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引用本文:蒋琪霞 江智霞 郑美春 郭艳侠 吴越香 唐永利 付红英 陈丽娟 李玉红 封海霞 陈玉盘 沈定玉 潘迎春 贾静 朱亚君.医院内皮肤撕裂伤现患率及流行特征的多中心横断面调查[J].中国护理管理,2017,17(5):631-636 本文二维码信息
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医院内皮肤撕裂伤现患率及流行特征的多中心横断面调查
Multicenter cross-sectional survey on prevalence and epidemiologic features of Skin Tears in hospitals
  
DOI:10.3969/j.issn.1672-1756.2017.05.014
中文关键词:  皮肤撕裂伤  横断面研究  现患率  发生率  流行特征
English Keywords:Skin Tears  cross-sectional study  prevalence  incidence  epidemiologic feature
基金项目:南京军区医药卫生科研基金课题(MS117)
作者单位
蒋琪霞 江智霞 郑美春 郭艳侠 吴越香 唐永利 付红英 陈丽娟 李玉红 封海霞 陈玉盘 沈定玉 潘迎春 贾静 朱亚君 南京军区南京总医院门诊伤口护理中心210002 南京市(蒋琪霞郭艳侠)遵义医学院附属医院护理部(江智霞)广州中山大学附属肿瘤医院(郑美春)宁夏医科大学总医院伤口门诊(吴越香)重庆医科大学附属第一院骨科(唐永利)贵州省人民医院外科(付红英)厦门大学附属中山医院外科(陈丽娟)唐山工人医院肿瘤科(李玉红)东南大学附属中大医院内科(封海霞)湖南省肿瘤医院外科(陈玉盘)苏州市立医院护理部(沈定玉)安庆市第一人民医院护理部(潘迎春)镇江市第一人民医院护理部(贾静)靖江市第一人民医院护理部(朱亚君) 
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中文摘要:
      目的:调研医院内皮肤撕裂伤流行特征,为有效预防和管理提供依据。方法:14所三级甲等医院参与多中心横断面调研,964名受训合格护士使用一致的调研工具、方法和流程,在同一时间内对住院时间≥24h、年龄≥18岁并知情同意的患者从头到脚检查皮肤,判断皮肤撕裂伤严重度分级、部位和损伤原因。结果:共获得18 806例有效资料,皮肤撕裂伤现患率为1.06%(199/18 806),均为院内获得,男性高于女性(P<0.05),≥60岁者高于<60岁者(P<0.05);住院时间越长发生率越高(P<0.05),有发生压疮的危险、低蛋白血症、贫血以及有撕裂伤史者发生率较高(P<0.05)。严重度以3级为主,占48.74%。结论:医院内皮肤撕裂伤均发生于住院期间,有发生压疮的危险、撕裂伤史以及营养不良、老年和住院时间较长者是重点预防对象。
English Summary:
      Objective: To investigate the epidemiologic features of Skin Tears in hospitalized patients, and to provide references for effective wound prevention and management. Methods: We recruited 14 tertiary hospitals to participate in the multicenter cross-sectional survey. Totally 964 trained nurses inspected the skin from head to toes and assessed severity classification, location, injury causes among hospitalized patients who stayed in hospital ≥24 hours, were 18 years old, and signed informed consent using same tool, methods and process in same time duration. Results: We got 18 806 effective patients. The Skin Tears' prevalence was 1.06% (199/18 806). Prevalence of Skin Tears for male was more than that for female (P<0.05). The prevalence of patients with ≥60 years old were higher than that in patients with <60 years old (P<0.05). The patients with longer hospitalized stay had higher incidence of Skin Tears (P<0.05). The incidences of Skin Tears for patients with risk of pressure ulcer, low albumin, anemia and Skin Tear history were obviously higher (P<0.05). Skin Tears severity of the third grade was 48.74%. Conclusion: All of Skin Tears in hospitals were hospital-acquired. Patients with risk of pressure ulcer, low albumin, anemia, Skin Tear history and long hospitalized stay were the key persons to prevent skin tear.
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