新生儿医用粘胶相关性皮肤损伤的风险评估及干预措施

Risk assessment of medical adhesive-related skin injury in neonates and related nursing interventions

目的评估新生儿医用粘胶相关性皮肤损伤(MARSI)的发生风险,总结相关干预措施。方法选取2017年1月—6月在广东省妇幼保健院住院的新生儿582例为对照组,7月—12月住院的新生儿654例为研究组。在常规护理基础上,对照组未实施MARSI干预措施,研究组进行MARSI危险因素分析及皮肤评估,并予以针对性干预措施,对比2组MARSI发生情况。结果研究组MARSI总发生率为8. 87%(58/654),对照组MARSI总发生率为12. 89%(75/582),2组差异有统计学意义(P <0. 05)。结论应加强对新生儿M ARSI的重视及防范意识,在科学、细致地评估风险后及时给予干预措施,减少M ARSI的发生。

Objective To assess the risk factors of medical adhesive-related skin injury(MARSI) in neonates, and to summarize related nursing interventions. Methods Totally 582 neonates hospitalized between January 2017 and June 2017 were included as the control group, another 654 neonates hospitalized between July 2017 and December 2017 were recruited as the study group. During the hospitalization, routine neonatal nursing measures were carried out in the control group. In the study group, targeted nursing interventions were performed based on the risk assessment of MARSI in neonates. The incidence rate of MARSI was compared between two groups. Results The overall incidence rate of MARSI was 8.87%(58/654) in the study group and 12.89%(75/582) in the control group, with a significant difference (P<0.05). Conclusion It is required to enhance the awareness of prevention on MARSI in neonates, and carry out targeted nursing measures based on risk assessment,in order to reduce the risk of MARSI in neonates.