神经内科患者失禁相关性皮炎的特点及危险因素分析  

Incontinence-associated dermatitis characteristics and the analysis of risk factors in Neurology_Department

作　　者：廖黎[1] 徐建珍[1] 潘全慧[1] 刘晓卫[1] 

机构地区：[1]南京医科大学附属南京脑科医院神经内科,210005

出　　处：《中华现代护理杂志》2016年第1期9-13,共5页Chinese Journal of Modern Nursing

基　　金：基金项目：江苏省一级学科重点学科南京医科大学护理学开放基金（NYHL201425）

摘　　要：目的了解神经内科患者失禁相关性皮炎（1AD）的临床特点及危险因素。方法采用横断面调查方法，选择南京市某三级甲等神经、精神专科医院的神经内科患者413例，收集研究对象IAD状况、护理措施及相关危险因素3方面内容，对可能影响IAD发生的因素做单因素分析及Logistic回归分析。结果神经内科患者IAD患病率为4．1％，其中大小便双重失禁患者为88．2％，IAD多集中于脑血管疾病患者。单因素分析显示格拉斯哥昏迷评分法（GCS）、Braden、会阴部位皮肤评估量表（PAT）评分等15个因素影响IAD发生（P〈0．05），Logistic回归分析结果显示PAT评分为IAD的预测因子（OR=15．528，P〈0．05）。结论神经内科IAD多集中于双便失禁患者，IAD发生受多种因素影响，PAT评分能够较好预测IAD发生。Objective：To find out the clinical features and risk factors of incontinence-associated dermatitis （IAD） in neurology patients. Methods A total of 413 cases of neurology patients were selected bycross-sectional descriptive survey in a neurology hospital in Nanjing. Participants＇ IAD status, nursing interventions and risk factors were collected. The univariate analysis and Logistic regression analysis were applied to analyze the factors that potentially associate with the occurrence of IAD. Results 4.1% of neurology patients had IAD, 88. 2% of them had gatism, and IAD was more likely happened on patients with cerebrovascular disease. According to the univariate analysis, there were 15 factors which included GCS, Braden and PAT score affected IAD occurrence （P 〈 0.05 ） ; logistic regression analysis showed the PAT score could predict IAD （OR = 15. 528, P 〈0.05 ）. Conclusions IAD in Neurology Department is more concentrated on gatism patients. The occurrence of IAD is affected by multi-factors; PAT score can be seen as a predict factor of the occurrence of lAD.

关 键 词：神经内科 失禁 失禁相关性皮炎 危险因素 

分 类 号：R473.74[医药卫生—护理学]