Nursing Research and Practice Development Centre, The Prince Charles Hospital, Chermside, Queensland, Australia.
School of Nursing, Midwifery & Paramedicine, Faculty of Health Sciences, Australian Catholic University, Banyo, Queensland, Australia.
J Clin Nurs. 2023 Jul;32(13-14):3810-3819. doi: 10.1111/jocn.16473. Epub 2022 Aug 5.
Pressure injuries on mucous membranes are caused by pressure from medical devices at the site of injury and differ to those on the skin. Intensive care patients, who have multiple devices in situ, are particularly vulnerable. There is a significant knowledge gap regarding mucous membrane pressure injury (MMPI) incidence in acute hospital settings.
To analyse MMPI incidence and characteristics in a tertiary acute general hospital.
A secondary data analysis of hospital clinical incident reports was conducted. The sample included all adults with MMPIs between 2015 and 2019. The STROBE reporting guideline was followed.
There were 414 reports of MMPI. Most (91.5%, n = 379) were hospital-acquired with the majority found in intensive care patients (74.4%, n = 282). Hospital-acquired MMPI incidence was 0.1% (11 MMPI per 10,000 hospital episodes). In intensive care, the incidence was 2.4% (235 MMPI per 10,000 intensive care episodes). The median time from device insertion until reporting of an MMPI was 3 days. The most common sites of mucosal injury were the lips (35.6%) and mouth (28.8%). In all cases except one, MMPI was associated with medical device use at the site of injury. Five device types were identified (oral endotracheal tube-related 70.3%; urinary catheter 15.5%; gastric tube 8.3%; nasal prongs 3.5%; tracheostomy tube 2.4%). In intensive care, oral endotracheal tube-related devices were most often associated with MMPI (84.8%), whereas in non-intensive care MMPI it was the urinary catheter (51.4%).
While hospital-acquired MMPI incidence is relatively low, it is considerably higher in intensive care patients compared to those in non-intensive care settings. The most common sites are the lips and mouth.
Mucous membrane pressure injuries represent a significant proportion of all hospital-acquired pressure injuries.
Neither patients nor the public were directly involved in this project.
医疗器械造成的黏膜压力损伤发生于损伤部位，与皮肤压力损伤不同。有多种内置医疗器械的重症监护患者尤其容易受到影响。急性医院环境下黏膜压力性损伤（MMPI）发生率存在显著的知识空白。
分析三级综合急性医院的 MMPI 发生率和特征。
对医院临床事件报告进行二次数据分析。样本包括 2015 年至 2019 年期间所有患有 MMPIs 的成年人。遵循 STROBE 报告指南。
共有 414 份 MMPIs 报告。大多数（91.5%，n=379）为医院获得性，其中大多数发生在重症监护患者（74.4%，n=282）中。医院获得性 MMPI 的发生率为 0.1%（每 10000 例住院病例中有 11 例 MMPIs）。在重症监护中，发生率为 2.4%（每 10000 例重症监护病例中有 235 例 MMPIs）。从器械插入到报告 MMPIs 的中位数时间为 3 天。黏膜损伤最常见的部位是嘴唇（35.6%）和口腔（28.8%）。除 1 例外，所有 MMPIs 均与损伤部位的医疗器械使用有关。确定了 5 种器械类型（与口腔气管内导管相关的占 70.3%；导尿管占 15.5%；胃管占 8.3%；鼻叉占 3.5%；气管切开管占 2.4%）。在重症监护中，与口腔气管内导管相关的器械最常与 MMPI 相关（84.8%），而非重症监护环境中则是导尿管（51.4%）。
尽管医院获得性 MMPIs 的发生率相对较低，但与非重症监护环境相比，重症监护患者的发生率要高得多。最常见的部位是嘴唇和口腔。
黏膜压力性损伤占所有医院获得性压力性损伤的很大一部分。
本项目未直接涉及患者或公众。
