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重症患者医用粘胶相关性皮肤损伤的现状及危险因素Meta分析

Status quo and risk factors of medical viscose-related skin injury in severe patients: a meta-analysis

    摘要
  • 摘要:
    目的 分析重症患者医用粘胶相关性皮肤损伤(MARSI)的现状及危险因素。
    方法 检索PubMed、Web of Science、Cochrane Library、中国知网(CNKI)、万方等数据库中重症患者MARSI独立危险因素的相关文章, 采用RevMan5.3软件对文献进行Meta分析。
    结果 所有相关文献经筛选后共纳入12篇文献，发生MARSI的人数为2 799例，危险因素有10项。Meta分析结果显示，皮肤水肿(OR=4.09, 95%CI: 2.97~5.63, I2=0%, P=0.49)、年龄过高或过低(OR=2.05, 95%CI: 1.50~2.78, I2=0%, P=0.49)、皮肤干燥(OR=3.12, 95%CI: 1.92~5.07, I2=26%, P=0.26)、有MARSI既往病史(OR=10.31, 95%CI: 8.06~13.19, I2=0%, P=0.62)、血液疾病(OR=2.44, 95%CI: 1.80~3.31, I2=0%, P=1.00, )、感染(OR=1.25, 95%CI: 1.15~1.36, I2=41%, P=0.19)、接受过手术治疗(OR=1.27, 95%CI: 1.18~1.36, I2=8%, P=0.34)、蓝光治疗(OR=4.15, 95%CI: 2.70~6.38, I2=0%, P=0.62)、重症监护室(ICU)住院时间>5 d(OR=1.06, 95%CI: 0.91~1.24, I2=0%, P=0.46)和免疫疾病(OR=5.07, 95%CI: 2.11~12.22, I2=0%, P=0.46)是重症患者MARSI的主要危险因素。
    结论 医护人员应根据危险因素对MARSI高危患者进行全面评估, 并针对其做出相应的护理预防及干预措施，以降低MARSI的发生率。

     

    Abstract:
    Objective To analyze status quo and the risk factors of medical viscose-related skin injury (MARSI) in critical patients.
    Methods Related articles about independent risk factors of MARSI critical patients were searched in databases of PubMed, Web of Science, Cochrane Library, Chinese National Knowledge Infrastructure (CNKI), Wanfang, etc. RevMan 5.3 software was used for meta-analysis of the literature.
    Results Twelve literatures were included after screening of all relevant literature, and the number of patients with MARSI was 2 799 and 10 kinds of risk factors were included. The results of meta-analysis showed that skin edema (OR=4.09, 95%CI, 2.97 to 5.63, I2=0%, P=0.49), older or younger age (OR=2.05, 95%CI, 1.50 to 2.78, I2=0%, P=0.49), dry skin (OR=3.12, 95%CI, 1.92 to 5.07, I2=26%, P=0.26), history of MARSI (OR=10.31, 95%CI, 8.06 to 13.19, I2=0%, P=0.62), blood disease (OR=2.44, 95%CI, 1.80 to 3.31, I2=0%, P=1.00), infection (OR=1.25, 95%CI, 1.15 to 1.36, I2=41%, P=0.19), receiving surgery (OR=1.27, 95%CI, 1.18 to 1.36, I2=8%, P=0.34), blue light therapy (OR=4.15, 95%CI, 2.70 to 6.38, I2=0%, P=0.62), length of Intensive Care Unit (ICU) stay >5 days (OR=1.06, 95%CI, 0.91 to 1.24, I2=0%, P=0.46), immune diseases (OR=5.07, 95%CI, 2.11 to 12.22, I2=0%, P=0.46) were risk factors of MARSI (P < 0.05).
    Conclusion Medical staff should make a comprehensive assessment for MARSI high-risk patients according to risk factors, and make corresponding nursing prevention and intervention measures for them so as to reduce the incidence of MARSI.

     

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