COVID-19和医院获得的压力伤害:一个系统的审查
Adrienn N Bourkas1, Michele Zaman, R Gary Sibbald
1At Queen's University School of Medicine, Kingston, Ontario, Canada, Adrienn N. Bourkas, MSc, and Michele Zaman, MScPH, are Medical Students. R. Gary Sibbald, MD, MEd, FRCPC, FAAD, MAPWCA, JM is Professor, Dalla Lana School of Public Health and Division of Dermatology, Department of Medicine, University of Toronto, Ontario. Acknowledgment: The authors thank the project ECHO Ontario Skin and Wound Team members Andrew Mohan, Reneeka Jaimangal, and Laurie Goodman for their support throughout the project. They also specially thank Queen's University Health Sciences Medical Librarian Abdul K. Pullattayil for his hard work and support during the electronic search process. The authors have disclosed no financial relationships related to this article. Submitted August 3, 2022; accepted in revised form October 4, 2022; published ahead of print January 27, 2023. Supplemental digital content is available for this article. Direct URL citations appear in the printed text and are provided in the HTML and PDF versions of this article on the journal's website ( www.ASWCjournal.com ).
在COVID-19阳性男性中,医院获得的压力损伤 (HAPI) 发生率高,患者住院时间长,易受定位,缺乏皮肤专家. 未来的研究应该完善HAPI指南.
科学领域:
- 医学研究 医学研究
- 传染病流行病学传染病流行病学
- 伤口护理科学 伤口护理科学
背景情况:
- 医院获得的压力损伤 (HAPI) 是医疗保健机构的一个重大问题.
- 随着COVID-19大流行,患者的护理面临新的挑战和复杂性.
- 了解COVID-19患者的HAPI风险因素对于改善患者的治疗结果至关重要.
研究的目的:
- 调查COVID-19相关变量与医院获得压力损伤 (HAPI) 的发生率之间的关系.
主要方法:
- 在四个数据库 (Cochrane,MEDLINE,EMBASE,CINAHL) 进行了系统的文献搜索.
- 关键词包括"COVID-19"",医院获得的压力损伤"和相关术语.
- 在选了489篇文章后,包括了19篇同行评审的出版物,报告了住院COVID-19患者的HAPI发生率.
主要成果:
- 数据因异质性而被叙述性合成,主要结果是HAPI发病率.
- 在男性COVID-19患者中观察到更高的HAPI发病率.
- 与HAPI发病率增加相关的因素包括长时间住院和易受伤害的位置.
结论:
- 长时间住院的COVID-19患者,易受定位的患者,以及缺乏皮肤/伤口专家的护理团队表现出更高的HAPI率.
- 该审查强调了未来研究中需要改进方法的必要性.
- 建议使用定量建模来增强住院患者的HAPI指南.
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