基于倾向性评分匹配评价泡沫敷料对术中获得性压力性损伤的保护作用

doi:10.3760/cma.j.cn211501-20220906-02804

科研成果详情

题名	基于倾向性评分匹配评价泡沫敷料对术中获得性压力性损伤的保护作用
其他题名	Evaluation of the protective effect of foam dressings on intraoperative acquired pressure injuries based on propensity score matching
作者	徐鑫1; 史桂蓉 2; 缪苗 3; 张培培 4; 刘萍 5; 赵斌 6; 姜丽萍1
发表日期	2023-08
发表期刊	中国实用护理杂志影响因子和分区
语种	中文
原始文献类型	Periodical
关键词	回顾性研究泡沫敷料术中获得性压力性损伤倾向性评分匹配
其他关键词	Retrospective studies ; Foam dressing ; Intraoperative acquired pressure injury ; Propensity score matching
摘要	目的:评估泡沫敷料预防术中获得性压力性损伤（IAPI）的保护作用，为临床术中IAPI防治提供参考依据。方法:回顾性分析2020年10月至2021年1月上海交通大学医学院附属新华医院收治的455例外科手术患者的临床资料，按照是否术中受压部位使用泡沫敷料分为敷料组101例和对照组354例。以年龄、BMI、术前Braden评分、合并脑血管疾病为协变量对2组进行倾向性评分匹配，最终分为敷料组患者89例及对照组患者162例。应用Logistic回归分析与分层分析全面评估手术人群中泡沫敷料对IAPI发生的实际效果。结果:251例手术患者中，敷料组共计14例占15.7%发生IAPI，对照组共计13例占8.0%发生IAPI，2组IAPI发生率比较差异无统计学意义（ χ2=3.41， P0.05）。分层分析显示，在俯卧位手术患者中，相较于对照组，敷料组能够有效降低手术患者77%的IAPI发生风险（ OR=0.23，95% CI 0.05~0.98， P<0.05）。泡沫敷料与各术中手术特征间不存在交互作用（ P0.05）。结论:在俯卧位手术患者中，术中受压部位泡沫敷料的使用在预防IAPI的发生起保护作用。其余手术特征患者中术中泡沫敷料的使用并无显著的保护效果。
其他摘要	Objective:To evaluate the protective effect of foam dressing in preventing intraoperative acquired pressure injury (IAPI), and to provide reference basis for prevention and treatment of IAPI during clinical operation.Methods:The clinical data of 455 surgical patients admitted to Xinhua Hospital Affiliated to Shanghai Jiao Tong University from October 2020 to January 2021 were retrospectively collected. According to whether foam dressing was used at the compression site during operation, the patients were divided into dressing group (101 cases) and control group (354 cases). The two groups were matched with age, body mass index, preoperative Braden and cerebrovascular disease as covariates, and were finally divided into 89 patients in the dressing group and 162 patients in the control group. Logistic regression analysis and stratified analysis were used to comprehensively evaluate the actual effect of foam dressing on the occurrence of IAPI in the surgical patients.Results:Among the 251 patients, there were 14 (15.7%) cases with IAPI in the dressing group and 13 (8.0%) cases in the control group, and the difference was not statistically significant ( χ2=3.41, P0.05). Among the patients in the prone position, compared to the control group, the dressing group can effectively reduce the risk of IAPI in surgical patients by 77% ( OR=0.23, 95% CI 0.05-0.98, P<0.05). There was no interaction between foam dressing and intraoperative surgical characteristics ( P0.05). Conclusions:Foam dressing plays a protective role in preventing the occurrence of IAPI in patients undergoing surgery in the prone position. There was no significant protective effect of intraoperative foam dressing in patients with other surgical characteristics.
资助项目	新华医院院级临床支撑培育项目(21XHDB03);上海市护理学会项目(2020MS-B02)。
ISSN	1672-7088
卷号	39 期号:22 页码:1728-1733
DOI	10.3760/cma.j.cn211501-20220906-02804
页数	6
收录类别	ISTIC ; SCOPUS ; 维普 ; 北大核心 ; ISTIC ; 万方
URL	查看原文
SCOPUSEID	2-s2.0-85169931512
引用统计
文献类型	期刊论文
条目标识符	https://kms.wmu.edu.cn/handle/3ETUA0LF/182653
专题	护理学院
作者单位	1.温州医科大学护理学院，温州　325000; 2.上海交通大学医学院附属新华医院脊柱外科，上海　200000; 3.上海交通大学护理学院，上海　200000; 4.上海交通大学医学院附属新华医院手术室，上海　200000; 5.上海交通大学医学院附属新华医院护理部，上海　200000; 6.上海交通大学医学院附属新华医院麻醉复苏室，上海　200000
第一作者单位	护理学院
第一作者的第一单位	护理学院
推荐引用方式 GB/T 7714	徐鑫,史桂蓉,缪苗,等. 基于倾向性评分匹配评价泡沫敷料对术中获得性压力性损伤的保护作用[J]. 中国实用护理杂志,2023,39(22):1728-1733.
APA	徐鑫., 史桂蓉., 缪苗., 张培培., 刘萍., ... & 姜丽萍. (2023). 基于倾向性评分匹配评价泡沫敷料对术中获得性压力性损伤的保护作用. 中国实用护理杂志, 39(22), 1728-1733.
MLA	徐鑫,et al."基于倾向性评分匹配评价泡沫敷料对术中获得性压力性损伤的保护作用".中国实用护理杂志 39.22(2023):1728-1733.