老年患者失禁相关性皮炎发生的因素分析  

Analysis of Related Factors of Incontinence-associated Dermatitis in Elderly Patients

作　　者：刘万芳[1] 张颖洁[2] 管晓萍[1] 王英[1] 郑姣[1] 刘红佳 

机构地区：[1]中国人民武装警察部队总医院,北京100039 [2]哈励逊国际和平医院

出　　处：《中国急救复苏与灾害医学杂志》2017年第6期541-544,共4页China Journal of Emergency Resuscitation and Disaster Medicine

基　　金：武警总医院院内课题（管理类）WZ2015042

摘　　要：目的基于老年患者失禁相关性皮炎患病率居高不下，但相关研究不足的临床现状，深入分析影响老年患者IAD发生风险及严重程度，为临床工作及相关护理研究提供科学依据。方法采用实证研究法收集中国人民武装警察部队总医院170例老年患者一般资料及观察指标共13项，根据是否发生失禁相关性皮炎将研究对象设定为发生IAD组和未发生IAD组，对两组患者收集资料进行单因素分析及多因素Logistic回归分析，对IAD组进行多元线性回归分析，得出患者发生失禁相关性皮炎的风险因素及IAD严重程度影响因素。结果两组患者大便失禁、腹泻、潮湿频次、糖尿病、应用抗菌药种数5项观察指标两组间差异有统计学意义，差异有统计学意义（χ^2=4．317、13．110、9．924、8．075、17．404、10．921，P〈0．05）。其中大便失禁、腹泻、糖尿病是老年患者发生失禁相关性皮炎的独立风险因素（P〈0．05），大便失禁和潮湿频次是IAD严重程度的显著影响因素（P〈0．05）。结论临床护士要尤其关注大便失禁、腹泻、糖尿病老年患者，针对老年IAD患者，积极采取有效措施干预大便失禁与潮湿频次。Objective To discuss the risk factol＂s of incontinence-associated dermatitis in elderly patients , the study was initiated. Methods Totally 170 elderly patients from a Level 3 grade comprehensive hospital of Beijing were collected, age, gender and other 10 data. The study allocated patients into case group and control group based on the end whether get incontinent dermatitis. Univariate and muhivariate Logistic regression analysis were conducted to compare the 11 indicators mentioned above between the two groups to find out the risk factors. Multiple linear regression analysis of elderly patients with IADS score. To explore the elderly patients Incontinence associated dermatitis severity correlation factors. Results The types of incontinence, diarrhea, damp frequency, the types of incontinence, diarrhea, damp frequency, and Antimicrobials species were significantly different between the two groups （P 〈 0.05）; The muhivariate Logistic regression analysis showed that fecal incontinence, diarrhea and diabetes were risk factors （P 〈 0.05）. Muhiple linear regression analysis showed that fecal incontinence and damp frequency were positive associated with the scores of elderly patients Incontinence associated dermatitis severity. Conclusion Elderly patients with fecal incontinence, diarrhea and diabetes are at high risk of Incontinence associated dermatitis. In clinical nursing, these patients should be identified and receive precaution in order to curb Incontinence associated dermatitis from happening. Elderly patients with Incontinence associated dermatitis risk factors identification and risk assessment tools in nursing work, also need care managers and decision makers to make further specification and research.

关 键 词：老年患者 失禁相关性皮炎 风险因素 严重程度 

分 类 号：R473[医药卫生—护理学]