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以数据为导向的方法预测压力损伤风险:基于患者状况变化的回顾性分析
Yinji Jin1, Ji-Sun Back2, Sun Ho Im2
1School of Nursing, Yanbian University, Jilin, China.
Journal of clinical nursing
|June 12, 2023
概括
患有恶化或持续异常血液检测结果和生命体征的重症监护病房患者面临高风险的发展压力损伤. 监测这些血液学变量对于预防至关重要.
科学领域:
- 关键护理医学 关键护理医学
- 护理研究 护理研究
- 患者安全 患者安全
背景情况:
- 压力伤害是重症监护室 (ICU) 的一个重大问题,影响患者的治疗结果和医疗费用.
- 现有的风险评估工具可能无法充分捕捉ICU环境中的患者状况的动态变化.
研究的目的:
- 根据ICU患者临床状况的变化,确定ICU患者压力损伤发展的危险因素.
- 调查特定患者状况变量与压力损伤的发生率之间的关联.
主要方法:
- 对438名压力损伤患者和1752名没有压力损伤的患者的电子健康记录进行了回顾性分析,这些患者被送往医疗和外科ICU.
- 分析患者状况的变化 (改善,维持正常,恶化,不变) 使用从ICU入院到压力损伤发作的客观数据.
- 后勤回归分析用于在11个选定的变量中识别显著预测因素.
主要成果:
- 压力损伤的高风险与护理严重程度,白蛋白,血红素,C反应蛋白,血尿素,脉率>100次/分钟的恶化或持续异常水平有关.
- 确定的主要预测因素包括年龄,体重指数,活动,APACHE II分数,护理严重程度,脉,白蛋白,血红素,C反应蛋白,总 bilirubin 和血液尿素.
结论:
- 定期监测血液学变量和生命体征对于预防ICU中的压力损伤至关重要.
- 密切护理护士可以通过将血液检测结果的评估纳入他们的实践来提高压力损伤的预防,从而补充现有的风险评估工具.
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