摘要
目的探讨ICU患者医用黏胶相关性皮肤损伤(medical adhesive related skin injury,MARSI)的危险因素。方法在山西省某3所三级甲等医院内的5个重症科室选取发生MARSI的患者104例作为观察组,没有发生MARSI的患者104例作为对照组。采用单因素和多因素条件Logistic回归分析的方法,探寻ICU患者医用黏胶相关性皮肤损伤的危险因素。结果单因素分析显示,2组年龄、贫血、发热、ApacheⅡ评分、BMI、血清白蛋白;皮肤的干湿情况、皮肤水肿、Waterlow评分比较,有统计学差异;条件Logistic回归分析显示,年龄、ApacheⅡ评分、皮肤干湿情况、皮肤水肿是导致MARSI发生的独立危险因素。结论护理人员应针对导致MARSI发生的危险因素加强干预,有效预防MARSI的发生。
Objective To explore the risk factors of medical adhesive related skin injury(MARSI)among intensive care unit(ICU)patients.Methods Totally 104 ICU patients with MARSI from 5 critical medicine departments of three grade three class A hospitals in Shanxi province were selected into the observation group,while another 104 patients without MARSI were selected into the control group.The univariate and multivariate conditional logistic regression analysis were conducted to explore the risk factors of MARSI.Results The univariate analysis showed that significant differences were observed in the age,anemia,fever,state of consciousness,Apache II score,body mass index,serum albumin,humidity of skin,skin hydroncus and Waterlow score between the two groups.The multiple conditional logistic regression analysis indicated that the age,ApacheⅡscore,humidity of skin and skin hydroncus were significantly correlated with the occurrence of MARSI.Conclusion Nursing staff should strengthen intervention in veiw of risk factors of MARSI and effectively prevent the occurrence of MARSI.
作者
李海英
魏绍辉
李娟娟
赵文芳
成芳
LI Haiying;WEI Shaohui;LI Juanjuan;ZHAO Wenfang;CHENG Fang(Shanxi Medical University,Taiyuan 030001,China;The First Affiliated Hospital of Shanxi Medical University,Taiyuan 030001,China;People′s Hospital of Jincheng City of Shanxi Province,Jincheng 048026,China.)
出处
《中国临床护理》
2018年第6期493-496,501,共5页
Chinese Clinical Nursing
关键词
医用黏胶相关性皮肤损失
危险因素
重症患者
Medical adhesive related skin injury(MARSI)
Risk factors
Severe patients
