绝对与相对皮肤温度作为压力损伤早期预警指标:系统性审查和元分析
Ke Xu1,2, Hua Cao1, Lingxiao Ran3
1Department of Neurosurgery, West China Hospital, West China School of Nursing, Sichuan University, Chengdu, China.
Journal of advanced nursing
|February 9, 2026
概括
相对皮肤温度是压力损伤 (PI) 风险的有希望的早期指标. 相对温度下降显著增加PI的可能性,尽管需要更多的研究.
科学领域:
- 临床护理 临床护理
- 生物医学工程 生物医学工程
- 皮肤病学 皮肤病学
背景情况:
- 皮肤温度监测,包括绝对和相对测量,正在探索早期压力损伤 (PI) 检测.
- 对PI风险的最佳皮肤温度指标仍然不清楚.
研究的目的:
- 综合关于皮肤温度与PI风险之间的关联的证据.
- 确定PI.最有效的早期预警指标.
- 为了评估皮肤温度指标的早期预警准确度.
主要方法:
- 对前性队列研究进行系统审查和元分析.
- 包括具有皮肤温度和PI发展的纵向数据的成年患者.
- 用SROC曲线分析对标准化平均差异 (SMD) 和赔率比率进行集体分析.
主要成果:
- 纳入了10项涉及1742名参与者的研究.
- 在PI和非PI组之间绝对温度没有显著差异.
- 相对温度下降 (<-0.1°C) 显示PI的可能性增加了16倍 (AUC=0.776).
结论:
- 相对温度与PI风险有显著的关联,表明其作为早期预警指标的潜力.
- 临床应用需要标准化的测量协议.
- 由于证据的确定性低至非常低,需要进行进一步的研究.
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