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ICU住院患者发生院内获得性压疮的危险因素分析

邓小红 王乔凤 李明珂 胡爱玲   

  1. 中山大学附属第三医院护理部
  • 出版日期:2016-06-25 发布日期:2016-06-25

Analysis of risk factors for hospital acquired pressure ulcers in ICU patients

  • Online:2016-06-25 Published:2016-06-25

摘要: 目的:分析ICU 住院患者发生院内获得性压疮的危险因素。方法:采用自制的ICU 压疮发生情况资料收集表与ICU 压疮预警相关因素资料收集表对2011 年10 月至2013 年10 月在广州市某三级甲等医院ICU(MICU、CCU)住院的468 例患者资料进行回顾,采用Logistic 回归分析ICU 压疮的危险因素。结果:多因素Logistic 回归分析显示,高龄、ICU 住院日延长、舒张压偏低、清蛋白偏低、有机械通气、有大便失禁为ICU 压疮的独立危险因素,Braden 总分为保护因素(P <0.05)。结论:应针对ICU 压疮高危人群和危险因素采取针对性预防措施,警惕高龄、ICU 住院日延长、舒张压偏低、清蛋白偏低、机械通气及伴有大便失禁的患者,重视Braden 评分的准确性与规范化。

Abstract: Objective: Analyze the risk factors for hospital acquired pressure ulcers in ICU patients. Method:Using self-designed information collection form and relative risk factors form, collect the clinical data pertaining ICU pressure ulcer from Oct of 2011 to Oct of 2013 in a tertiary Grade A hospital in Guangzhou, 468 patients were included,adopted Logistic Regression Analysis method to analyze ICU pressure ulcer risk factors. Result: Multiple Factors Logistic Regression Analysis revealed the following unique risk factors for ICU pressure ulcer: age, length of hospital stay, low Diastolic pressure, relatively low Albumin level, mechanical ventilation, incontinent of bowel and low Braden score (P<0.05).Conclusion: Interventions should be made on the timely fashion to high risk group, pay specific attention to the patients with following conditions: aging, lengthy hospital stay, low Diastolic pressure, low albumin level, mechnical ventilation,and incontinent of bowel. Also, pay attention to the accuracy and normalization of Braden Scale scoring.