Practical Geriatrics ›› 2022, Vol. 36 ›› Issue (7): 741-744.doi: 10.3969/j.issn.1003-9198.2022.07.022

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Analysis of risk factors for pressure injury in emergency elderly patients

ZHANG Li, ZHAO Qing, LI Jin-lin   

  1. ZHANG Li. Emergency Department; LI Jin-lin. Intensive Care Unit, Nanjing Meishan Hospital, Nanjing 210039, China;
    ZHAO Qing. Emergency Department, the First Affiliated Hospital with Nanjing Medical University, Nanjing 210029, China
  • Received:2021-08-31 Online:2022-07-20 Published:2022-07-18

Abstract: Objective To explore the risk factors of pressure injury in the emergency elderly patients, and to provide the guidance for taking preventive nursing measures. Methods A total of 90 elderly patients admitted to the Emergency Department of Nanjing Meishan Hospital from June 2020 to May 2021 were enrolled in this study. The demographic data, comorbidities and biochemical results of the patients were collected. The risk of pressure injury in the emergency elderly patients was assessed by Braden scale, and the occurrence of pressure injury was observed daily until the patients left the Emergency Department. The risk factors of pressure injury in the emergency elderly patients were analyzed by binary Logistic regression. Results There were 15 patients presenting with pressure injury, with an incidence rate of 16.67%. There were statistically significant differences in the time of emergency admission, albumin level, Braden scale total score, nutritional status score, friction and shear force score between the occurrence group and the non-occurrence group (P<0.05). Multivariate Logistic regression analysis showed that low Braden scale total score and low albumin level were the risk factors of pressure injury in the emergency elderly patients. Conclusions Emergency nurses should timely monitor the level of albumin in the elderly patients, and take targeted preventive nursing measures according to the score of Braden scale, so as to reduce the incidence of pressure injury in the emergency elderly patients.

Key words: Braden scale, emergency elderly patient, pressure injury, risk factor

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