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患者转诊与压力性损伤:一项系统综述

Patient Referral and Pressure Injuries: A Systematic Review.

作者信息

Wang Yahan, Tao Hongxia, Kang Xinmian, Su Qian, Pei Juhong, Han Lin

机构信息

Evidence-Based Nursing Center, School of Nursing, Lanzhou University, Lanzhou, Gansu, China.

First Clinical School of Medicine, Lanzhou University, Lanzhou, Gansu, China.

出版信息

Nurs Open. 2025 Sep;12(9):e70237. doi: 10.1002/nop2.70237.

DOI:10.1002/nop2.70237
PMID:40974192
Abstract

AIMS

To analyse and discuss the basic conditions and related factors of transported patients' PIs and attract the attention of healthcare providers to PIs.

DESIGN

Systematic review.

DATA SOURCES

Databases including CNKI, VIP, Wanfang Database, CBM, PubMed, Web of Science, EBSCO and Cochrane Library were used, and manual searches of reference lists were also performed. The search timeframe was from the inception of the databases up to December 2023.

METHODS

According to the PRISMA, a systematic review and meta-analysis was conducted. Data were combined using meta-analysis, and relevant factors were explored through descriptive analysis.

RESULTS

A total of eight articles were included, comprising 3512 participants. The prevalence of PIs among transported patients ranged from 5.2% to 7.92%, with an incidence rate of 9.4%. PIs were mainly classified as Stage 1 and Stage 2. Common sites included the sacrum, buttocks and heels. Risk factors included the duration and frequency of the transfer, equipment environment, age and BMI and patient source.

CONCLUSION

Patients during transport represent a special population at risk of developing PIs; healthcare providers and managers should increase their focus on PIs management for transported patients while ensuring the patients' life conditions.

IMPACT

Current evidence indicates that transferred patients are at risk of developing PIs. High-quality studies are needed to validate these results to support healthcare providers in implementing precise and effective management.

PATIENT OR PUBLIC CONTRIBUTION

No patient or public contribution because of the review.

TRIAL REGISTRATION

PROSPERO registration number: CRD42023493742.

摘要

目的

分析和探讨转运患者发生压力性损伤(PI)的基本情况及相关因素,引起医护人员对PI的关注。

设计

系统评价。

数据来源

使用包括中国知网、维普、万方数据库、中国生物医学文献数据库、PubMed、Web of科学、EBSCO和Cochrane图书馆在内的数据库,并对参考文献列表进行手工检索。检索时间范围为各数据库建库至2023年12月。

方法

根据PRISMA进行系统评价和荟萃分析。采用荟萃分析合并数据,通过描述性分析探索相关因素。

结果

共纳入8篇文章,3512名参与者。转运患者中PI的患病率为5.2%至7.92%,发病率为9.4%。PI主要分为1期和2期。常见部位包括骶骨、臀部和足跟。危险因素包括转运的持续时间和频率、设备环境、年龄、体重指数和患者来源。

结论

转运过程中的患者是发生PI的高危特殊人群;医护人员和管理人员应在确保患者生命状况的同时,更加关注转运患者的PI管理。

影响

目前的证据表明,转运患者有发生PI的风险。需要高质量的研究来验证这些结果,以支持医护人员实施精准有效的管理。

患者或公众贡献

由于本综述,无患者或公众贡献。

试验注册

PROSPERO注册号:CRD42023493742。

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