Objective:To analyze the risk factors of neonatal medical adhesive-related skin injury and put forward targeted preventive measures,so as to provide reference for the care and prevention of neonatal medical adhesive-r...Objective:To analyze the risk factors of neonatal medical adhesive-related skin injury and put forward targeted preventive measures,so as to provide reference for the care and prevention of neonatal medical adhesive-related skin injuries.Methods:Using the convenience sampling method,262 neonates admitted to the neonatal intensive care unit(NICU)of a tertiary general hospital in Wenzhou from April 2021 to May 2022 were selected as the study subjects.The incidence of medical adhesive-related skin injuries in these neonates was retrospectively analyzed.Results:Among the 262 children,43 cases had skin injuries,with an incidence rate of 16.4%.Single factor analysis showed that the occurrence of medical adhesive-related skin injury was related to gestational age,weight,electrocardiogram(ECG)monitoring,venous access,ambient temperature,and mechanical ventilation(P<0.05).Multivariate logistic regression showed that gestational age,ECG monitoring,and ambient temperature were independent risk factors of medical adhesive-related skin injury(OR values were 0.700,0.431,and 6.365,respectively).Conclusion:The high incidence of neonatal medical adhesive-related skin injury may be caused by one or more factors.Clinical measures should be taken,such as selecting the appropriate type of adhesive according to gestational age and using skin-protecting membrane,minimizing ECG monitoring,etc.,to prevent the occurrence of neonatal medical adhesive-related skin injury.展开更多
目的:对肿瘤病人发生医用粘胶相关性皮肤损伤(MARSI)的危险因素进行范围综述,为临床预防MARSI提供参考。方法:检索the Cochrane Library、PubMed、Web of Science、EMbase、万方数据库、中国知网、维普数据库、中国生物医学文献数据库...目的:对肿瘤病人发生医用粘胶相关性皮肤损伤(MARSI)的危险因素进行范围综述,为临床预防MARSI提供参考。方法:检索the Cochrane Library、PubMed、Web of Science、EMbase、万方数据库、中国知网、维普数据库、中国生物医学文献数据库中肿瘤病人MARSI危险因素的相关文献,检索时限从建库至2023年3月31日。由2名研究者进行筛选文献、提取资料,并报告研究结果。结果:共纳入9篇文献,涉及2673例肿瘤病人,共13个危险因素。包括病人因素如年龄、过敏史、体质指数、皮肤潮湿、MARSI史;医源性因素如经外周静脉置入中心静脉导管(PICC)维护方法、穿刺部位、穿刺次数、化疗用药;疾病因素如糖尿病、生殖系统肿瘤、血液系统肿瘤以及民族等社会人口学因素均与肿瘤病人发生MARSI有关。结论:现有研究证据表明,肿瘤病人发生MARSI的危险因素较多,但纳入研究类型有限,未来须更多高质量研究进行更深层次的验证。展开更多
目的构建经外周静脉置入中心静脉导管患者医用粘胶相关性皮肤损伤的预防性护理策略。方法于中国知网、维普、万方、Google学术、Cochrane Library、Up To Date等期刊数据库检索其2018至2022年收录关于经外周静脉置入中心静脉导管患者医...目的构建经外周静脉置入中心静脉导管患者医用粘胶相关性皮肤损伤的预防性护理策略。方法于中国知网、维普、万方、Google学术、Cochrane Library、Up To Date等期刊数据库检索其2018至2022年收录关于经外周静脉置入中心静脉导管患者医用粘胶相关性皮肤损伤的主题文献及质量评价,组成院内决策小组评价文献质量并制定2次专家函询问卷,比较调查结果并汇总统计后确定静脉导管置入部位及预防护理策略,将81例患者分为对照组(n=41例)和实验组(n=40例)实施护理干预,比较2组医用粘胶相关性皮肤损伤发生率。结果2轮函询结束后构建31条预防经外周静脉置入中心静脉导管患者医用粘胶相关性皮肤损伤的护理策略,全部条目重要性评分CV为0.01~0.11、可操作性评分CV为0.09~0.38(W=0.56、0.59,2=304.51、318.86,均P<0.001),全部条目可操作性及重要性评分均存在一致性;实施干预后,试验组观察组仅有1例发生医用粘胶相关性皮肤损伤,发生率2.50%(1/40),低于对照组14.63%(6/41)(χ^(2)=2.613,P=0.045)。结论经外周静脉置入中心静脉导管患者医用粘胶相关性皮肤损伤预防性护理策略的构建可行性较高,降低其发生率并满足临床要求,促进护理操作标准化、规范化发展。展开更多
目的:构建结构化皮肤护理方案并探讨其在经外周静脉置入中心静脉导管(PICC)病人医用粘胶相关性皮肤损伤中(medical adhesive related skin injury,MARSI)的应用效果,为临床MARSI的管理提供参考依据。方法:选取2021年6月—2022年5月肿瘤...目的:构建结构化皮肤护理方案并探讨其在经外周静脉置入中心静脉导管(PICC)病人医用粘胶相关性皮肤损伤中(medical adhesive related skin injury,MARSI)的应用效果,为临床MARSI的管理提供参考依据。方法:选取2021年6月—2022年5月肿瘤科发生MARSI的60例PICC置管病人为研究对象,采用随机数字表法分为对照组、试验组,每组30例。对照组使用常规维护方案,试验组应用结构化皮肤管理方案。干预3周后观察两组病人PICC置入部皮肤情况、生活质量指数,并做出临床疗效评价。结果:试验组病人总有效率为96.7%,高于对照组的73.3%(P<0.001);试验组病人干预前后生活质量指数评分比较差异有统计学意义(P<0.001),试验组病人干预后生活质量指数评分为(11.87±0.97)分,低于对照组的(13.90±1.81)分(P<0.001)。结论:结构化皮肤护理方案能有效缓解PICC病人MARSI症状,提高其生活质量。展开更多
基金the Basic Medical and Health Technology Project of Wenzhou Science and Technology Bureau(Y20190308).
文摘Objective:To analyze the risk factors of neonatal medical adhesive-related skin injury and put forward targeted preventive measures,so as to provide reference for the care and prevention of neonatal medical adhesive-related skin injuries.Methods:Using the convenience sampling method,262 neonates admitted to the neonatal intensive care unit(NICU)of a tertiary general hospital in Wenzhou from April 2021 to May 2022 were selected as the study subjects.The incidence of medical adhesive-related skin injuries in these neonates was retrospectively analyzed.Results:Among the 262 children,43 cases had skin injuries,with an incidence rate of 16.4%.Single factor analysis showed that the occurrence of medical adhesive-related skin injury was related to gestational age,weight,electrocardiogram(ECG)monitoring,venous access,ambient temperature,and mechanical ventilation(P<0.05).Multivariate logistic regression showed that gestational age,ECG monitoring,and ambient temperature were independent risk factors of medical adhesive-related skin injury(OR values were 0.700,0.431,and 6.365,respectively).Conclusion:The high incidence of neonatal medical adhesive-related skin injury may be caused by one or more factors.Clinical measures should be taken,such as selecting the appropriate type of adhesive according to gestational age and using skin-protecting membrane,minimizing ECG monitoring,etc.,to prevent the occurrence of neonatal medical adhesive-related skin injury.
文摘目的:对肿瘤病人发生医用粘胶相关性皮肤损伤(MARSI)的危险因素进行范围综述,为临床预防MARSI提供参考。方法:检索the Cochrane Library、PubMed、Web of Science、EMbase、万方数据库、中国知网、维普数据库、中国生物医学文献数据库中肿瘤病人MARSI危险因素的相关文献,检索时限从建库至2023年3月31日。由2名研究者进行筛选文献、提取资料,并报告研究结果。结果:共纳入9篇文献,涉及2673例肿瘤病人,共13个危险因素。包括病人因素如年龄、过敏史、体质指数、皮肤潮湿、MARSI史;医源性因素如经外周静脉置入中心静脉导管(PICC)维护方法、穿刺部位、穿刺次数、化疗用药;疾病因素如糖尿病、生殖系统肿瘤、血液系统肿瘤以及民族等社会人口学因素均与肿瘤病人发生MARSI有关。结论:现有研究证据表明,肿瘤病人发生MARSI的危险因素较多,但纳入研究类型有限,未来须更多高质量研究进行更深层次的验证。
文摘目的构建经外周静脉置入中心静脉导管患者医用粘胶相关性皮肤损伤的预防性护理策略。方法于中国知网、维普、万方、Google学术、Cochrane Library、Up To Date等期刊数据库检索其2018至2022年收录关于经外周静脉置入中心静脉导管患者医用粘胶相关性皮肤损伤的主题文献及质量评价,组成院内决策小组评价文献质量并制定2次专家函询问卷,比较调查结果并汇总统计后确定静脉导管置入部位及预防护理策略,将81例患者分为对照组(n=41例)和实验组(n=40例)实施护理干预,比较2组医用粘胶相关性皮肤损伤发生率。结果2轮函询结束后构建31条预防经外周静脉置入中心静脉导管患者医用粘胶相关性皮肤损伤的护理策略,全部条目重要性评分CV为0.01~0.11、可操作性评分CV为0.09~0.38(W=0.56、0.59,2=304.51、318.86,均P<0.001),全部条目可操作性及重要性评分均存在一致性;实施干预后,试验组观察组仅有1例发生医用粘胶相关性皮肤损伤,发生率2.50%(1/40),低于对照组14.63%(6/41)(χ^(2)=2.613,P=0.045)。结论经外周静脉置入中心静脉导管患者医用粘胶相关性皮肤损伤预防性护理策略的构建可行性较高,降低其发生率并满足临床要求,促进护理操作标准化、规范化发展。
文摘目的:构建结构化皮肤护理方案并探讨其在经外周静脉置入中心静脉导管(PICC)病人医用粘胶相关性皮肤损伤中(medical adhesive related skin injury,MARSI)的应用效果,为临床MARSI的管理提供参考依据。方法:选取2021年6月—2022年5月肿瘤科发生MARSI的60例PICC置管病人为研究对象,采用随机数字表法分为对照组、试验组,每组30例。对照组使用常规维护方案,试验组应用结构化皮肤管理方案。干预3周后观察两组病人PICC置入部皮肤情况、生活质量指数,并做出临床疗效评价。结果:试验组病人总有效率为96.7%,高于对照组的73.3%(P<0.001);试验组病人干预前后生活质量指数评分比较差异有统计学意义(P<0.001),试验组病人干预后生活质量指数评分为(11.87±0.97)分,低于对照组的(13.90±1.81)分(P<0.001)。结论:结构化皮肤护理方案能有效缓解PICC病人MARSI症状,提高其生活质量。
