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在ICU的压力风险评估. 现在是时候采取更客观的措施了吗?

Natalie L McEvoy¹, Declan Patton², Gerard F Curley³

¹Department of Anaesthesia and Critical Care, Royal College of Surgeons in Ireland (RCSI), University of Medicine and Health Sciences; Skin Wounds and Trauma (SWaT) Research Centre, Royal College of Surgeons in Ireland (RCSI), University of Medicine and Health Sciences, Dublin, Ireland.

Intensive & critical care nursing

|March 22, 2024

概括

皮下湿度测量与ICU患者的布拉登分数没有相关性. 需要客观的措施来评估压力风险和患者对压力和剪切力的反应.

科学领域:

关键护理医学关键护理医学
皮肤病学皮肤病学
护理护理护理

背景情况:

布拉登尺度是广泛使用的压力风险评估工具,但其在重症监护室 (ICU) 的实用性受到争议.
大多数ICU患者被归类为高风险患者,限制了尺度的区分能力.
这项研究调查了ICU患者的皮下湿度 (SEM) 测量和布拉登分数之间的相关性.

研究的目的:

为了确定SEM测量和布拉登分数在重症监护室 (ICU) 患者之间的相关性.
探索SEM作为压力风险评估的客观措施的潜力.
评估SEM如何反映患者对压力和剪切力的反应.

主要方法:

在五天的时间里,采用了观察性研究设计.
每天记录布雷登分数,视觉皮肤评估和SEM测量 (圣骨和高跟鞋).
SEM被分为低 (<0.5),边界异常 (≥0.5) 和高 (≥0.8) 的类别.

主要成果:

招募了53名ICU患者,81%的患者在布拉登尺度上处于非常高/高风险.
在整个研究期间,布雷登分数在很大程度上保持一致.
布雷登得分和SEM测量之间没有发现显著的相关性,尽管SEM测量在第二天经常变得异常.

结论:

布拉登尺度可能无法充分捕捉患者对重症患者压力和剪切力的反应.
SEM测量显示了提供关于组织对风险因素耐受性的客观数据的潜力.
需要客观的工具来评估ICU环境中的压力风险和患者反应.

关键词:

关键的护理关键的护理在重症监护病房的重症监护病房.压力的压力.

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