老年住院病人医用黏胶相关性皮肤损伤现况调查及相关因素分析

doi:10.3969/j.issn.1003-9198.2021.01.028

摘要/Abstract

摘要： 目的探讨老年住院病人医用黏胶相关性皮肤损伤(MARSI)现状及其影响因素。方法采用老年住院病人临床资料调查表、黏胶性产品使用调查表对246例年龄≥60岁的老年住院病人进行调查。结果发生皮损者58例,MARSI发生率为23.58%。多因素Logistic回归分析结果显示,年龄、营养状态、共病状态、皮肤问题是老年住院病人发生MARSI的独立影响因素。结论临床上老年住院病人MARSI的发生与年龄、营养状态、共病状态及皮肤问题有着密切关系。但临床尚缺乏相关完整的护理体系,需建立MARSI规范化管理流程,以降低老年住院病人MARSI的发生率。

关键词: 住院病人, 医用黏胶相关性皮肤损伤, 横断面研究, 老年人

Abstract: Objective To investigate the present situation and influencing factors of medical adhesive related skin injury (MARSI) in the elderly inpatients. Methods A total of 246 inpatients aged 60 years and over were investigated by using clinical data questionnaire and adhesive product questionnaire. Results There were 58 cases presenting with skin lesions, and the incidence of MARSI was 23. 58%. Multivariate Logistic regression analysis showed that age, nutritional status, comorbidities and skin problems were the independent influencing factors of MARSI in the elderly inpatients. Conclusions The incidence of MARSI in the elderly inpatients is closely related to age, nutritional status, comorbidities and skin. However, there is still a lack of relevant and complete nursing system. It is necessary to establish a standardized management process to reduce the incidence of MARSI.

Key words: inpatient, medical adhesive related skin injury, cross-sectional study, aged

中图分类号:

R 473.75

刘滢, 夏丽莉, 朱姣, 徐敏铮. 老年住院病人医用黏胶相关性皮肤损伤现况调查及相关因素分析[J]. 实用老年医学, 2021, 35(1): 103-106.

LIU Ying, XIA Li-li, ZHU Jiao, XU Min-zheng. Investigation and analysis of the related factors of medical adhesive related skin injury in elderly inpatients[J]. Practical Geriatrics, 2021, 35(1): 103-106.

参考文献

[1] GROOM M, SHANNON R J, CHAKRAVARTHY D, et al. An evaluation of costs and effects of a nutrient based skin care program as a component of prevention of skin tears in an extended convalescent center[J]. J Wound Ostomy Continence Nurs, 2010, 37(1):46-51.
[2] MCNICHOL L, LUND C, ROSEN T, et al. Medical adhesives and patient safety: state of the science. Consensus statements for the assessment, prevention, and treatment of adhesive related skin injuries[J]. Orthop Nurs, 2013, 32(5):267-281.
[3] THAYER D. Skin damage associated with intravenous therapy: common problems and strategies for prevention[J]. Infus Nurs, 2012, 35(6):390-401.
[4] 林素兰, 赖丽君, 吴兰华, 等. 乳腺癌病人PICC 置入部位医用黏胶相关性皮肤损伤发生率及其影响因素[J]. 护理研究, 2018, 32(5):806-809.
[5] ORANJE A P, GLAZENBURG E J, WOLKERSTORFER A, et al. Practical issues on interpretation of scoring atopic dermatitis: the SCORAD index, objective SCORAD and the three-item severity score[J]. Br J Dermatol, 2007, 157(4):645-648.
[6] KOTTNER J, CUDDIGAN J, CARVILLE K, et al. Prevention and treatment of pressure ulcers/injuries: the protocol for the second update of the international Clinical Practice Guideline 2019[J]. Tissue Viability, 2019, 28(2):51-58.
[7] 邓桂芳, 黄小惠, 张锋, 等. 老年病人医源性皮肤损伤的原因分析与护理[J]. 护理学报, 2011, 18(10B):32-33.
[8] WILLEMSEN M G, VAN VALBURG R W C, DIRVEN-MEIJER P C, et al. Determining the severity of atopic dermatitis in children presenting in general practice: an easy and fast method[J]. Dermatol Res Pract, 2009. DOI: 10.1155/2009/357046.
[9] FARRIS M K, PETTY M, HAMILTON J, et al. Medical adhesive related skin injury prevalence among adult acute care patients: A Single-Center Observational Study[J]. J Wound Ostomy Continence Nurs, 2015, 42(6):589-598.
[10] LEBLANC K, BARANOSKI S, Skin Tear Consensus Panel Members. Skin tears: state of the science: consensus statements for the prevention, prediction, assessment, and treatment of skin tears[J]. Adv Skin Wound Care, 2011, 24(9 Suppl):2-15.
[11] COELHO S G, ZMUDZKA B Z, YIN L, et al. Non-invasive diffuse reflectance measurements of cutaneous melanin content can predict human sensitivity to ultraviolet radiation[J]. Exp Dermatol, 2013, 22(4): 266-271.
[12] LOPEZ V, DUNK A M, CUBIT K, et al. Skin tear prevention and management among patients in the acute aged care and rehabilitation units in the Australian Capital Territory: a best practice implementation project[J]. Int J Evid Based Healthc, 2011, 9(4):429-434.
[13] 吕娟, 张雪梅, 杨璐. 老年患者发生医用黏胶相关性皮肤损伤的相关因素分析[J]. 华西医学, 2016, 31(6):1104-1107.

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