急性重症脑卒中患者发生院前失禁相关性皮炎的危险因素  

Risk factors of incontinent-associated dermatitis in the acute severe stroke patients

作　　者：于金美[1] 卢万俊[1] 陈爱妹 张敏[1] 蒋燕[1] 

机构地区：[1]扬州大学附属医院扬州市江都人民医院神经内科,扬州225200

出　　处：《中华神经创伤外科电子杂志》2015年第6期17-19,共3页Chinese Journal Of Neurotraumatic Surgery：Electronic Edition

摘　　要：目的探讨急性重症脑卒中患者发生院前失禁相关性皮炎(IAD)的危险因素。方法收集自2011年6月-2013年6月在扬州市江都人民医院神经内科住院的急性重症脑卒中患者128例。应用失禁相关性皮炎量表和会阴评估量表评估急性重症脑卒中患者院前失禁相关性皮炎情况,分析其危险因素。结果 (1)128例急性重症脑卒中患者有36例发生院前IAD,发生率28.13%,其中轻度20例,中度9例,重度7例。(2)进一步分析显示:年龄≥65岁、糖尿病、脑卒中史、发病时间≥12 h、体温≥38.0℃、大小便失禁、NIHSS评分≥12、营养状况差、昏迷和免疫功能下降者发生院前IAD的危险性相对较高。结论急性重症脑卒中患者院前失禁相关性皮炎发生率高,有其特征性危险因素。本研究为脑卒中患者入院后行个性化护理,提供一定的指导价值。Objective To investigate the risk factors of incontinent-associated dermatitis in the acute severe stroke patients. Methods Incontinent-associated dermatitis were assessed by application of Incontinence-associated Dermatitis and Its Severity Instrument （IADS） and Perineal Assessment scale （PAT） in the patients of acute severe stroke, and their risk factors were analyzed. Results （1）128 cases of patients with acute cerebral stroke were 36 cases of pre-hospital IAD, the incidence of 28.13%. There were 20 cases were mild; 9 cases were of moderate; 7 cases were Severe. （2）The risk factors of IAD for the pre-hospital IAD included age ≥65 years, history of stroke, diabetes, coma, period≥ 12 h, the temperature ≥38.0 ℃, fecal incontinence, urinary incontinence, NIHSS score ≥ 12, poor nutritional status and immune function, that were relatively higher risk of pre-hospital IAD in the patients of acute cerebral stroke. Conclusion There was higher incidence rate of pre-hospital IAD in the acute severe stroke patients. The risk factors had characteristic. This study could provid individualized nursing care for patients admitted to hospital.

关 键 词：失禁相关性皮炎 脑卒中 大便失禁 小便失禁 护理 

分 类 号：R473.74[医药卫生—护理学]