ICU患者气管插管相关压力性损伤发生现状及影响因素分析
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男,硕士,护师

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新疆护理学会资助项目(2023XH026)


Current status and influencing factors of endotracheal intubation-related pressure injury in ICU patients
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    摘要:

    目的 探究ICU患者气管插管相关压力性损伤的发生特征,分析其影响因素。方法 选取入住ICU的713例留置气管插管患者,根据是否发生气管插管相关压力性损伤将其分为损伤组(n=290)和未损伤组(n=423),比较两组临床资料及气管插管相关资料,采用logistic回归分析ICU患者气管插管相关压力性损伤的影响因素。结果 290例患者发生气管插管相关压力性损伤,发生率为40.67%。logistic回归分析显示,APACHE Ⅱ评分、白细胞介素-6、俯卧位通气、镇痛、气管插管留置时间是ICU患者发生气管插管相关压力性损伤的危险因素,皮肤潮湿度低及较高水平的血清白蛋白是保护因素(均P<0.05)。构建的logistic回归模型拟合度良好,内部验证发现ROC曲线下面积为0.948(95%CI:0.933~0.963)。结论 ICU患者气管插管相关压力性损伤发生率较高,临床应重视其影响因素并制订针对性干预措施,以降低气管插管相关压力性损伤的发生。

    Abstract:

    Objective To explore the characteristics of endotracheal intubation-related pressure injury in ICU patients, and to analyze its influencing factors. Methods A total of 713 ICU patients with indwelling tracheal intubation were selected, and they were divided into an injury group (n=290) and a non-injury group (n=423) according to whether tracheal intubation-related PI occurred. The clinical data and endotracheal intubation-related data were compared between the two groups. Logistic regression was used to analyze the influencing factors of endotracheal intubation-related pressure injury in ICU patients. Results Endotracheal intubation-related PI occurred in 290 patients, with an incidence of 40.67%. Logistic regression analysis showed that APACHE Ⅱ score, interleukin-6, prone ventilation, analgesia, and duration of endotracheal intubation were risk factors for endotracheal intubation-related PI in ICU patients, and lower degree of skin humidity and higher serum albumin levels were protective factors (all P<0.05). The constructed logistic regression model had an AUC=0.948 (95%CI:0.933-0.963), and good model fit. Conclusion The incidence of endotracheal intubation-related PI in ICU patients is high, and clinical attention should be paid to its influencing factors and targeted interventions should be formulated to reduce the incidence of endotracheal intubation-related PI.

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王志伟,任佳乐,何小燕,骆春兰,悦云,陈莉,朱娅婷,董正惠. ICU患者气管插管相关压力性损伤发生现状及影响因素分析[J].护理学杂志,2024,39(20):69-73

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  • 收稿日期:2024-05-23
  • 最后修改日期:2024-07-27
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  • 在线发布日期: 2024-11-20