在易患危急病人的依赖性相关皮肤病变. 发生率研究 发生率研究
Josefa Valls-Matarín1, Rosa María Peradejordi-Torres1, Mercedes Del Cotillo-Fuente1
1Unidad de Cuidados Intensivos, Hospital Universitari Mútua de Terrassa, Terrassa, Barcelona, Spain.
Enfermeria clinica (English Edition)
|October 28, 2023
概括
与依赖性相关的皮肤病变 (DRSL) 影响近一半的卧卧 (PP) 患者,压力是最常见的. 长时间的PP时间和外周血管疾病增加了DRSL风险.
科学领域:
- 关键护理医学 关键护理医学
- 皮肤病学 皮肤病学
- 患者安全 患者安全
背景情况:
- 在重症监护室的患者通常需要机械通风和倾斜定位 (PP).
- 皮肤完整性是PP患者的一个重要问题,需要了解相关风险.
研究的目的:
- 确定在接受PP的患者中与依赖性相关的皮肤病变 (DRSL) 的发生率.
- 在这个患者群体中确定DRSL发展的诱导因素.
主要方法:
- 在两个重症监护病房进行了后续研究.
- 收集的数据包括患者人口统计,诊断,通风细节和特定的皮肤病变类型 (压力,水分相关的皮肤损伤,摩擦伤害).
- 统计分析包括双变量和多变量逻辑回归来确定倾向因素.
主要成果:
- DRSL的累积发病率为44.9%,压力是最常见的类型.
- 患有病变的患者年龄较大,患外周血管疾病 (PVD) 的患病率较高.
- 在PP和PVD的总数小时被确定为DRSL的显著诱导因素.
结论:
- 在躺卧的患者中,DRSL的发病率很高,主要是与压力相关的,但通常严重程度较低.
- 增加PP的持续时间和PVD的存在是导致这些病变发展的关键因素.
- 这些发现凸显了在需要PP的重症患者中需要有针对性的预防策略的需要.
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