摘要
目的系统评价术中获得性压力性损伤风险预测模型,为模型构建、应用及优化提供建议。方法计算机检索PubMed、Web of Science、Cochrane Library、Medline、CINAHL、中国知网、中国生物医学文献数据库、万方数据库及维普全文数据库中有关构建术中获得性压力性损伤风险预测模型的文献,检索时限为建库至2022年7月。由两名研究者独立筛选文献并提取资料,采用预测模型构建研究数据提取和质量评价清单对纳入的研究进行质量评价。结果共纳入13篇文献,包含17个术中获得性压力性损伤风险预测模型,其中13个模型在验证模型过程中的受试者工作特征曲线下面积均大于0.7,进入模型频次最高的预测因子主要为手术时间、年龄、糖尿病、低蛋白血症和BMI。结论术中获得性压力性损伤风险预测模型的研究质量较高,模型性能较好,手术患者发生压力性损伤的高危因素为手术时间、年龄、糖尿病、低蛋白血症和BMI,医务人员应尽早识别并实施针对性的措施。
Objective To systematically evaluate the risk prediction model of intraoperative acquired pressure injury,and to provide suggestions for model construction,application and optimization.Methods PubMed,Web of Science,Cochrane Library,Medline,CINAHL,China National Knowledge Infrastructure,China Biomedical Literature Database,Wanfang Database and VIP Full-text Database were searched by computer for literature on the construction of risk prediction model of intraoperative acquired pressure injury.The search time limit was from the establishment of the database to July 2022.Two researchers independently screened the literature and extracted the data,and used the Checklist for Critical Appraisal and Data Extraction for Systematic Reviews of Prediction Modelling Studies to evaluate the quality of the included studies.Results A total of 13 studies were included,containing 17 pressure injuries risk prediction models for intraoperative acquired pressure injury.Among them,the area under ROC curve of 13 models were over O.7.The predictors with the highest frequency of pressure injuries were mainly the operation time,age,diabetes mellitus,hypoproteinemia and BMI.Conclusion The research quality of the pressure injuries risk prediction model for intraoperative acquired pressure injury is high,and the models had good predictive performance.The high-risk factors for pressure injuries in surgical patients are operation time,age,diabetes mellitus,hypoproteinemia and BMI.Medical staff should identify and implement targeted measures as soon as possible.
作者
陈雯
景新华
张成欢
温晓萌
江竹月
CHEN Wen;JING Xin-hua;ZHANG Cheng-huan;WEN Xiao-meng;JIANG Zhu-yue(Department of Emergency Medicine1,the First People's Hospital of Changzhou,Changzhou 213000,Jiangsu,China;Department of Nursing,,the First People's Hospital of Changzhou,Changzhou 213000,Jiangsu,China;Operating Room,the First People's Hospital of Changzhou,Changzhou 213000,Jiangsu,China)
出处
《医学信息》
2024年第9期36-40,53,共6页
Journal of Medical Information
基金
常州市第一人民医院护理院级课题(编号:yy2020009)。
关键词
术中获得性压力性损伤
预测模型
预测因子
Intraoperative acquired pressure injury
Prediction model
Predictor
