Một số yếu tố liên quan tới loét tì đè trên người bệnh ung thư thở máy tại Bệnh viện K năm 2021

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Tác giả: Thị Thùy Nguyễn

Ngôn ngữ: Vie

Ký hiệu phân loại: 616.994 +Cancers

Thông tin xuất bản: Y học cộng đồng 2023

Mô tả vật lý: 244-251

Bộ sưu tập: Metadata

ID: 409239

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Tóm tắt
Chủ đề

Loét tì đè là một biến chứng thường gặp ở những người bệnh hạn chế vận động hay nằm bất động kéo dài. Việc nghiên cứu yếu tố nguy cơ để đưa ra các biện pháp phòng ngừa loét tì đè trên người bệnh ung thư vô cùng quan trọng. Mục tiêu: Mô tả một số yếu tố liên quan đến tình trạng loét tì đè trên người bệnh ung thư thở máy điều trị tại Bệnh viện K năm 2021.Đối tượng và phương pháp: Thiết kế mô tả cắt ngang, thu thập thông tin thông qua đánh giá khách quan trên lâm sàng hàng ngày kết hợp thu thập từ hồ sơ bệnh án trên 80 người bệnh ung thư đang thở máy tại khoa Hồi sức tích cực và Hồi sức cấp cứu, Bệnh viện K từ tháng 1/2021 đến tháng 10/2021.Kết quả: Tỷ lệ người bệnh bị loét do tì đè còn cao chiếm 32,5%, trong đó có 15,4% loét độ 4
19,2% loét độ 3
23,1% loét độ 2 và phần lớn vị trí loét thường gặp là ở xương cùng cụt (73,1%). Thời gian thở máy, mức độ hôn mê, tình trạng dinh dưỡng, các hoạt động chăm sóc dự phòng gồm: xoay trở, hỗ trợ kê lót và nằm đệm là các yếu tố liên quan có ý nghĩa thống kê tới tình trạng loét của người bệnh., Tóm tắt tiếng anh, Pressure ulcers are a common complication in patients with limited mobility or prolonged immobility. It is very important to study risk factors to provide preventive measures for pressure ulcers in cancer patients. Objectives: Describe some factors related to pressure ulcers in cancer patients on ventilators treated at K Hospital in 2021. Subjects and methods: Cross-sectional descriptive design, information collection through daily objective clinical assessment combined with medical records on 80 cancer patients on ventilators in the ICU Intensive Care and Emergency Resuscitation, K Hospital from January 2021 to October 2021. Results: The rate of patients with pressure ulcers was still high, accounting for 32.5%, of which 15.4% had grade 4 ulcers
19.2% grade 3 ulcers
23.1% had grade 2 ulcers and most common ulcer sites were in the sacrum (73.1%). The duration of mechanical ventilation, degree of coma, nutritional status, preventive care activities including: rotation, support for bed support and bed rest were statistically significant factors related to ulcer status of patients Patient.

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