PICC带管患者皮肤压力性损伤的影响因素分析

Analysis on influencing factors of skin pressure injury in patients with PICC intubation

目的观察分析经外周静脉置入中心静脉导管(PICC)带管患者皮肤压力性损伤的影响因素。方法回顾性分析2020年1月至12月皖南医学院第一附属医院就诊的150例PICC带管患者病历资料,依据患者带管期间是否发生压力性损伤分为发生组(28例)与未发生组(122例)。查阅两组病历资料,记录比较两组一般资料、实验室指标,通过单因素与多因素分析,找出PICC带管患者发生压力性损伤的影响因素。结果发生组的白蛋白、血红蛋白水平低于未发生组,且置管季节(冬季)、导管维护周期延迟占比高于未发生组,差异有统计学意义(P<0.05)。两组其他基线资料、实验室指标比较,差异无统计学意义(P>0.05);经logistic回归分析结果显示,置管季节、导管周期维护延迟、白蛋白、血红蛋白均是PICC带管患者发生皮肤压力性损伤的影响因素(P<0.05)。结论PICC带管患者发生皮肤压力性损伤可能受置管季节、导管维护周期延迟、白蛋白和血红蛋白低表达等因素的影响。

Objective To observe and analyze the influencing factors of skin pressure injury in patients with peripherally inserted central venous catheters(PICC) intubation.Methods The medical data of 150 patients with PICC intubation admitted to the First Affiliated Hospital of Wannan Medical College from January to December 2020 were retrospectively analyzed,the patients were divided into the occurrence group(28 cases) and the non-occurrence group(122 cases) according to whether the pressure injury occurred of patients during intubation.The general data and laboratory indexes of the two groups were recorded and compared,through univariate and multivariate analysis,the influencing factors of pressure injury in patients with PICC intubation were found out.Results The levels of albumin and hemoglobin in the occurrence group were lower than those in the non-occurrence group,and the proportion of intubation season(winter) and catheter maintenance cycle delay were higher than those in the non-occurrence group,with statistical significant differences(P < 0.05);there were no statistical significant differences in other baseline data and laboratory indexes between the two groups(P > 0.05);the results of logistic regression analysis showed that the season of intubation and the delay of catheter cycle maintenance,albumin and hemoglobin were influencing factors of skin stress injury in PICC intubation patients(P < 0.05).Conclusion The occurrence of skin stress injury in PICC intubation patients may be affected by season of intubation,delay of catheter cycle maintenance,the low expression of albumin and hemoglobin and other factors.