摘要
目的 探讨聚力关键风险管控的综合管理在神经重症患者失禁相关性皮炎(IAD)中的应用效果,以期能降低神经重症患者IAD的发生率,改善患者临床结局。方法 以2021年1—12月温州医科大学附属第一医院神经重症病房的152例住院患者为对照组,以2022年1—12月住院的137例患者为观察组。对照组实施常规皮肤护理,观察组实施聚力关键风险管控的综合管理。比较2组患者IAD发生率、发生时间、持续时间、IAD严重程度,以及皮肤风险评估合格率和IAD分级评估动态更新合格率。结果 观察组的IAD发生率为7.30%(10/137),对照组为25.66%(39/152),差异有统计学意义(P<0.05)。观察组IAD的发生时间为(6.72±1.59)d,明显晚于对照组[(4.21±0.81)d,P<0.05];持续时间为(3.45±0.51)d,明显短于对照组[(7.67±1.34)d,P<0.05];严重程度较轻(P<0.05)。2组皮肤风险评估情况比较差异有统计学意义(P<0.05)。2组IAD分级评估动态更新情况比较差异有统计学意义(P<0.05)。结论 聚力关键风险管控的综合管理可降低神经重症患者的IAD发生率,延长发生时间,缩短持续时间,减轻IAD严重程度,值得临床推广与应用。
Objective To explore the application effect of comprehensive management of key risk control in Neurological Intensive Care Unit patients with incontinence-associated dermatitis(IAD).Methods The patients in the Neurological Intensive Care Unit of the First Affiliated Hospital of Wenzhou Medical University from January to December 2021 were taken as the control group,and the inpatients from January to December 2022 were taken as the observation group.The control group implemented routine skin care,and the observation group carried out comprehensive management of key risk control.The incidence of IAD,time of occurrence,duration,severity of IAD,and the qualification rate of skin risk assessment and dynamic renewal of IAD grade assessment were compared between the two groups.Results The incidence of IAD was 7.30%(10/137)in the observation group and 25.66%(39/152)in the control group,with a significant difference(P<0.05).The mean time of IAD in the observation group was(6.72±1.59)d,Which was significantly later than the control group[(4.21±0.81)d,P<0.05];the mean duration of(3.45±0.51)d was significantly shorter[(7.67±1.34)d,P<0.05];and the severity was less severe(P<0.05).There were significant differences in skin risk assessment and the dynamic update status of IAD between the two groups(P<0.05).Conclusion The comprehensive management of key risk control can reduce the incidence of IAD,prolong the occurrence time,shorten the duration,and reduce the severity,which is worthy of clinical promotion and application.
作者
叶凯丽
高笑侠
杨建静
杨承雅
陈晓青
YE Kaili;GAO Xiaoxia;YANG Jianjing;YANG Chengya;CHEN Xiaoqing(Intensive Care Unit,the First Affiliated Hospital of Wenzhou Medical University,Wenzhou,Zhejiang 325015,China;不详)
出处
《中华全科医学》
2024年第1期168-171,共4页
Chinese Journal of General Practice
基金
浙江省温州市科学技术局基础性医疗卫生科技项目(Y20210493)
浙江省基础公益研究计划项目(LQ20H090005)。
关键词
风险管控
综合管理
失禁相关性皮炎
神经重症患者
Key risk control
Comprehensive management
Incontinence-associated dermatitis
Neurological intensive care unit patients
作者简介
通信作者:叶凯丽,E-mail:yekaili6988@163.com。
