重症监护室患者非骨突部位皮肤急性损伤的原因分析及对策  

Causes of dermal injuries at non-bony eminence sites and the pertinent nursing countermeasures

作　　者：吴方苑[1] 王春莲[1] 梁慧屏[1] 

机构地区：[1]茂名市人民医院,广东茂名525000

出　　处：《现代临床护理》2010年第8期13-14,22,共3页Modern Clinical Nursing

摘　　要：目的探讨重症监护室(intensive care unit,ICU)患者非骨突部位皮肤损伤的原因,并提出针对性的护理对策。方法采用回顾性调查的方法,了解2007年1月-2009年12月ICU收治的1352例患者住院期间发生非骨突部位皮肤急性损伤的情况,并总结分析其发生的原因。结果患者非骨突部位皮肤急性损伤发生率为2.7%;发生皮肤急性损伤与患者侵入性管道固定、应用保护带、管道线路压迫、无创血压及血氧饱和度监测、大小便刺激及护士预防意识及措施不足相关。结论 ICU患者非骨突部位发生皮肤急性损伤与其自身存在多种高危因素及预防措施不足有关,因此应根据患者发生皮肤损伤的相关因素,制订针对性的措施,以便减少患者非骨突部位皮肤急性损伤的发生率。Objective To probe into the causes of dermal injuries at non-bony eminence sites and put forward the pertinent nursing countermeasures.Methods A retrospective investigation was made to look into the nursing quality records,harmful incident records and the nursing histories of 1 352 patients in the ICU of our hospital for the recent 3 years,who suffered from the dermal injury on non-bony eminence sites,so as to summarize and analyze the causes of dermal injuries at the non-bony eminence sites.Results The incidence of dermal injuries at non-bony eminence sites was 2.7%（36 /1352）.The dermal injuries were correlated with fixation of intrusive tubing,use of bandage,pressure of tube line,monitoring of blood pressure and saturation of blood oxygen,stimulation of urination and defecation and lack of preventive senses and measures of nurses.Conclusions The dermal injuries of ICU patients at the non-bony eminence sites are related to their pathogenic situations,risk factors in themselves and lack of preventive measures.Therefore,we should work out strategy based on the correlative factors of dermal injuries for the purpose of lowering the rate of dermal injuries at non-bony eminence sites.

关 键 词：重症监护室 非骨突部位 皮肤损伤 护理 

分 类 号：R471[医药卫生—护理学]