住院病人皮肤撕裂伤危险因素分析

Risk factor analysis of skin laceration in hospitalized patients

[目的]探讨住院病人发生皮肤撕裂伤的危险因素,为临床护理工作中有效预防皮肤撕裂伤提供依据。[方法]参与研究的人员对全院住院病人开展调查,统计全院发生皮肤撕裂伤病人资料。[结果]皮肤撕裂伤的患病率为2.18%,共有30例34处皮肤撕裂伤;主要集中在双上肢和双下肢。单因素分析结果显示:皮肤撕裂伤发生的危险因素9个条目有统计学意义(P<0.05);多因素分析结果显示:营养、白蛋白、年龄、跌倒、钝力损伤与皮肤撕裂伤的发生有关(P<0.05),为发生皮肤撕裂伤的独立危险因素。[结论]临床上可以从皮肤撕裂伤危险因素的预防来加强皮肤管理,采取有效的护理干预,提高护理工作质量。

Objective:To explore the risk factors of skin laceration in hospitalized patients and provide the evidence for effective prevention of skin laceration in clinical nursing.Methods:All hospitalized patients in the hospital were conducted in this study.The number of patients with skin laceration in the hospital was counted and the data were collected.Results:The incidence of skin laceration in hospitalized patients was 2.18%,involved 30 cases with 34 skin lacerations,mainly occurred on both upper and lower limbs.Single factor analysis showed that 9 items of risk factors of known skin laceration were statistically significant(P<0.05).In the multiple factors analysis,nutrition,albumin,age,falls,and blunt force trauma was associated with the occurrence of skin laceration,the differences were statistically significant(P<0.05),which were the independent risk factors for skin laceration.Conclusion:Preventing the risk factors of skin laceration could strength the skin management in clinical.Taking effective nursing intervention could improve the quality of nursing.