摘要
目的:了解宿迁市住院病人压力性损伤(PI)的现状、发生特征及流行趋势,为实施合理的预防措施提供依据。方法:2023年11月16日08:00时起,对宿迁市二级和三级医院住院病人进行皮肤调研,2名护士同时检查病人皮肤,查看PI的发生情况。结果:共调查8532例住院病人,回收有效问卷8231份,PI现患率1.04%,院内获得性压力损伤(HAPI)发生率0.22%。其中,成人PI现患率1.04%,未成年人PI现患率0;二级医院PI现患率0.61%,HAPI 0.07%,三级医院PI现患率0.44%,HAPI 0.13%;综合性医院PI现患率0.94%,HAPI0.17%,专科医院PI现患率0.11%,HAPI 0.04%。发生部位依次为骶尾部65.12%,髂嵴11.63%,足跟3.5%;单部位PI占73.26%,2个及以上部位PI占26.74%。损伤分期中,1期占18.6%,2期占39.5%,3期占9.3%,4期和不可分期均占10.5%,深部组织损伤占2.3%,多期损伤共存占9.3%。Logistic回归分析显示Braden评分≤16分、年龄、低蛋白血症是发生压力性损伤的独立危险因素。结论:宿迁地区PI预防工作可开发基于信息化的医院-社区联动模式,将PI的影响因素和结局做纵向研究分析,以便制定院内外联动的预防和处理策略。另外,可进一步验证不同照顾者对PI发生的影响,针对不同照护群体的知识储备和技能需求来落实预防PI的照护措施将会更有意义。
Objectives:To investigate the status quo,occurrence characteristics,and prevalence trends of pressure injuries(PI)among inpatients in Suqian city and to provide a basis for implementing appropriate preventive measures.Methods:A skin survey was conducted on inpatients in secondary and tertiary hospitals in Suqian city at 8:00 AM on November 16,2023.Two nurses simultaneously examined the patients′skin to detect the presence of PI.Results:A total of 8,532 inpatients were surveyed,and 8,231 valid questionnaires were collected.The prevalence rate of PI was 1.04%,and the prevalence rate of hospital-acquired pressure injury(HAPI)was 0.22%.The prevalence rate of PI in adults was 1.04%,and the prevalence rate of PI in minors was 0%.The prevalence rate of PI in secondary hospitals was 0.61%,and the prevalence rate of HAPI was 0.07%.The prevalence rate of PI in tertiary hospitals was 0.44%,and the prevalence rate of HAPI was 0.13%.The prevalence rate of PI in general hospitals was 0.94%,and the prevalence rate of HAPI was 0.17%.The prevalence rate of PI in specialized hospitals was 0.11%,and the prevalence rate of HAPI was 0.04%.The sites of PI were the sacrum(65.12%),the iliac crest(11.63%),and the heel(3.5%).PI occurred in a single site(73.26%),and in two or more sites(26.74%).In terms of injury stage,the prevalence rate was stage 1(18.6%),stage 2(39.5%),stage 3(9.3%),stage 4(10.5%),and unstageable(10.5%).Deep tissue injury was 2.3%,and multi-stage injury coexisted in 9.3%.Logistic regression analysis showed that a Braden score≤16,age,and hypoproteinemia were independent risk factors for PI.Conclusion:An information-based hospital-community collaborative model could be developed for PI prevention in Suqian city.Longitudinal research analyzing could be used for the influencing factors and outcomes of PI,in order to develop the collaborative prevention and treatment strategies within and beyond the hospital setting.Furthermore,further investigation could be conducted to examine the impact of different caregivers on PI.It would be more meaningful to implement PI prevention measures according to knowledge and skill needs of different caregiver groups.
作者
张力
鲍敏
刘海燕
罗晓花
石梅
王舒
许娣
王学红
张亚西
杨雪
周坤
ZHANG Li;BAO Min;LIU Haiyan;LUO Xiaohua;SHI Mei;WANG Shu;XU Di;WANG Xuehong;ZHANG Yaxi;YANG Xue;ZHOU Kun(The Affiliated Suqian Hospital of Xuzhou Medical University(Nanjing Drum Tower Hospital Group Suqian Hospital),Jiangsu 223800 China)
出处
《全科护理》
2025年第19期3610-3614,共5页
Chinese General Practice Nursing
基金
宿迁市2024年度中医药科技项目,编号:HD202417
宿迁市2023年度市级指导性科技计划项目,编号:Z202399
江苏省医院协会医院管理创新研究课题,编号:JSYGY-3-2023-122。
