与重症患者压疮发生相关的因素：一项队列研究。
Factors associated with the incidence of pressure wounds in critical patients: a cohort study.
机构信息
Unidade Básica de Saúde de Canaã. Canaã, Minas Gerais, Brazil.
Centro Universitário UNIFAMINAS. Muriaé, Minas Gerais, Brazil.
出版信息
Rev Bras Enferm. 2022 Jun 24;75(6):e20210267. doi: 10.1590/0034-7167-2021-0267. eCollection 2022.
OBJECTIVES
to identify the incidence of pressure wound in critical patients and its associated factors.
METHODS
retrospective cohort study, based on the analysis of 369 critical patients' records. Descriptive and inferential statistics were used, as well as logistic regression.
RESULTS
the incidence of pressure wounds was 11.4%. Patients who had been hospitalized for four days or more (OR 2.99; CI95% 1.15-7.78), used nasoenteric tubes (OR: 3.81; CI95%: 1.4010.38), vesical drainage catheters (OR: 4.78; CI95%: 1.31-17.38) and tracheostomy (OR: 3.64; CI95%: 1.48-8.97) had a higher chance of developing pressure wounds. The mean score of the Braden scale among participants who developed (14.2 points) pressure wounds was statistically different (p<0.001) than that of those who did not (12.3 points).
CONCLUSIONS
the incidence of pressure wounds was associated with a higher time in the unit, the use of nasoenteric tubes, vesical drainage catheters, and tracheostomies were associated with a higher time of hospitalization in the unit.
目的
确定危重症患者压疮的发生率及其相关因素。
方法
回顾性队列研究，对 369 名危重症患者的病历进行分析。采用描述性和推断性统计以及逻辑回归。
结果
压疮的发生率为 11.4%。住院时间超过 4 天的患者（OR 2.99；95%CI95% 1.15-7.78）、使用鼻肠管（OR：3.81；95%CI95%：1.40-10.38）、膀胱引流管（OR：4.78；95%CI95%：1.31-17.38）和气管切开术（OR：3.64；95%CI95%：1.48-8.97）的患者发生压疮的几率更高。发生压疮的患者的Braden 评分平均值（14.2 分）与未发生压疮的患者（12.3 分）有统计学差异（p<0.001）。
结论
压疮的发生率与住院时间延长有关，使用鼻肠管、膀胱引流管和气管切开术与住院时间延长有关。
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