摘要
目的:了解ICU患者失禁相关性皮炎(IAD)现况及危险因素。方法:使用自制的IAD调查表及失禁相关性皮炎严重程度评估工具对浙江省11所医院ICU患者进行横断面调查。结果:ICU患者失禁发生率为25.2%;ICU失禁患者失禁相关性皮炎发生率为35.1%;IAD患者年龄为(68.09±17.81)岁,其中伴有真菌感染者5例(占10.6%)。Logistic回归分析发现低Braden评分、大便失禁、失禁持续6个月以上、频繁失禁(>6次/日)及水样便是发生IAD的独立风险因素(P<0.05)。结论:ICU患者IAD高危人群为低Braden评分、大便失禁、失禁持续6个月以上、频繁失禁及水样便患者,应采取针对性预防护理措施。
Objective： To study the prevalence and risk factors of Incontinence-Associated Dermatitis （IAD） in ICU patients. Methods： A cross-sectional survey was used to investigate the ICU inpatients in 11 hospitals from Zhejiang province. Results： The prevalence of incontinence in ICU patients was 25.2%, and the prevalence of IAD was 35.1% in ICU patients with incontinence. The average age of patients with lAD was 68.09±17.81 years old, and there were 5 cases （10.6%） with fungal infection in IAD patients. Logistic regression analysis revealed that the low Braden score, fecal incontinence, incontinence lasted for more than 6 months, frequent incontinence （〉6 times/day） and watery stools were independent risk factors for lAD （P〈0.05）. Conclusion： The patients in ICU with low Braden score, fecal incontinence, incontinence lasted for more than 6 months, frequent incontinence and watery stools were at high-risk oflAD. Targeted preventive nursing strategies are important to prevent IAD in ICU patients.
作者
郑怡群
张慧娟
周玉意
ZHENG Yiqun;ZHANG Huijuan;ZHOU Yuyi(ICU, Zhejiang Hospital, Hangzhou, 310013, China)
出处
《中国护理管理》
CSCD
北大核心
2018年第4期488-492,共5页
Chinese Nursing Management
关键词
失禁相关性皮炎
现况调查
危险因素
ICU
Incontinence-Associated Dermatitis
cross-sectional study
risk factors
Intensive Care Unit
