主管:国家卫生健康委员会
主办:国家卫生健康委医院管理研究所
中国科技核心期刊(中国科技论文统计源期刊)
中国科学引文数据库(CSCD)核心库期刊
《中文核心期刊要目总览》核心期刊

中国护理管理 ›› 2022, Vol. 22 ›› Issue (4): 542-547.doi: 10.3969/j.issn.1672-1756.2022.04.013

• 老年护理专题 • 上一篇    下一篇

住院老年患者皮肤干燥症发生现况及危险因素分析

蒋琪霞 欧玉兰 于金美 赵静 索惠娟 彭青 李冬梅 李霞 王光扬 赵会莲 李博 窦薇 张晓蓉 孙颖 王敏   

  1. 东部战区总医院烧伤整形科,210002 南京市(蒋琪霞);门诊伤口护理中心(彭青);南华大学附属第一医院护理部(欧玉兰);扬州市江都人民医院护理部(于金美);江苏省人民医院门诊治疗室(赵静);邳州市人民医院普外科(索惠娟);广西壮族自治区桂东人民医院伤口造口失禁护理门诊(李冬梅);芜湖市第五人民医院伤口造口门诊(李霞);红河州第一人民医院伤口造口治疗中心(王光扬);曲靖市第五人民医院外科(赵会莲);西安市高陵区医院护理部(李博);云南省第一人民医院老年科(窦薇);重庆医科大学附属第一医院青杠老年护养中心(张晓蓉);淮安市第一人民医院伤口造口门诊(孙颖);西安工会医院普外科(王敏)
  • 出版日期:2022-04-15 发布日期:2022-04-15
  • 作者简介:蒋琪霞,硕士,主任护师,护士长,E-mail:jiangqixia1963@163.com
  • 基金资助:
    军队卫勤保障能力创新与生成专项课题(20WQ027);上海王正国创伤医学发展基金会课题(WZGF20200101)

A multi-center cross-sectional study on current status and risk factors of xerosis cutis in the elderly inpatients

JIANG Qixia, OU Yulan, YU Jinmei, ZHAO Jing, SUO Huijuan, PENG Qing, LI Dongmei, LI Xia, WANG Guangyang, ZHAO Huilian, LI Bo, DOU Wei, ZHANG Xiaorong, SUN Ying, WANG Min   

  1. Department of Burns and Plastic Surgery, General Hospital Eastern Theater Command of PLA, Nanjing, 210002, China
  • Online:2022-04-15 Published:2022-04-15

摘要: 目的:调查住院老年患者皮肤干燥症的发生现况并分析危险因素,为预防和干预提供依据。方法:纳入全国52所医院作为多中心研究单位,在统一时间、采用相同方法检查≥60岁住院患者的皮肤,识别是否存在皮肤干燥症,同时收集患者一般资料、健康状况资料、Braden评分等资料并进行分析。结果:共获得14?675例患者的有效资料,发现皮肤干燥症现患率为38.8%(5?691/14?675);Logistic回归分析发现,男性,Braden评分≤16分,患有心血管疾病或糖尿病,使用抗生素、糖皮质激素或利尿剂,年龄≥71岁和住院时间≥8天为老年患者发生皮肤干燥症的独立危险因素。结论:我国住院老年患者皮肤干燥症现患率处于较高水平,男性,有压力性损伤风险,患有心血管疾病或糖尿病,使用抗生素、糖皮质激素或利尿剂,年龄≥71岁和住院时间≥8天的患者需要被列为重点预防对象。

关键词: 老年人;皮肤干燥症;横断面调查;危险因素

Abstract: Objective: To investigate and analyze the risk factors of xerosis cutis in the elderly inpatients, so as to provide basis for the prevention and intervention of skin xerosis. Methods: A total of 52 hospitals in China were selected as multi-center research units. We performed skin examination for elderly inpatients (≥60 years old) using the same method and at the same period. International consensus definitions were used to identify dry skin, and demographic data, health status and the risk of pressure ulcer were collected. Single factors and Logistic regression analysis were employed to obtain the risk factors. Results: A total of 14675 cases of effective data were obtained. It was found that the total prevalence of xerosis cutis was 38.8% (5691/14675). Logistic regression analysis found that male, with risk of pressure injury, cardiovascular disease and diabetes, antibiotics, glucocorticoids and diuretics, age over 71 years and hospital stay over 8 days were independent risk factors for senile xerosis cutis. Conclusion: The prevalence of xerosis cutis in the elderly inpatients in China is high. The elderly inpatients with the above risk factors should be listed as the key elderly for the prevention.

Key words: elderly; xerosis cutis; cross-sectional survey; risk factors

中图分类号:  R47