成年人失禁相关皮肤炎的危险因素:系统性审查和元分析
Tianxiang Jiang1,2,3,4,5, Xiuzhi Zhang1,2,3,4,5, Jinju Wu1,2,3,4,5
1Tianxiang Jiang, BS, RN, Intensive care unit, Taizhou Hospital of Zhejiang Province affiliated to Wenzhou Medical University, Linhai, Zhejiang Province, China, School of Nursing, Dalian University, Dalian City, Liaoning Province, China.
概括
这一元分析确定了成年人失禁相关性皮肤炎 (IAD) 的关键风险因素. 了解这些因素,如便失禁和意识受损,有助于为医疗保健专业人员制定有效的预防策略.
科学领域:
- 皮肤病学 皮肤病学
- 老年学是指老年学的学科.
- 关键护理医学 关键护理医学
背景情况:
- 失禁相关皮肤炎 (IAD) 是成年患者群体中普遍存在的问题,严重影响生活质量,并可能导致二次感染.
- 有效的预防和管理策略对于医疗保健专业人员来说至关重要,以减轻IAD的发病率和严重程度.
研究的目的:
- 进行全面的元分析,以确定与成人失禁相关性皮肤炎 (IAD) 相关的风险因素.
- 为医疗保健专业人员提供基于证据的支持,为IAD开发有针对性的预防性和捆绑性干预措施.
主要方法:
- 对相关研究的综合发现进行系统审查和元分析.
- 搜索了多个国际和中国数据库,截至2023年3月15日,包括PubMed,Embase和Scopus.
- 两个研究人员进行独立的数据提取和质量评估.
主要成果:
- 包括27项研究,共有4046名参与者. IAD的主要危险因素包括便失禁 (OR=5.79),便特征 (OR=5.28),以及排便频率 (OR=5.76).
- 其他独立的风险因素包括发烧,年龄,低蛋白血症,意识障碍,抗生素使用时间,糖尿病和更高的围评估工具 (PAT) 评分.
- 对IAD的保护因素包括较高的血清白蛋白水平 (OR=0.88),较高的布拉登尺度得分 (OR=0.66),以及较高的布拉登尺度移动性子尺度得分 (OR=0.86).
结论:
- 鉴定到的风险因素使得识别成年患者有高风险的IAD.
- 了解可修改的风险因素可以指导新和有效的预防性干预措施的设计,以减少IAD的发生率.
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