Case Analysis Of 270 Hospitalized Patients With Pressure Ulcers In A Certain Hospital

Objective The purpose of this study is to collect the clinical information of 270 hospitalized patients with pressure ulcers from September 2015 to April 2017 in a certain hospital,and analyze general demographicinformation and clinical characteristics,calculate the incidence rate of hospital-acquired pressure ulcer(HAPU),and compare with general demographic information and clinical characteristics between HAPU and pressure ulcers outside hospital(PUOH),in order to take preventive and nursing measures,reduce the incidence rate of HAPU,improve the care level of pressure ulcers.Methods The data of 270 hospitalized patients with pressure ulcers were collected and analyzed from September 2015 to April 2017 in a certain hospital.Investigation data included general demographic information and clinical characteristics data.The general demographic information included sex,age,occupation,culture and marriage of pressure ulcers patients.Clinic data included admission time,the departments,pressure ulcer time and locations,with or without infection,family history,allergic history,drinking history,smoking history,operation,self-care situation,chronic diseases,edema,pressure and vasoactive agent.All the data of 270 patients were input into Excel table to establish database.The constituent ratios of the general demographic information,clicnic characteristics and pressure ulcers location,occurrence seasons and time,departments were analyzed.The incidence rate of HAPU was calculated.The comparation of the general demographic information,clicnic characteristics,departments,locations,occurrence seasons and time of ulcer pressure between PUOH and HAPU were performed,which were analyzed with chi-square test and Fisher exact probability.Results During September 2015 to April 2017 in the hospital,the incidence rate of HAPU was 0.090%.Among the 270 patients with pressure ulcer,hospital stay was(4-24)days,mean age was(69.94 ± 0.94)years.The most patients were over 60 year old(69.63%),no significant difference in sex,middle school and technical secondary school education(52.59%)and widowed(48.52%),workers(42.22%)and retirees(27.41%),most of whom had allergic history(73.70%)、 without family history(94.44%),no self-care ability(67.78%),history of smoking(79.26%),the history of drinking(79.63%),chronic diseases(78.15%),surgical treatment(82.59%),infection(96.67%),low pressure(72.22%),using vasoactive agent(71.48%)and unstageable(36.67%).The constituent ratios of patients with pressure ulcer in neurology and bone surgery were the most,which were 34.07% and 28.52%,respectively.The most of pressure ulcer parts in patients were hips and sacrococcygeal,the constituent ratios of which were 45.12% and 16.89%,respectively.Winter and spring were prone to pressure ulcers occurrence,the constituent ratios of which were 34.07% and 30.00%.Pressure ulcer often occurred at 2: 00-8: 00 AM,the constituent ratio of which were16.67%.There were no significant difference among the general demographic information(except for culture level),the history of family,smoking,drinking,self-care ability,chronic diseases,the departments,occurrence seasons and time between HAPU and PUOH.There were significant differences among culture level,pressure ulcers stages and locations between HAPU and PUOH(P<0.05).Conclusions This study analyzed general demographic information and clinic data among 270 patients with pressure ulcers in a certain hospital,conclusions were drawn:(1)The incidence rate of HAPU was 0.090%.(2)In terms of general demographic information,pressure ulcer patients had no significant difference in sex.The pressure ulcers were more concentrated in the elderly(above 61 years of age),middle school and technical secondary school education and widowed,workers and retirees.(3)Based on the clinical characteristics,most of the pressure ulcer patients had allergic history,without family history,no self-care ability,smoking history,the drinking history,chronic diseases,surgical treatment,infection and using vasoactive agent.(4)Most pressure ulcers patients were in neurology,bone surgery department.Most pressure ulcers occurred at sacrococcygeal and hip,2: 00-8: 00 AM,winter and spring.(5)There were significant differences among culture level,pressure ulcers stages and locations between HAPU and PUOH.