晚期恶性肿瘤患者发生MARSI的影响因素分析及护理对策

The influential factors analysis and nursing countermeasures of MARSI in the patients with advanced cancer

目的探讨晚期恶性肿瘤患者发生医用粘胶相关皮肤损伤(MARSI)的影响因素及护理对策。方法回顾收集75例晚期恶性肿瘤患者的年龄、性别、过敏史、肿瘤类型、体重指数、是否合并糖尿病、黄疸、昏迷、感染、败血症等临床资料,采用二分类Logistics回归分析探讨这些因素与患者发生医用粘胶相关皮肤损伤的相关性。结果所有患者中32例发生医用粘胶相关皮肤损伤,43例未发生医用粘胶相关皮肤损伤,发生者中以过敏性皮炎最多见,皮肤撕裂极少见;糖尿病、体重指数与医用粘胶相关皮肤损伤相关(P <0.05),性别、年龄、过敏史、黄疸、昏迷、感染、败血症及肿瘤类型与医用粘胶相关皮肤损伤无关(P> 0.05)。结论糖尿病是晚期恶性肿瘤患者发生医用粘胶相关皮肤损伤的危险因素;体重指数与晚期恶性肿瘤患者医用粘胶相关皮肤损伤呈负相关;根据晚期肿瘤患者发生医用粘胶相关皮肤损伤的易感因素,及时对患者采取相关护理对策可以有效预防晚期恶性肿瘤患者医用粘胶相关皮肤损伤,减少并发症的发生。

Objective To investigate the influential factors and nursing of Medical Adhesive-related Skin Injure (MARSI)in patients with advanced cancer.Method Retrospective collected the data of age,sex,allergic history,tumor classification,body mass index(BMI),with or without diabetes mellitus,jaundice,coma,infection,septicemia in 75 patients with advanced cancer.Binary logistic regression was used to explore the key factors influencing MARSI.Result In all patients,there were 32 paitients with MARSI,43 patients without MARSI.In 32 patients with MARSI,allergic dermatitis is the most common case,while avulsion is the least case.Diabetes mellitus and BMI were associated with MARSI (P <0.05),while age,sex,allergic history,tumor classification,jaundice,coma,infection and septicemia were not associated with MARSI (P >0.05).Conclusion Diabetes mellitus is a risk factor in patients with MARSI.There is a negative correlation between BMI and MARSI.Some nursing strategies on the basis of susceptibility factors in advanced cancer patients with MARSI can prevent MARSI effectively and reduce complications.