[1]郭艳侠,周金莉,侯赛宁,等.我国医疗机构成人手术患者手术获得性压力性损伤流行特征的Meta分析[J].解放军护理杂志,2021,38(06):49-53.[doi:10.3969/j.issn.1008-9993.2021.06.013]
　GUO Yanxia,ZHOU Jinli,HOU Saining,et al.The Epidemiological Characteristics of Intraoperatively Acquired Pressure Injuries in Adult Surgical Patients in Chinese Medical Institutions:A Meta-analysis[J].Nursing Journal Of Chinese People’s Laberation Army,2021,38(06):49-53.[doi:10.3969/j.issn.1008-9993.2021.06.013]
点击复制

我国医疗机构成人手术患者手术获得性压力性损伤流行特征的Meta分析()
分享到：

《解放军护理杂志》[ISSN:2097-1826/CN:31-3186/R]

卷:
38
期数:
2021年06期
页码:
49-53
栏目:
循证护理
出版日期:
2021-06-15

文章信息/Info

Title:
The Epidemiological Characteristics of Intraoperatively Acquired Pressure Injuries in Adult Surgical Patients in Chinese Medical Institutions:A Meta-analysis
文章编号:
1008-9993(2021)06-0049-05
作者:
郭艳侠1; 周金莉1; 侯赛宁1; 张丽2
1.江苏护理职业学院 护理与助产学院,江苏 淮安 223005; 2.淮安市第二人民医院 老年科,江苏 淮安 223001
Author(s):
GUO Yanxia1; ZHOU Jinli1; HOU Saining1; ZHANG Li2
1.Nursing and Midwifery School,Jiangsu College of Nursing,Huai’an 223005,Jiangsu Province,China; 2.Geriatric Department,The Second People’s Hospital of Huai’an,Huai’an 223001,Jiangsu Province,China
关键词:
压力性损伤;  手术;  发生率;  流行特征;  Meta分析
Keywords:
pressure injury;  surgery;  incidence;  epidemic characteristics;  Meta analysis
分类号:
R47
DOI:
10.3969/j.issn.1008-9993.2021.06.013
文献标志码:
A
摘要:
目的 系统评价我国医疗机构成人手术患者手术获得性压力性损伤(intraoperatively acquired pressure injury IAPI)发生率及其流行特征。方法 检索多个中英文数据库中关于手术患者IAPI发生率的研究,搜索时间为建库至2020年11月。应用Stata 12.0软件行Meta分析。结果 最终纳入31篇文献(28 492例患者,其中IAPI患者1962例)。Meta分析结果显示,IAPI总体发生率为12.2%(95%CI10.3%～14.0%,P<0.01); 亚组分析显示,女性、高龄、骨科、心血管外科、术中俯卧位、手术时长>2 h、急诊手术患者是IAPI的高发群体; 髂嵴、肋缘、骶尾及肩胛等部位是IAPI的好发部位。结论 不同特征人群IAPI发生率不同,上述特征的患者是重要防控目标,应定期监测,为指导手术患者压疮预防管理提供依据。
Abstract:
Objective To systematically evaluate the incidence of intraoperatively acquired pressure injury(IAPI)in adult surgical patients in Chinese medical institutions.Methods The studies of IAPI incidence in surgical patients from PubMed,Web of Science, Embase,Cochrane Library,CINAHL,China Biomedical Literature Database,CNKI,Wanfang and VIP database were searched by computer.The time range was from the establishment of the database to November 2020.Meta analysis was carried out by Stata 12.0.Results 31 articles were included in the study with 28 492 patients and among whom there were 1962 IAPI patients.Meta analysis results showed that the overall incidence was 12.2%(95%CI= 10.3%-14.0%,P<0.01).Subgroup analysis showed that female,elderly,orthopedic,cardiovascular surgery,intraoperative prone position,surgical duration longer than 2 hours,and emergency patients were the groups with high incidence of IAPI.The iliac crest,costal margin,sacral caudal and scapula are the most common sites of IAPI.Conclusions The incidence of IAPI should be monitored regularly to provide a basis for the prevention and management of pressure ulcers in surgical patients.

参考文献/References:

[1] NILSSON U G.Intraopemtive positioning of patients under general anesthesia and the risk of postoperative pain and pressure ulcers[J].J Perianesthesia Nurs,2013,28(3):137-143.
[2] SPRUCE L.Back to basics:preventing perioperatjve pressure injuries[J].AORN J,2017,105(1):92-99.
[3] LONEY P L,CHAMBERS L W,BENNETT K J,et al.Critical appraisal of the health research literature:prevalence or incidwnce of a health problem[J].Chronic Dis Can,1998,19(4):170-176.
[4] 李华,陈云超.腹部手术患者术后压疮危险因素分析[J].中国医药导报,2013,10(28):147-149.
[5] 陈淑淑,蔡玉洁,黄越超.腹腔镜胃肠道患者手术中发生压力性损伤的影响因素分析[J].中国医院统计,2020,27(1):28-31.
[6] 劳进娟,钟桂枝,史清梅.高龄患者髋关节置换术中急性压疮的危险因素分析及护理对策[J].护理实践与研究:下半月版,2012,9(6):103-104.
[7] 赵丹,王志稳.骨科患者术中压力性损伤发生情况及危险因素研究[J].护理学杂志,2018,33(22):33-37.
[8] 管晓华.骨科手术中急性压疮形成分析及手术室护理[J].吉林医学,2013,34(32):6820.
[9] 陈珍凤,陈霞,王月青.开颅手术患者术中急性压疮的危险因素分析[J].安徽医药,2018,22(8):1603-1606.
[10]马跃,林雪梅.手术患者相关压疮发生危险因素分析及护理干预探究[J].系统医学,2019,4(5):148-150.
[11]杨俊华,吴柳颜,陈扬.手术患者发生压疮的手术室相关危险因素分析及护理策略[J].临床护理杂志,2018,17(5):55-58.
[12]郭盼盼.手术患者发生压疮的手术室相关原因分析及护理对策[J].泰山医学院学报,2015,36(10):1196-1197.
[13]谢小燕,刘雪琴,周萍.手术患者发生压疮的术中危险因素分析[J].解放军护理杂志,2008,25(1A):21-23.
[14]郭玲,钱月萍.手术患者发生压疮相关因素分析及护理对策[J].齐鲁护理杂志,2011,17(35):37-38.
[15]胡娟娟,高兴莲,杨英.手术患者手术压疮高危因素的多中心研究[J].护理学杂志,2018,33(16):11-14.
[16]陈谦,盛芝仁,王惠儿.等.手术患者相关压疮发生危险因素分析及护理干预探究[J].中华全科医学,2015,13(3):488-489.
[17]蒋琪霞,瞿小龙,郭秀君,等.手术患者压疮发生率及发生时间和影响因素研究[J].中国护理管理,2013,13(9):25-28.
[18]应晓晨.手术室患者术中压疮形成的相关危险因素及其护理对策分析[J].中西医结合心血管病杂志:电子版,2016,4(34):11-12.
[19]朱琳,段清萍,李英姿,等.侧卧位开胸术患者术中压疮的危险因素分析与护理对策[J].中华现代护理杂志,2012(7):768-771.
[20]宋文静,管晓萍,李蓉.成人开颅手术压疮的风险因素研究[J].中国全科医学,2015,18(11):1270-1273.
[21]宋芳,赵倩楠,赵杰.手术室患者术中压力性损伤形成的相关危险因素分析及其护理对策[J].护理实践与研究,2019,16(16):15-17.
[22]徐青.手术室老年患者术中压疮危险因素及护理人员压疮认知调查[J].中国现代医生,2013,51(30):15-17.
[23]韩静,康晓凤,张海英,等.开胸术围手术期发生压疮的调查分析[J].中国实用护理杂志:中旬版,2010,26(7):23-25.
[24]施厚艳.手术室老年患者术中压疮危险因素及护理人员压疮认知调查分析[J].实用临床护理学杂志:电子版,2018(36):81-89.
[25]陈晓唯,向承红.术中压疮的危险因素分析及护理对策[J].中华现代护理杂志,2015,21(10):1183-1184.
[26]张艳秋.俯卧位手术患者术中压疮的危险因素分析[D].吉林:吉林大学,2008.
[27]谢少媚,黄菊芬,冯爱贞,等.侧卧位手术患者术中压疮的危险因素分析[J].当代护士:专科版(下旬刊),2012(8):105-106.
[28]霍春颖.成人体外循环心血管手术中压疮危险因素的研究[D].北京:中国协和医科大学,2011.
[29]徐博媛,颜春铭,郭海玲,等.术中压疮发生危险因素的评价及预防护理[J].齐齐哈尔医学院学报,2013,34(16):2474-2475.
[30]鲁海蜃.外科老年患者术后压力性溃疡的危险因素及干预措施[J].中国老年学杂志,2014,34(23):6675-6677.
[31]万美萍,蒋紫娟,于文君.影响神经外科患者围手术期压疮发生的原因分析及预防措施[J].护理实践与研究,2018,15(20):17-18.
[32]SHAW L F,CHANG P C,LEE J F,et al.Incidence and predicted risk factors of pressure ulcers in surgical patients:experience at a medical center in Taipei,Taiwan[J/OL].[2020-11-25].https://www.hindawi.com/journals/bmri/2014/416896/.
[33]LUO M, LONG X H, WU J L,et al.Incidence and risk factors of pressure injuries in surgical spinal patients:a retrospective study[J].J Wound Ostomy Continence Nurs,2019,46(5):397-400.
[34]CHEN H L,JIANG A G,ZHU B,et al.The risk factors of postoperative pressure ulcer after liver resection with long surgical duration:a retrospective study[J].Wounds,2019,31(9):242-245.
[35]郭艳侠,梁珣,朱文,等.我国住院患者压疮现患率及医院获得性压疮现患率的Meta分析[J].中国护理管理,2018,18(7):907-914.
[36]SHAFIPOUR V,RAMEZANPOUR E,GORJI M A,et al.Prevalence of postoperative pressure ulcer:a systematic riview and Meta-analysis[J].Electronic Physician,2016,8(11):3170-3176.
[37]黄维健,曲华.集束化干预策略在手术相关压疮跟踪管理的应用[J].护理学杂志,2016,31(8):36-37.

相似文献/References:

[1]何凌霄,袁震飞,刘欢,等.急诊患者压力性损伤现状及预防的研究进展[J].解放军护理杂志,2021,38(10):65.[doi:10.3969/j.issn.1008-9993.2021.10.017]
[2]张舵,周雁荣,刘娟,等.主动脉夹层术前家属代理决策现状及影响因素的研究[J].解放军护理杂志,2021,38(12):53.[doi:10.3969/j.issn.1008-9993.2021.12.014]
　ZHANG Duo,ZHOU Yanrong,LIU Juan,et al.Status Quo of Family Agency Decision-making Before Aortic Dissection Operations and Its Influencing Factors[J].Nursing Journal Of Chinese People’s Laberation Army,2021,38(06):53.[doi:10.3969/j.issn.1008-9993.2021.12.014]
[3]屈虹,唐绪容,周蓉,等.脑肿瘤切除手术患儿术中压力性损伤风险预测模型的构建[J].解放军护理杂志,2023,40(04):19.[doi:10.3969/j.issn.2097-1826.2023.04.005]
　QU Hong,TANG Xurong,ZHOU Rong,et al.Construction of Risk Prediction Model of Intraopratively Acquired Pressure Injuries in Children Undergoing Brain Tumor Resection[J].Nursing Journal Of Chinese People’s Laberation Army,2023,40(06):19.[doi:10.3969/j.issn.2097-1826.2023.04.005]
[4]于洁,卢维娜,李丽楠,等.胰腺癌患者术前三联预康复方案的构建[J].解放军护理杂志,2023,40(11):14.[doi:10.3969/j.issn.2097-1826.2023.11.004]
　YU Jie,LU Weina,LI Linan,et al.Construction of Preoperative Triple Prehabilitation Program for Patients with Pancreatic Cancer[J].Nursing Journal Of Chinese People’s Laberation Army,2023,40(06):14.[doi:10.3969/j.issn.2097-1826.2023.11.004]

备注/Memo

备注/Memo:
【 收稿日期 】 2020-10-05 【 修回日期 】 2021-04-01
【 基金项目 】 江苏省高校哲学社会科学研究课题(2020SJA1860); 江苏省高校教育信息化研究课题(2019-38)
【 作者简介 】 郭艳侠,硕士,讲师,从事创面护理、老年护理研究
更新日期/Last Update: 2021-06-15