高危患者发生医院内获得性压力性损伤现况调查与影响因素分析

目的调查高危压力性损伤患者发生医院内获得性压力性损伤的现况并分析主要影响因素。方法跟踪调查1239例高危压力性损伤患者医院内获得性压力性损伤发生情况,并采用多因素Logistic回归分析方法分析影响因素。结果高危患者中医院内获得性压力性损伤发生率为8.7%,以尾骶部、2期为主。多因素分析显示:压力性损伤风险评估量表总分、手术患者对高危患者发生医院内获得性压力性损伤有正向预测作用,压力性损伤风险评估量表中感觉和摩擦/剪切力项目、脑血管意外、糖尿病对高危患者发生医院内获得性压力性损伤有负向预测作用。结论高危患者医院内获得性压力性损伤发生率较高,受患者感觉、摩擦/剪切力及是否有脑血管意外、糖尿病,手术等影响。

Survey on present status of hospital-acquired pressure injury for high-risk patients and analysis on its influencing factors

Objective To investigate the present status of hospital-acquired pressure injury for high-risk pressure injury patients and analyze its main influencing factors.Method Investigate status of 1239 cases of hospital-acquired pressure injury for high-risk patients by follow-up.Analyze its influencing factors by multiple Logistic regression analysis.Result Incidence of hospital-acquired pressure injury for high-risk patients is 8.7%,mostly in caudal and in stage 2.Multiple regression analysis shows that total score on pressure injury risk assessment scale and surgical patients have positive predictable function on hospital-acquired pressure injury.Item of felling,friction/shear stress in pressure injury risk assessment scale,cerebrovascular accident and diabetes have negative predictable function on hospital-acquired pressure injury.Conclusion Incidence of hospital-acquired pressure injury for high-risk patients is high,which is influenced by feeling,friction/shear stress,cerebrovascular accident,diabetes and surgery.