Chunhua Gao, MN, RN, Department of Nursing, The First Affiliated Hospital, College of Medicine, Zhejiang University, Hangzhou, Zhejiang, PR China.
Chao Yu, RN, Department of Nursing, The First Affiliated Hospital, College of Medicine, Zhejiang University, Hangzhou, Zhejiang, PR China.
J Wound Ostomy Continence Nurs. 2020 Nov/Dec;47(6):576-581. doi: 10.1097/WON.0000000000000714.
We explored the incidence of medical adhesive-related skin injuries (MARSIs) that developed in an intensive care unit (ICU) and identified the relevant risk factors associated with these skin injuries.
Cross-sectional.
A 29-bed adult general ICU of a tertiary teaching hospital affiliated with Zhejiang University in southeast China.
Data regarding MARSIs, skin assessments, and related nursing procedures were collected between January 2018 and May 2018. The incidence of MARSIs was calculated, and the associated risk factors were analyzed using a logistic regression model.
During the study period, 430 patients were evaluated, of which 55 experienced MARSIs (4 prior to hospitalization in our ICU). The overall MARSI incidence rate was 11.86% (51/430); mechanical damage including epidermal stripping (72.7%; 40/55) and skin tears (14.5%; 8/55) was the most common MARSI. Moderate-to-severe edema, hyperthermia, and the use of certain medicines such as immunosuppressants and anticoagulants were independent risk factors for MARSIs.
Critically ill patients are at a high risk of MARSIs in China. Preventive measures and good clinical nursing practice are needed to ensure patient safety.
我们探究了在重症监护病房（ICU）中发生的医用黏胶相关性皮肤损伤（MARSIs）的发生率，并确定了与这些皮肤损伤相关的风险因素。
横断面研究。
中国东南部浙江大学附属医院的一个 29 张成人综合 ICU。
在 2018 年 1 月至 2018 年 5 月期间，收集了关于 MARSIs、皮肤评估和相关护理程序的数据。计算了 MARSIs 的发生率，并使用逻辑回归模型分析了相关的风险因素。
在研究期间，共评估了 430 例患者，其中 55 例发生了 MARSIs（4 例在入住我们的 ICU 之前）。总体 MARSI 发生率为 11.86%（51/430）；机械性损伤，包括表皮剥离（72.7%，40/55）和皮肤撕裂（14.5%，8/55）是最常见的 MARSI。中重度水肿、高热以及使用某些药物，如免疫抑制剂和抗凝剂，是 MARSIs 的独立风险因素。
在中国，危重症患者发生 MARSIs 的风险较高。需要采取预防措施和良好的临床护理实践，以确保患者安全。
