对于ICU患者的压力损伤的危险因素
Yang Chaonan1,2, Chaohui Ji2, Pan Huibin2
1Xingtai Medical College, Xingtai, China.
Nursing open
|January 31, 2026
概括
危急病患者在医院获得的压力损伤 (HAPI) 与并发症,镇静,营养不良和失禁有关. 早期识别和干预是减少HAPI风险的关键.
科学领域:
- 临界护理医学 临界护理医学
- 护理研究 护理研究
- 患者安全 患者安全
背景情况:
- 医院获得的压力损伤 (HAPI) 是重症监护机构面临的重大挑战.
- 确定特定的风险因素对于在重症监护室 (ICU) 实施有效的预防策略至关重要.
研究的目的:
- 调查和识别危急病患者中HAPI发展的独立风险因素.
- 为针对性HAPI预防协议提供基于证据的见解.
主要方法:
- 追溯病例控制研究设计.
- 利用基于证据和Delphi方法来确定36个潜在的风险因素.
- 采用非COVIDICU患者数据的单变量和多变量分析 (2019年1月-2021年12月).
主要成果:
- 在197名患者中,有53名患者 (26.9%) 患有HAPI.
- 多变量分析确定了独立的危险因素:并发症 (OR=3.16),MEWS评分≥5 (OR=5.83),镇静药物 (OR=2.28),低布拉登营养评分 (OR=4.05),皮肤 (OR=4.60) 和便失禁 (OR=13.17).
结论:
- 伴随性疾病,镇静,营养不良,皮肤,失禁和高MEWS分数是重症患者中HAPI的重要独立风险因素.
- 护理人员应优先监测高风险患者,进行全面评估,及时实施干预措施以减轻HAPI风险.
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