重症监护患者压力损伤的危险因素:更新的系统性审查
Jenny Alderden1, Katie R Brooks2, Susan M Kennerly3
1Boise State University, 1910 W University Drive, Boise, ID 83725, United States.
International journal of nursing studies
|June 14, 2025
概括
这份最新的综述证实,年龄,运动能力有限,输液不良和血管压缩剂的使用是重症患者关键压力损伤风险因素. 更长时间的重症监护室停留和糖尿病也被确定为重要贡献者.
科学领域:
- 关键护理医学 关键护理医学
- 护理研究 护理研究
- 患者安全 患者安全
背景情况:
- 压力损伤 (PI) 在重症患者中构成了重大挑战.
- 之前的系统审查确定了关键的风险因素,需要更新以纳入最近的证据.
- 了解不断变化的风险因素对于有效的预防策略至关重要.
研究的目的:
- 系统地审查和更新关于重症患者压力损伤发展的独立风险因素的证据.
- 根据2017年1月至2024年12月期间发表的研究,确定新的或加强的风险因素.
主要方法:
- 采用了系统审查方法,搜索了五个主要数据库.
- 研究被选,数据被提取,研究人员独立评估质量.
- 进行了叙事综合,由相关领域组织.
主要成果:
- 包括33项研究,自最初的审查以来增加了15项研究.
- 一贯识别的危险因素包括年龄较大,运动能力有限,输液受损,血管压缩剂使用,以及在重症监护室 (ICU) 停留时间较长.
- 糖尿病成为一个显著的风险因素,尽管由于测量不一致,对营养和皮肤状况的证据仍然没有确定性.
结论:
- 加强年龄,移动性,输液和血管压缩剂的使用,作为压力损伤的关键风险因素.
- 突出了ICU停留时间和糖尿病作为额外的重要贡献者.
- 建议在风险评估中优先考虑这些因素,并呼吁在未来的研究中进行标准化的测量.
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