| 孔青春,李帅帅,王晨峰.神经内科ICU老年患者失禁相关性皮炎的危险因素分析及护理对策[J].上海护理,2021,21(9): |
| 神经内科ICU老年患者失禁相关性皮炎的危险因素分析及护理对策 |
| Analysis of risk factors of incontinence related dermatitis in elderly patients in neurology ICU and nursing strategies |
| DOI： |
| 中文关键词: 神经内科ICU 老年患者 失禁相关性皮炎 危险因素 |
| 英文关键词:Intensive care unit of neurology department elderly patients incontinence-associated dermatitis risk factors |
| 基金项目: |
|
| 摘要点击次数: 2601 |
| 全文下载次数: 0 |
| 中文摘要: |
| 目的 探讨神经内科重症监护室（ICU）老年患者发生失禁相关性皮炎（IAD）的危险因素。方法 收集2017年1月~2019年6月河南省人民医院神经内科ICU住院的119例老年患者为研究对象，统计其年龄、性别、体温、糖尿病、失禁类型、失禁频次、腹泻、肠内营养、痔疮、低蛋白血症、抗菌药物种数、大便性状、入住ICU时Braden评分（包括感知能力、潮湿程度、活动力、移动力、营养状态及摩擦力/剪切力）等一般资料，根据ICU入住期间IAD发生情况将患者分为IAD组和非IAD组，并采用多因素Logistic回归分析IAD发生的影响因素。结果 119例患者中有33例出现IAD，发生率为27.73%。IAD组和非IAD组间糖尿病、失禁类型、失禁频次、腹泻、低蛋白血症、抗菌药物种数、大便性状、感知能力、潮湿程度及摩擦力/剪切力评分方面比较，均有统计学差异（P<0.05）。多因素Logistic回归分析结果显示，大小便失禁、失禁频次>6次/d、低蛋白血症、水样便、感知能力低及潮湿程度高是神经内科ICU老年患者发生IAD的独立危险因素（P<0.05）。结论 神经内科ICU老年患者发生IAD与失禁状态、低蛋白血症、排便状态及Braden评分密切相关，临床可针对患者自身特点采取预防措施，降低IAD发生风险。 |
| 英文摘要: |
| Objective To explore the risk factors of incontinence-associated dermatitis (IAD) in elderly patients in the intensive care unit (ICU) of the neurology department, and to formulate the nursing intervention strategies. Methods 119 elderly incontinence patients in the ICU of the Neurology Department of Henan Provincial People’s Hospital from January 2017 to June 2019 were selected as the research objects. General data such as age, gender, body temperature, diabetes, incontinence type, incontinence frequency, diarrhea, enteral nutrition, hemorrhoids, hypoproteinemia, number of antimicrobial agents, stool characteristics, Braden score upon admission to the ICU (including the perception of moisture level, active motion, dynamic nutrient state and friction/shear force) and IAD occurrence were collected. According to the occurrence of IAD during ICU stay, the patients were divided into IAD group and non-IAD group, Multivariate Logistic regression were used to analyze the influencing factors of IAD. Results Among the 119 patients, 33 developed the IAD and the incidence of IAD was 27.7.3%. There were statistically significant differences between IAD and non-IAD in incontinence type, incontinence frequency, diarrhea, hypoproteinemia, number of antimicrobial agents, stool characteristics, sensory ability, humidity level and friction/shear force (P<0.05). Multivariate Logistic regression analysis showed that fecal incontinence, incontinence frequency >6 times/day, hypoproteinemia, watery stool and sensory ability and humidity level were independent risk factors for IAD in elderly ICU patients of neurology department (P<0.05). Conclusion In view of the population and risk factors of IAD, targeted preventive measures should be taken action to prevent the occurrence of IAD. |
| 查看/发表评论 下载PDF阅读器 全文HTML |
| 关闭 |
|
|
|
