摘要
目的探讨老年住院患者医用胶粘剂相关性皮肤损伤(MARSI)的发生率、好发部位及常见类型等流行病学特点,明确MARSI的危险因素,并提出相应的护理对策。方法2018年4-8月,采用整群抽样法选取山东省某三级甲等医院全部老年住院患者,应用自行设计的MARSI相关因素调查及信息采集表进行调查。采用单因素分析和多因素Logistics回归分析MARSI的危险因素。结果共纳入老年住院患者2263例,发生MARSI的患者218例,发生率为9.63%,以接触性皮炎最为常见(43.95%)。Logistic回归模型结果显示,年龄、吸烟史、血清白蛋白水平、皮肤水肿、MARSI发生史、皮肤干燥、皮肤过敏史是MARSI发生的独立危险因素。结论老年患者是MARSI发生的高危人群,临床工作中应针对危险因素加强护理措施,以减少医源性因素对老年人皮肤造成的损伤。
Objective To explore the epidemiological features of medical adhesive related skin injury(MARSI)in elderly inpatients,such as incidence,predilection sites and common types,and to determine the risk factors of MARSI and to put forward nursing countermeasures.Methods From April 2018 to August 2018,we selected all the elderly patients at a Class Ⅲ Grade A hospital in Shandong Province by cluster sampling.The investigation was carried out with the self-designed MARSI related factors questionnaire and the information collection questionnaire.The single factor analysis and multiple Logistic regression were used to analyze the risk factors of MARSI.Results A total of 2263 elderly inpatients were included.There were 218 of them with MARSI along with 9.63%for the incidence,and the contact dermatitis is the most common(43.95%).Logistic regression showed that the independent risk factors of MARSI included the ages,smoking history,serum albumin,skin edema,MARSI history,dry skin and skin allergies.Conclusions Elderly patients are the high risk group of MARSI.Nursing intervention should be strengthened the in clinical work based on risk factors to reduce the skin injury caused by medical factors.
作者
郭卫婷
王文君
白雪
曹英娟
Guo Weiting;Wang Wenjun;Bai Xue;Cao Yingjuan(Emergency Department,Qilu Hospital of Shandong University,Ji'nan 250012,China;School of Nursing,Shandong University,Ji'nan 250014,China;Nursing Department,Qilu Hospital of Shandong University,Ji'nan 250012,China)
出处
《中华现代护理杂志》
2019年第34期4426-4430,共5页
Chinese Journal of Modern Nursing
基金
山东省科技厅2017年重点研发计划(2017GSF218001)。
