THỰC TRẠNG LOÉT ÁP LỰC VÀ MỘT SỐ YẾU TỐ LIÊN QUAN ĐẾN NGƯỜI BỆNH HÔN MÊ TẠI KHOA HỒI SỨC TÍCH CỰC VÀ CHỐNG ĐỘC BỆNH VIỆN ĐA KHOA TRUNG ƯƠNG CẦN THƠ

Abstract

A prospective descriptive study was carried out at the Intensive Care and Poison Control Department of Can Tho Central General Hospital from October 2020 to March 2021 on 185 patients in coma. Objectives are (1) Describe the clinical, paraclinical, and ulcer conditions of the comatose patients at the Intensive Care and Poison Control Department of Can Tho Central General Hospital (2) Analyze the income of care patients and related factors.The results showed that the average number of days in hospital is: 8.48 ± 1.61, the proportion of patients with ulcers accounted for 26.5%, without ulcers 73.5%. Patients with one ulcer account for 32.4, two ulcers only 4.3%, ulcer level I 56,6 % and level II ulcer 43,4% . Regarding ulcer care 1 time/day accounted for a high proportion from 84.3% to (89.2%), about changing position and massaging pressure area 3 times/day accounted for a high proportion from 87,32% to 96,2%. The results showed that there was a statistically significant difference between the group with normal BMI and obese BMI with the income of care (p < 0.05), between patients with diabetes and patients without diabetes with care income (p<0.05), the difference and statistically significant between hospital stay > 7 days and ≤ 7 days with the results of pressure ulcer care (p < 0.004), between patients using air mattress and not using air mattress and the income of care (p < 0.05).However, no difference was found between men and women with p > 0.05.