Analysis of characteristics and influencing factors of medical device related pressure injury in ICU patients
DONG Zhenghui1 QI Jinfang2 LI Zhengang3 LI Yang2 WANG Zhiwei2 TAO Zhenzhen2
1.Department of Nursing, the Sixth Affiliated Hospital of Xinjiang Medical University, Xinjiang Uygur Autonomous Region, Urumqi 830092, China;
2.Nursing College, Xinjiang Medical University, Xinjiang Uygur Autonomous Region, Urumqi 830011, China;
3.Ward One, Department of Critical Care Medicine, the First Affiliated Hospital of Xinjiang Medical University, Xinjiang Uygur Autonomous Region, Urumqi 830011, China
Abstract：Objective To understand the characteristics of medical device related pressure injury (MDRPI) in intensive care unit (ICU) patients, and to analyze its influencing factors. Methods A total of 280 ICU patients admitted to the First Affiliated Hospital of Xinjiang Medical University from June to December 2021 were selected. According to the occurrence of MDRPI, they were divided into occurrence group and non-occurrence group. The general data, clinical data, and device use of two groups were compared, and multivariate logistic regression was used to analyze the influencing factors. Results MDRPI occurred in 55 cases, with an incidence of 19.6%. There were significant differences in age, Braden scale score, acute physiology and chronic health evaluationⅡ(APACHEⅡ) score, ICU type, operation, prone position ventilation, disturbance of consciousness, use of vasoactive drugs, use of sedatives, enteral nutrition, hemoglobin, ICU stay time, and total number of medical device use between two groups(P＜0.05). Age, prone position ventilation, APACHEⅡ score, hemoglobin ＞120 g/L, total number of medical devices used, and use of non-invasive ventilation mask were the influencing factors for MDRPI in ICU patients (P＜0.05). Conclusion ICU patients may be prone to MDRPI due to age, prone position ventilation, critical condition, large number of medical devices used, and use of non-invasive ventilation masks. The nursing staff should conduct a comprehensive assessment of the patient and give preventive measures in anticipation to reduce the occurrence of MDRPI.
董正惠1 祁进芳2 李振刚3 李阳2 王志伟2 陶珍珍2. ICU患者医疗器械相关性压力性损伤发生特征及影响因素分析[J]. 中国医药导报, 2023, 20(2): 109-113.
DONG Zhenghui1 QI Jinfang2 LI Zhengang3 LI Yang2 WANG Zhiwei2 TAO Zhenzhen2. Analysis of characteristics and influencing factors of medical device related pressure injury in ICU patients. 中国医药导报, 2023, 20(2): 109-113.
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