重症监护病人的医疗器械相关压力损伤:一项前性和描述性研究
Bilge Tezcan1, Şule Ecevit Alpar2, Bilgi Gülseven Karabacak2
1Marmara University, Institute of Health Science, Nursing Department, Istanbul, Turkey.
Journal of tissue viability
|March 14, 2024
概括
医疗器械相关的压力损伤 (MDRPIs) 影响11.6%的重症监护患者,由于输管管,经常发生在嘴唇上. 较长的停留时间和较高的PaCO2水平增加了风险,而氧气治疗的持续时间和布拉登分数则降低了风险.
科学领域:
- 关键护理医学 关键护理医学
- 护理 护理 护理
- 患者安全 患者安全
背景情况:
- 重症监护室 (ICU) 使用许多医疗设备,增加压力损伤的风险.
- 医疗器械相关压力损伤 (MDRPI) 是由于这些设备对患者皮肤施加的局部力量造成的.
- 由于长时间使用设备,这些伤害在重症患者中是一个重大问题.
研究的目的:
- 研究ICU患者中MDRPI的发病率,风险因素和特征.
- 识别特定的医疗器械和与压力损伤发展最相关的解剖位置.
- 分析患者因素与MDRPI发生之间的关系.
主要方法:
- 在西土耳其成人ICU的前性,描述性研究设计.
- 包括138名ICU患者,每天对入院后的压力损伤进行评估.
- 采用验证表格 (布拉登尺度,MDRPI识别表格) 和统计分析 (逻辑回归) 的数据收集.
主要成果:
- 在11.6%的患者中发生了MDRPI,最常见的是唇部 (37.5%) 由于输管管道 (37.5%).
- 第二阶段的伤害是最常见的 (75.0%).
- 重要风险因素包括更长的ICU住院时间 (p<0.01),更高的PaCO2水平 (p<0.01),更短的氧气治疗持续时间 (p<0.01),以及较低的布拉登分数 (p<0.01).
结论:
- 在这项研究中,MDRPI的发病率低于其他研究报告的.
- 长时间的ICU停留,高的PaCO2和减少的氧气治疗时间与增加的MDRPI风险有关.
- 较低的布拉登分数表明对MDRPIs的敏感性更高,强调了风险评估的重要性.
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