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    王英, 韩霜, 李万芬, 任利, 刘晓艳, 张蕊. 院外带入压力性损伤现状及其转归影响因素分析[J]. 蚌埠医科大学学报, 2022, 47(9): 1290-1294. DOI: 10.13898/j.cnki.issn.1000-2200.2022.09.034
    引用本文: 王英, 韩霜, 李万芬, 任利, 刘晓艳, 张蕊. 院外带入压力性损伤现状及其转归影响因素分析[J]. 蚌埠医科大学学报, 2022, 47(9): 1290-1294. DOI: 10.13898/j.cnki.issn.1000-2200.2022.09.034
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    WANG Ying, HAN Shuang, LI Wan-fen, REN Li, LIU Xiao-yan, ZHANG Rui. Current situation and influencing factors of outcome of pressure injuries brought in from outside the hospital[J]. Journal of Bengbu Medical University, 2022, 47(9): 1290-1294. DOI: 10.13898/j.cnki.issn.1000-2200.2022.09.034
    Citation: WANG Ying, HAN Shuang, LI Wan-fen, REN Li, LIU Xiao-yan, ZHANG Rui. Current situation and influencing factors of outcome of pressure injuries brought in from outside the hospital[J]. Journal of Bengbu Medical University, 2022, 47(9): 1290-1294. DOI: 10.13898/j.cnki.issn.1000-2200.2022.09.034
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    院外带入压力性损伤现状及其转归影响因素分析

    Current situation and influencing factors of outcome of pressure injuries brought in from outside the hospital

      摘要
    • 摘要:
      目的通过对院外带入压力性损伤(pressure injuries，PIs)病人损伤结局现状以及影响因素分析，以期为临床护理提供参考依据。
      方法采用便利抽样法，选取入院并有PIs的118例病人进行回顾性分析，收集病例和PIs相关资料，进行转归影响因素分析。
      结果118例病人共计带入277处PIs。其中1期26处(9.38%)，2期125处(45.13%)，3期36处(13.00%)，4期1处(0.36%)，深部组织损伤期32处(11.55%)，不可分期57处(20.58%)。骶尾部82处(29.60%)，髋部51处(18.41%)，臀部32处(11.55%)，足跟处36处(13.00%)，背部21处(7.58%)，足部16处(足跟除外的部位)(5.78%)，外踝13处(4.69%)，其他部位26处(9.39%)。发生1处PIs 54例(45.76%)病人，多处PIs 64例(54.24%)。单因素分析显示，无好转病例和好转病例组住院时间、入院后白蛋白水平、Braden评分、合并糖尿病和脑梗死、体质量指数、Barthel指数(BI)、损伤面积差异均有统计学意义(P < 0.05~P < 0.01)。好转组以1期和2期为主(合计构成比为67.97%)，无好转组以3期及以上为主(合计构成比62.10%)。Logistic回归分析显示，Braden评分高、入院后白蛋白高、住院时间长和BI得分高是压力性损伤好转的保护性因素(P < 0.05~P < 0.01)。
      结论院外带入压力性损伤具有复杂性和多发性，Braden评分、入院后白蛋白、住院时间和BI得分是其转归结局的影响因素。

       

      Abstract:
      ObjectiveTo provide reference for clinical nursing by analyzing the injury outcome status and influencing factors of patients with pressure injuries (PIs) brought in from outside the hospital.
      MethodsA total of 118 hospitalized patients with PIs were selected by convenience sampling method for retrospective analysis.And the retated data of cases and PIs were collected to determine the impact of outcome.
      ResultsA total of 277 PIs were brought into the 118 patients, including 26 in stage 1 (9.38%), 125 in stage 2 (45.13%), 36 in stage 3 (13.00%), 1 in stage 4 (0.36%), 32 in deep injury stage (11.55%) and 57 in non-staging stage (20.58%).There were 82 sacral tail (29.60%), 51 hips (18.41%), 32 buttocks (11.55%), 36 heels (13.00%), 21 back (7.58%), 16 foot (except heel part) (5.78%), 13 external ankle (9.39%) and 26 other parts (4.69%).There were 54 patients (45.76%) with one PIs and 64 patients (54.24%) with multiple PIs.Univariate analysis showed that there were statistically significant differences on length of stay, albumin levels after admission, Braden score, combined with diabetes mellitus and cerebral infarction, body mass index, Barthel index (BI), injury area (P < 0.05 to P < 0.01).The improved group was mainly stage 1 and stage 2 (total component ratio 67.97%), while the non-improved group was mainly stage 3 and above (total component ratio 62.10%).Logistic regression analysis showed that high Braden score, high albumin after admission, long hospital stay and high BI score were protective factors for the outcome of PIs(P < 0.05 to P < 0.01).
      ConclusionsPressure injuries brought in from outside the hospital are complicated and multiple.Braden score, albumin levels after admission, length of stay and BI are the influencing factors of outcome of PIs brought in from outside the hospital.

       

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