在重症监护室预防压力损伤的额外预防措施的有效性:回顾性队列研究
Carolina Martín-Meana1,2, José Manuel González-Darias1, Carmen D Chinea-Rodríguez1
1Intensive Care Unit, Hospital Universitario de Canarias, Carretera de Ofra s/n, 38320 La Laguna-Santa Cruz de Tenerife, Spain.
Nursing reports (Pavia, Italy)
|July 25, 2025
概括
尽管加强了预防措施,但9%的重症监护室 (ICU) 患者患有压力损伤 (PI). 并非所有PI都是可以预防的,强调需要考虑个体患者的风险因素,以有效预防压力损伤.
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:
- 压力伤害 (PIs) 是护理质量的指标,在重症监护室 (ICU) 发生率较高.
- 这项研究研究了在被认定为"未受保护" (COMHON指数≥11) 的重症患者的PI.
研究的目的:
- 评估高风险ICU患者压力损伤的额外预防措施的有效性.
- 为了评估是否具有COMHON指数≥11的危急病患者尽管进行了加强的干预,但仍发展了PI.
主要方法:
- 在成人ICU中进行了一项历史队列研究,从2022年的811例入院中选择了400名患者.
- 患者接受了ICU的PI预防协议;那些COMHON指数≥11的患者接受了多层的圣经带和抗马匹/部减压靴子.
主要成果:
- 36名患者 (9%的累计发病率) 患有PI,停留时间和APACHE-II分数有显著差异.
- 大多数PI发生在圣骨 (52.8%) 和脚跟 (22.2%).
- 在PI发展之前,百分之百的患者使用了圣器,而58.3%的患者使用了靴子.
结论:
- 实施的预防措施在预防所有高风险ICU患者的PI方面并不普遍有效.
- 个人风险因素和遵守预防方案需要进一步分析,以了解PI的发展.
- 一些压力损伤可能是不可避免的,强调需要个性化风险评估.
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