Analysis on the risk factors of acute pressure ulcer in liver transplantation patients
- VernacularTitle:肝移植患者急性压疮发生的危险因素分析
- Author:
Zhihua LIU
1
;
Junqin DING
;
Wenli MENG
;
Weili ZHANG
Author Information
1. 河北医科大学第三医院普外科
- Keywords:
Liver transplantation;
Risk factor;
Pressure ulcer
- From:
Chinese Journal of Modern Nursing
2014;20(16):1916-1919
- CountryChina
- Language:Chinese
-
Abstract:
Objective To analyze the risk factors of acute pressure ulcer in liver transplantation patients after operation to look for the nursing method.Methods Ninety-five liver transplantation patients from January 2005 to September 2013 were chosen,and their basic information were collected,and the indicator associated with the occurrence of pressure ulcer before,during and after the operation were recorded and the risk factors were analyzed,and the effect of medical factors on the incidence of pressure ulcer in patients with liver transplantation were evaluated.Results Thirty patients had the pressure ulcers within three days after operation,and the fourteen cases(46.67％) occurred on the day of operation,and nine (30.00％),five (16.67％),two (6.66％) respectively occurred on the first,second and third day of operation.The cases of pressure ulcers occurred in the sacral and heel area were respectively nineteen (63.33％) and nine cases (30.00％).The differences were found in the incidence rate of pressure ulcers in patients with different the score of Braden,the level of serum total protein,the operative time,the blood loss,the first time to get out of bed and compliance behavior (x2/Z =6.338,7.787,4.005,12.960,4.163,6.257,respectively; P ＜ 0.05).The maximum cases of pressure ulcers caused by the lack of cognition were twelve cases (40.00％),followed by seven cases (23.33％) which caused by the less frequency evaluation.Conclusions The occurrence of acute pressure ulcer is closely related to the score of Braden,the level of serum total protein,the operative time,the blood loss,the first time to get out of bed and compliance behavior,and nursing measures should be taken according to the risk factors to reduce the incidence of pressure ulcer after operation.
