成人重症监护室失禁性皮肤炎相关危险因子探讨

Risk factors of incontinence dermatitis in adults ICU

目的探讨成人重症监护室失禁性皮肤炎(IAD)的危险因子。方法纳入本院重症监护室成人患者129例,提取患者个人资料、健康状况资料、临床资料,收集会阴部皮肤状况评估量表(PAT)、压疮评估量表(Braden量表)等数据。结果研究发现,BMI、腹泻、抗生素使用、最近1周排便次数、使用皮肤保护用品,PAT总分及各项目、Braden量表中的感觉知觉程度、潮湿程度、移动力、摩擦力均为影响IAD风险因子。多元逻辑回归分析发现,PAT总分与BMI能预测失禁性皮肤炎的发生。结论根据本研究结果针对高风险患者提供完整的护理可预防IAD的发生。

Objective To explore risk factors of the incontinence-associated dermatitis（IAD）. Methods This study included 129 adult patients in the intensive care unit in our hospital.The personal data,health status,clinical data,Assessment Scale for Perineal Skin（PAT）,Pressure Sore Assessment Scale（Braden scale） were collected. Results The results found that BMI,diarrhea,use of antibiotics,defecation times in the last week,use of skin care products,total scores of perineal assessment tool（PAT） and its item score,and Braden scale scores in terms of sensory perception,degree of moisture,movement force,friction were risk factors of IAD. Multivariate logistic regression analysis revealed that PAT score and BMI were predictive factors of incontinence dermatitis.Conclusion It is recommended that high-risk patients provided with complete care based on the results can prevent the occurrence of IAD.