5cm size (45.7%). Most of the patients admitted under medical branch developed bedsores more often than surgical branch and appeared after admission (77.1%) with 15-30 days hospital stay (31.4%). This study has illuminated our path forward in improving patient care and preventing pressure ulcer development among patients admitted to our medical and surgical Intensive Care Units in our Rural Tertiary hospital. The findings have paved the way for targeted interventions, underlining our commitment to raising the standard of care for our critically ill patients.
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