Yang Xiuru, Zhang Dan, Zhang Hongmei, Cui Liangliang, Hu Qin, Hu Yang, Wen Dan, Ma Yanfei, He Qiuhong
Xiuru Yang, BSN, RN, Intensive Care Unit, Mianyang Central Hospital, School of Medicine, University of Electronic Science and Technology of China, Mianyang, Sichuan Province, China.
Dan Zhang, BSN, RN, Intensive Care Unit, Mianyang Central Hospital, School of Medicine, University of Electronic Science and Technology of China, Mianyang, Sichuan Province, China.
J Wound Ostomy Continence Nurs. 2025;52(1):23-27. doi: 10.1097/WON.0000000000001138. Epub 2025 Jan 13.
The purpose of this study was to analyze the outcomes and influencing factors of patients with community-acquired pressure injuries (CAPIs) and provide insights for clinical practice.
Retrospective cohort study.
We reviewed medical records of 413 patients with a total of 522 CAPIs. Patients with CAPIs who were hospitalized at Mianyang Central Hospital, Sichuan Province, China, between December 2021 and December 2022.
Depending on CAPI outcome at the time of discharge, the patients were split into "improvement" and "no improvement" groups. Factors influencing CAPI outcomes were examined using univariate analysis followed by multivariate analysis (logistic regression).
A majority of patients (n = 324, 78.5%) showed improvement, and 89 (21.5%) showed no improvement. Logistic regression analysis showed statistically significant associations between CAPI outcomes and Braden Scale for Pressure Sore Risk scores, Barthel Index for Activities of Daily living scores, along with serum albumin, hemoglobin, interleukin-6, and C-reactive protein levels.
The outcomes of patients with CAPIs were influenced by the Braden score, the Barthel score, serum albumin and hemoglobin levels, as well as inflammatory markers, including interleukin-6 and C-reactive protein. To effectively treat and care for patients with CAPIs, nurses should develop customized nursing interventions based on the unique characteristics of patients.
本研究旨在分析社区获得性压力性损伤（CAPI）患者的治疗结果及影响因素，为临床实践提供参考。
回顾性队列研究。
我们回顾了413例患者共522处CAPI的病历。这些CAPI患者于2021年12月至2022年12月在中国四川省绵阳市中心医院住院治疗。
根据出院时CAPI的治疗结果，将患者分为“改善”组和“未改善”组。采用单因素分析，随后进行多因素分析（逻辑回归）来研究影响CAPI治疗结果的因素。
大多数患者（n = 324，78.5%）病情有所改善，89例（21.5%）未改善。逻辑回归分析显示，CAPI治疗结果与压疮风险评估的Braden量表评分、日常生活活动能力的Barthel指数评分以及血清白蛋白、血红蛋白、白细胞介素-6和C反应蛋白水平之间存在统计学上的显著关联。
CAPI患者的治疗结果受到Braden评分、Barthel评分、血清白蛋白和血红蛋白水平以及炎症标志物（包括白细胞介素-6和C反应蛋白）的影响。为有效治疗和护理CAPI患者，护士应根据患者的独特特征制定个性化的护理干预措施。
