NGHIÊN CỨU MỘT SỐ ĐẶC ĐIỂM CỦA BỆNH NHÂN LOÉT TỲ ĐÈ TÁI PHÁT TẠI BỆNH VIỆN BỎNG QUỐC GIA

Abstract

Objective: Evaluating some characteristics of patients with recurrence pressure ulcer. Subjects and method: A retrospective study combined with telephone interviews was performed on 108 patients (over 18 years old) with recurrent pressure ulcers, who were hospitalized at Wound Healing Center, National Burm Hospital from January 2017  to December 2021. Results: Patients with recurrent pressure ulcers were seen mainly in male with the male/female ratio of 5.75. The mean age was 48.1±15.37 years old (the most common in the age group (41-60] with 42.6%). 81.48% of patients with paralysis, 14.81% of patients with limb weakness. 100% of patients had comorbidities (the highest rate was patients with spinal cord injury (63.89%)). Most patients had urinary and bowel incontinence (accounting for 88.89% and 87.03). Recurrent pressure ulcers were common in ischium (45.07%) and sacrum (41%). 66.67% of patients did not apply combination therapy (negative pressure, hyperbaric oxygen therapy) during the previous treatment at the National Burn Hospital. 31.48% of patients did not receive rehabilitation. Conclusions: Patients with recurrent pressure ulcers had diverse characteristics. Male patients, patients with aralysis due to spinal cord injury, urinary and bowel incontinence, ischium ulcer, without the correct position change  and didn't receive rehabilitation, apply combination therapy (negative pressure, hyperbaric oxygen therapy) during the previous treatment who had high rate of recurrent pressure ulcers.