臺灣人文及社會科學引文索引資料庫系統

:::

詳目顯示

回上一頁
第 1 筆 / 總合 1 筆   第一頁 上一頁 下一頁 最後一頁
/1頁
題名：預測胃腸肝膽科病人發生壓瘡之危險因子
書刊名：榮總護理
作者：陳貞如／李歡芳／王維芳／方玉瓊
作者(外文)：Chen, Jen-ru／Lee, Huan-fang／Wang, Wei-fang／Fang, Yu-chiung
出版日期：2017
卷期：34:2
頁次：頁130-141
主題關鍵詞：Braden scale量表；胃腸肝膽科；壓瘡；Braden scale；Gastroenterology and hepatology ward；Pressure ulcer
原始連結：連回原系統網址new window
相關次數：
  • 被引用次數被引用次數:期刊(0) 博士論文(0) 專書(0) 專書論文(0)
  • 排除自我引用排除自我引用:0
  • 共同引用共同引用:24
  • 點閱點閱:1
壓瘡是重要的護理照護品質指標，不僅攸關病人的生活品質也會造成醫療成本的負擔。胃腸肝膽科病人常有營養與體液輸出入不平衡的問題，且因皮膚脆弱及尾骶骨附近常受摩擦或壓力過大，導致壓瘡的產生。目前針對胃腸肝膽科病人之壓瘡危險因子的探討研究仍不足，故本研究目的為探討胃腸肝膽科病人發生壓瘡之危險因子。本研究採橫斷性研究設計，立意選樣南部某醫學中心胃腸肝膽科病房住院3 天或以上且無壓瘡之病人121 位。收案期間6 個月。研究資料除人口學資料外，研究工具以Braden scale 量表及MUST 營養評估進行危險因子評估。資料分析法為描述性分析、卡方檢定、t 檢定與迴歸分析。研究結果顯示胃腸肝膽科病人之人口學相關變項與營養狀態在有無發生壓瘡上並無顯著差異，但Braden scale 量表中的摩擦力與剪力項目，是唯一預測胃腸肝膽科病人發生壓瘡的危險因子，且摩擦力/ 剪力項目每增加1 分，則病人會發生壓瘡的機率就會減少0.265 倍。本研究建議，在執行病人移動之護理活動時應特別注意翻身與移動技巧，避免以拖拉方式移動病人增加摩擦力及剪力之風險，同時介入相關皮膚保護措施，可降低病人發生壓瘡的風險。
Pressure ulcers are an important indicator of quality of care. The condition may jeopardize patients' quality of life and increase medical expense. Patients with gastroenterological or hepatobiliary diseases often exhibit the malnutrition and imbalanced body fluids. Regions with delicate skin, such as the sacral area, may sustain friction/shear force resulting in pressure ulcers. However, few studies have been conducted regarding the risk factors for pressure ulcers among patients with gastroenterological or hepatobiliary disease. The purpose of this study was to explore these risk factors. This study involved applying a cross-sectional research design. A total of 121 participants from a gastroenterology and hepatology ward of a medical center in Southern Taiwan were included. The inclusion criteria were that patients were without pressure ulcer before inclusion and stayed at the hospital for more than 3 days thereafter. The data collection period was 6 months. Demographic data, the Braden scale, and the malnutrition universal screening tool were used to assess the risk factors. The analysis methods were descriptive analysis, the chi-square test, t-test, and regression. Our results demonstrated that demographic data and nutrition status had no impact on the development of pressure ulcers. Only the degree of friction/shear indicated on the Braden scale was significantly related to the development of pressure ulcers, with the risk of developing pressure ulcers decreasing 0.265 times per score increase. Our findings suggest that caregivers should avoid pulling when moving patients and changing their position, and that they should provide skin protection to reduce the risk of pressure ulcer development.
期刊論文
1.于博芮、李世代、林壽惠(2005)。台灣醫療院所壓瘡風險評估工具之臨床效度。台灣老年醫學雜誌，1(2)，79-88。  延伸查詢new window
2.Braden, B. J.、Bergstrom, N.(1994)。Predictive validity of the Braden scale for pressure sore risk in a nursing home population。Research in Nursing and Health，17(6)，459-470。  new window
3.Dini, V.、Bertone, M.、Romanelli, M.(2006)。Prevention and management of pressure ulcers。Dermatologic Therapy，19(6)，356-364。  new window
4.Grey, J. E.、Harding, K. G.、Enoch, S.(2006)。Pressure ulcers。British Medical Journal，332(7539)，472-475。  new window
5.Terekeci, H.、Kucukardali, Y.、Top, C.、Onem, Y.、Celik, S.、Öktenli, Ç.(2009)。Risk assessment study of the pressure ulcers in intensive care unit patients。European Journal of Internal Medicine，20(4)，394-397。  new window
6.趙莉芬、劉雪娥(19951200)。病人家屬對壓瘡預防措施及其危險因子認知程度的差異與相關因素之探討。護理研究，3(4)，365-375。new window  延伸查詢new window
7.Serpa, L. F.、Santos, V. L. C. G.(2014)。Validity of the braden nutrition subscale in predicting pressure ulcer development。Journal of Wound, Ostomy and Continence Nursing，41(5)，436-443。  new window
8.靳燕芬、吳蕙菱、林淑真、邱月璧(20060300)。某醫學中心住院病人壓瘡盛行率及發生壓瘡相關因素探討。長庚護理，17(1)=53，11-21。new window  延伸查詢new window
9.Bergstrom, N.、Dumuth, P. J.、Braden, B. J.(1987)。A clinical trial of the braden scale for predicting pressure sore risk。Nursing Clinics of North America，22(2)，417-428。  new window
10.Bergstrom, N.、Braden, B.(1992)。A prospective study of pressure sore risk among institutionalized elderly。Journal of American Geriatrics Society，40(8)，747-758。  new window
11.Braden, B.、Bergstrom, N.(1987)。A conceptual schema for the study of the etiology of pressure sores。Rehabilitation Nursing，12(1)，8-12。  new window
12.簡姿娟(19950600)。某教學醫院住院人發生壓瘡之相關因素探討。弘光醫專學報，26，49-59。  延伸查詢new window
13.Banks, M.、Bauer, J.、Graves, N.、Ash, S.(2010)。Malnutrition and pressure ulcer risk in adults in Australian health care facilities。Nutrition，26(9)，896-901。  new window
14.Bergstrom, N.、Braden, B.、Kemp, M.、Champagne, M.、Ruby, E.(1998)。Predicting pressure ulcer risk: A multi-site study of the predictive validity of the Braden scale。Nursing Research，47(5)，261-269。  new window
15.Braden, B. J.(2012)。Braden scale for predicting pressure sore risk: Reflections after 25 years。Advance Skin Wound Care，25(2)，61。  new window
16.Chan, W. S.、Pang, S. M. C.、Kwong, E. W. Y.(2009)。Assessing predictive validity of the modified Braden scale for prediction of pressure ulcer risk of orthopaedic patients in an acute care setting。Journal of Clinical Nursing，18(11)，1565-1573。  new window
17.Tsaousi, G.、Stavrou, G.、Ioannidis, A.、Salonikidis, S.、Kotzampassi, K.(2015)。Pressure ulcers and malnutrition: Results from a snapshot sampling in a university hospital。Medical Principle and Practice，24(1)，11-16。  new window
18.Weekes, C. E.、Elia, M.、Emery, P. W.(2004)。The development, validation and reliability of a nutrition screening tool based on the recommendations of the British Association for Parenteral and Enteral Nutrition (BAPEN)。Clinical Nutrition，23(5)，1104-1112。  new window
19.Yatabe, M. S.、Taguchi, F.、Ishida, I.、Sata, A.、Kameda, T.、Ueno, S.、Yatabe, J.(2013)。Mini Nutritional Assessment as a useful method of predicting the development ulcer in elderly inpatients。Journal of the American Geriatrics Society，61(10)，1698-1704。  new window
20.Shahin, E. S.、Meijers, J.、Schol, J.、Tannen, A.、Halfens, R.、Dassen, T.(2010)。The relationship between malnutrition parameters and pressure ulcers in hospitals and nursing homes。Nutrition，26(9)，886-889。  new window
21.Stratton, R. J.、Hackston, A.、Longmore, D.、Dixon, R.、Price, S.、Stroud, M.、Elia, M.(2004)。Malnutrition in hospital outpatients and inpatients: Prevalence, concurrent validity and ease of use of the malnutrition universal screening tool (MUST) for adults。British Journal of Nutrition，92(5)，799-808。  new window
22.Tescher, A. N.、Branda, M. E.、Byrne, T. J. O.、Naessens, J. M.(2012)。All at-risk patients are not created equal: Analysis of Braden pressure ulcer risk scores to identify specific risks。Journal of Wound, Ostomy and Continence Nursing，39(3)，282-291。  new window
23.Cho, I.、Noh, M.(2010)。Braden scale: Evaluation of clinical usefulness in an intensive care unit。Journal of Advance Nurse，66(2)，293-302。  new window
24.Defloor, T.、Grypdonck, M. F.(2005)。Pressure ulcer: Validation of two risk assessment scales。Journal of Clinical Nursing，14(3)，373-383。  new window
25.Fogerty, M. D.、Abumrad, N. N.、Nanney, L.、Arbogast, P. G.、Poulose, B.、Barbul, A.(2008)。Risk factors for pressure ulcers in acute care hospitals。Wound Repair and Regeneration，16(1)，11-18。  new window
26.Gadd, M. M.(2014)。Braden scale cumulative score versus subscale scores: Are we missing opportunities for pressure ulcer prevention?。Journal of Wound, Ostomy and Continence Nursing，41(1)，86-89。  new window
27.García, D. S.、Pérez, S. G.、Sanavia, M. E.、de Juanes, P. J.、Arrazola, M. M.、Resines, E. C.(2008)。Nutritional control in orthopedic surgery patients。Nutrition Hospice，23(5)，493-499。  new window
28.Garcia-Fernández, F. P.、Pancorbo-Hidalgo, P. L.、Agreda, J. J.(2014)。Predictive capacity of risk assessment scales and clinical judgment for pressure ulcers: A meta-analysis。Journal of Wound, Ostomy and Continence Nursing，41(1)，24-34。  new window
29.Gunningberg, L.、Stotts, N. A.(2008)。Tracking quality over time: What pressure ulcer data show?。Internal Journal of Quality Health Care，20(4)，246-253。  new window
30.Halfens, R.、Van Achterberg, T.、Bal, R.(2000)。Validity and reliability of the Braden scale and the influence of other risk factors: A multi-center prospective study。International Journal of Nursing Studies，37(4)，313-319。  new window
31.Hyun, S.、Li, X.、Vermillion, B.、Newton, C.、Fall, M.、Kaewprag, P.、Lenz, E. R.(2014)。Body mass index and pressure ulcers: Improved predictability of pressure ulcers in intensive care patients。American Journal of Critical Care，23(6)，494-501。  new window
32.Kring, D. L.(2007)。Reliability and validity of the Braden scale for predicting pressure ulcer risk。Journal of Wound, Ostomy and Continence Nursing，34(4)，399-406。  new window
33.Kwong, E.、Pang, S.、Wong, T.、Ho, J.、Xue, S. L.、Tao, L. J.(2005)。Predicting pressure ulcer risk with the modifi ed Braden, Braden & Norton scales in acute care hospital in Mainland China。Applied Nursing Research，18(2)，122-128。  new window
34.Leijon, S.、Bergh, I.、Terstappen, K.(2013)。Pressure ulcer prevalence, use of preventive measures, and mortality risk in an acute care population: A quality improvement project。Journal of Wound, Ostomy and Continence Nursing，40(5)，469-474。  new window
35.Miller, N.、Frankenfield, D.、Lehman, E.、Maguire, M.、Schirm, V.(2016)。Predicting pressure ulcer development in clinical practice: Evaluation of Braden scale scores and nutrition parameters。Journal of Wound, Ostomy and Continence Nursing，43(2)，133-139。  new window
36.Park, K. H.(2014)。A retrospective study using the pressure ulcer scale for healing (PUSH) tool to examine factors affecting stage II pressure ulcer healing in a Korean acute care hospital。Ostomy Wound Management，60(9)，40-51。  new window
37.Pokrywka, H. S.、Koffler, K. H.、Remsburg, R.、Bennett, R. G.、Roth, J.、Tayback, M.、Wright, J. E.(1997)。Accuracy of patient care staff in estimating and documenting meal intake of nursing home residents。Journal of the American Geriatrics Society，45(10)，1223-1227。  new window
38.曹文昱、羅淑芬、哈鐵木爾、李茹萍(20130800)。比較傷口敷料處置於壓瘡預防之成效。護理雜誌，60(4)，65-75。new window  延伸查詢new window
39.黃金蓮(19931200)。某教學醫院住院病人發生壓瘡之相關因素探討。護理雜誌，40(4)，47-56。new window  延伸查詢new window
會議論文
1.Braden, B.(2014)。Pressure ulcer prevention: The ordinary and the novel。WOCN Society's 46th Annual Conference，(會議日期: June 21-25, 2014)。Nashville, TN。  new window
圖書
1.Malnutrition Advisory Group(2003)。The 'MUST' explanatory booklet: A guideline to the malnutrition universal screening tool (MUST) for adult。Redditch：British Association for Parenteral and Enteral Nutrition。  new window
其他
1.National Pressure Ulcer Advisory Panel，European Pressure Ulcer Advisory Panel，Pan Pacific Pressure Injury Alliance(2014)。Prevention and treatment of pressure ulcers: Quick reference guide，http://www.npuap.org/wp-content/uploads/2014/08/Updated-10-16-14-Quick-Reference-Guide-DIGITAL-NPUAP-EPUAPPPPIA-16Oct2014.pdf， 。  new window
2.National Pressure Ulcer Advisory Panel(2016)。National Pressure Ulcer Advisory Panel (NPUAP) announces a change in terminology from pressure ulcer to pressure injury and updates the stages of pressure injury，http://www.npuap.org/national-pressure-ulcer-advisory-panelnpuap-announces-a-change-in-terminologyfrom-pressure-ulcer-to-pressure-injury-andupdates-the-stages-of-pressure-injury/。  new window
 
 
 
 
第一頁 上一頁 下一頁 最後一頁 top
QR Code
QRCODE

臺灣人文及社會科學引文索引資料庫

目前上線人數：777（臺灣：768，外國：10） ／ 本年度總使用人次：2042760 ／ 訪客人次（自102年09月）：67852685
國家圖書館著作權聲明 Copyright © 2013 All rights reserved.
本館地址: 100201臺北市中山南路20號． 本館地圖及交通資訊．
總機：(02)23619132．最佳瀏覽解析度為1024x768以上