摘要
目的:探讨院外压力性损伤转归现状,分析其影响因素,为临床实践提供借鉴。方法:回顾性分析2021年12月—2022年12月住院治疗的413例院外压力性损伤患者的临床资料,根据患者出院时压力性损伤转归情况分为好转组与无好转组。对院外压力性损伤转归的影响因素进行多因素Logistic回归分析。结果:共纳入413例院外压力性损伤患者,带入压力性损伤522处,临床分期中发生率最高的为2期(150处,28.7%);发生部位中最常见的是骶尾部(86处,16.5%),其次为足跟(67处,12.8%);出院时好转(愈合+好转)324例,无好转(无变化+恶化)89例。多因素Logistic回归分析结果显示,Braden评分、Barthel指数、血清白蛋白、血红蛋白、白细胞介素-6、C反应蛋白是院外压力性损伤患者转归的主要影响因素(P<0.05)。结论:Braden评分、Barthel指数、血清白蛋白与血红蛋白、炎性因子(白细胞介素-6与C反应蛋白)是院外压力性损伤转归的影响因素,应根据患者具体情况制订针对性护理措施,做好入院后压力性损伤患者的干预管理。
Objective:To investigate the current status of 413 out-of-hospital pressure injury regressions and analyze their influencing factors for clinical practice.Methods:All 413 patients with out-of-hospital pressure injuries who were hospitalized from December 2021 to December 2022 were selected for retrospective study.The patients were categorized into the improvement group and the no improvement group according to the regression of pressure injuries at the time of discharge.Multifactorial Logistic regression was applied to analyze the factors affecting the regression of out-of-hospital pressure injuries.Results:A total of 413 patients with out-of-hospital pressure injuries were included,bringing in 522 pressure injuries.The highest incidence of clinical staging was stage 2(150 locations,28.7%).The most common site of occurrence was sacrococcygeal(86,16.5%),followed by heel(67 locations,12.8%).At the time of discharge there were 324 improved(healed+better)cases and 89 unimproved(no change+worse)cases.The results of multifactorial Logistic regression analysis showed that Braden score,Barthel index,serum albumin,hemoglobin,interleukin-6,and C-reactive protein were the main factors affecting the regression of patients with out-of-hospital pressure injuries(P<0.05).Conclusion:Braden score,Barthel index,serum albumin and hemoglobin,and inflammatory factors(interleukin-6 and C-reactive protein)are influential factors in the regression of out-of-hospital stress injuries.Targeted nursing measures should be developed according to the specific conditions of patients to manage post-hospitalization stress injury interventions.
作者
杨秀茹
文丹
YANG Xiuru;WEN Dan(Mianyang Hospital Affiliated to Medical College of University of Electronic Science and Technology,Mianyang Central Hospital,Mianyang 621000,China)
出处
《临床医药实践》
2024年第4期308-313,共6页
Proceeding of Clinical Medicine
基金
绵阳市中心医院课题(项目编号:2022YJ011)。
关键词
院外
压力性损伤
转归
影响因素
out-of-hospital
stress injury
regression
influencing factors
