Scott Triggers评分表与Munro量表评估手术患者压力性损伤的效果比较
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Comparison of the Scott Triggers Tool and the Munro scale for assessing the risk of pressure injuries in surgical patients
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    摘要:

    目的 比较Scott Triggers(ST)评分表与Munro量表对手术患者压力性损伤发生的评估效果,为临床选择合适的评估工具提供参考。 方法 使用ST评分表和Munro量表对413例手术患者进行压力性损伤风险评估,以术后压疮实际发生数为金标准,采用ROC曲线和Bayes判别分析ST评分表与Munro量表的评估能力。 结果 共有43例(10.41%)手术患者发生压力性损伤;ST评分表与Munro量表曲线下面积分别是0.626(95%CI:0.578~0.673)、0.670(95%CI:0.622~0.715),两者差异无统计学意义(P>0.05);交叉验证法对函数进行验证,Munro量表与ST评分表的正判率,分别为89.60%、89.80%。 结论 ST评分表和Munro量表评估效果相近均可用于手术患者压力性损伤的评估,ST评分表条目少而简洁,应用更便捷。

    Abstract:

    Objective To compare the Scott Triggers (ST) Tool with the Munro scale for assessing the risk of pressure injuries in surgical patients, and to provide reference for selectinga suitable assessment tool. Methods The risk of pressure injuries in 413 surgical patients were assessed using the ST Tool and the Munro scale, and taking those developed pressure injury after surgery as golden criteria, then ROC and Bayes discriminant analysis were utilized to evaluate the assessment ability of the two scales. Results A total of 43(10.4%) surgical patients suffered from pressure injury. The area under the ROC of ST Tool and Munro scale was0.626 (95%CI:0.578-0.673) and 0.670 (95%CI:0.622-0.715), and there was no significant difference (P<0.05).The cross-validation method was used to test the accuracy of the two tools, the correct judgement rate of the Munro scale and the ST Tool was similar, which was 89.80% and 89.60% respectively. Conclusion Both the ST Tool and the Munro scale could be used assessing pressure injury in surgical patients, and the eva-luation effect is si-milar. The ST Tool is concise, thus its use in clinic is convenient and fast.

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史桂蓉,王晓慧,刘萍,冯晓岚,黄萍,张培培,姜丽萍. Scott Triggers评分表与Munro量表评估手术患者压力性损伤的效果比较[J].护理学杂志,2020,35(7):43-46

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  • 收稿日期:2019-11-18
  • 最后修改日期:2020-01-05
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  • 在线发布日期: 2022-09-06