老年住院患者皮肤干燥症现况调查及相关影响因素分析

Investigation on the current situation and analysis of related influencing factors of xerosis in elderly inpatients

目的调查老年住院患者皮肤干燥症发病现状和影响因素,为老年皮肤干燥症的有效预防和管理提供依据。方法运用横断面调研法,采用自行设计的老年人皮肤干燥症和预防现况调研表对徐州医科大学附属宿迁医院、宿迁市中医院和泗阳县中医院住院的1028例患者的皮肤干燥症发病情况进行调查,并分析其相关影响因素。结果皮肤干燥症发生率为20.23%(208/1028),多见于下肢,发生率为53.37%(111/208);以轻度最多,发生率为51.44%(107/208)。不同年龄、学历、营养状态、共病状态、Braden评分、药物使用、主要照顾者、科室、日常皮肤护理老年住院患者皮肤干燥症发病率,差异均有统计学意义(χ^(2)值为6.91~35.71,P<0.05);二元Logistic回归分析显示,年龄、营养状态、共病状态、Braden评分、日常皮肤护理是老年住院患者发生皮肤干燥症的独立影响因素。结论皮肤干燥症是老年人常见的皮肤症状,应建立规范化管理流程并采取针对性地预防护理措施。

Objective To investigate the prevalence and influencing factors of xerosis in elderly inpatients,to provide basis for effective prevention and management of xerosis.Methods Using the cross-sectional survey method and the self-designed survey table of the current situation of xerosis and prevention of the elderly,the incidence of xerosis in 1028 patients hospitalized in Suqian Hospital Affiliated to Xuzhou Medical University,Suqian City Hospital of Traditional Chinese Medicine and Siyang County Hospital of Traditional Chinese Medicine was investigated,and the related factors were analyzed.Results The incidence of xerofosis was 20.23%(208/1028);the incidence of xerosis was 20.23%(208/1028),which was mainly found in the lower limbs,with the incidence of 53.37%(111/208),among which the incidence of mild xerosis was the most,with the incidence of 51.44%(107/208).The incidence rate of the elderly patients with xerosis between different age,qualifications,nutritional status,comorbidity,Braden score,drug use,main caregivers,departments,and daily skin care were statistically significant(χ^(2) values were 6.91-35.71,all P<0.05).Binary logistic regression analysis showed that age,nutritional status,comorbidity status,Braden score and daily skin care were the independent influencing factors of skin dryness in elderly inpatients.Conclusions There is a common skin symptom of xerosis in the elderly.It is necessary to establish a standardized management process and take targeted preventive and nursing measures.