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手术室中与器械相关压力性损伤的临床特征及危险因素分析

Analysis of the clinical features and risk factors of device-related pressure injuries in the operating room.

作者信息

Ma Ling-Yu, Chen Hong-Lin, Gu Hai-Yan, Hua Li, Gao Xiao-Mei

机构信息

Department of Operating Room, Second Affiliated Hospital of Nantong University, Nantong, China.

School of Public Health, Nantong University, Nantong, China.

出版信息

Int Wound J. 2023 Mar;20(3):706-715. doi: 10.1111/iwj.13912. Epub 2022 Aug 19.

Abstract

To describe the clinical features and risk factors of device-related pressure injuries (DRPIs) in the operating room. The clinical features of the DRPIs in patients undergoing elective surgery in a tertiary hospital in 2020 were investigated through prospective data collection. A DRPI-related questionnaire was designed for the patients, and those who did not experience any DRPI were selected according to a ratio of 1:2. Logistic regression analysis was performed in terms of the independent risk factors of operating-room DRPIs. A P-value of <.05 indicated a statistically significant difference. The incidence of operating-room DRPIs was 0.56%, and the proportion of stage I injuries was 73.53%. The injury-related devices included vital monitoring devices (31.62%), auxiliary therapy devices (27.94%), therapy devices (19.12%), and dressings (3.67%). Non-bone protuberances, such as the upper arms and thighs, were common injury sites. The patients' body mass index, mean arterial pressure, and instrument action time were independent risk factors for the operating-room DRPIs. To reduce the incidence of operating-room DRPIs, it is of great clinical significance to focus on the characteristics of the surgical patients and the types of surgery-related devices used and to take personalised preventive measures based on the relevant risk factors.

摘要

描述手术室中与器械相关的压力性损伤(DRPIs)的临床特征和危险因素。通过前瞻性数据收集,对2020年一家三级医院择期手术患者中DRPIs的临床特征进行调查。为患者设计了一份与DRPI相关的问卷,并按照1:2的比例选取未发生任何DRPI的患者。对手术室DRPIs的独立危险因素进行逻辑回归分析。P值<0.05表示差异有统计学意义。手术室DRPIs的发生率为0.56%,Ⅰ期损伤的比例为73.53%。与损伤相关的器械包括生命监测器械(31.62%)、辅助治疗器械(27.94%)、治疗器械(19.12%)和敷料(3.67%)。非骨隆突部位,如上臂和大腿,是常见的损伤部位。患者的体重指数、平均动脉压和器械操作时间是手术室DRPIs的独立危险因素。为降低手术室DRPIs的发生率,关注手术患者的特征和所使用的手术相关器械类型,并根据相关危险因素采取个性化预防措施具有重要的临床意义。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/12c8/9927895/a27c2d7c9825/IWJ-20-706-g001.jpg

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本文引用的文献

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Medical Device-Related Pressure Injuries.医疗器械相关性压力性损伤。
Crit Care Nurs Clin North Am. 2020 Dec;32(4):533-542. doi: 10.1016/j.cnc.2020.08.004. Epub 2020 Oct 7.
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