[1]王维榕,付红英,岳慧娟,等.婴幼儿医用粘胶相关性皮肤损伤危险因素的Meta分析[J].医学信息,2022,35(03):86-90.[doi:10.3969/j.issn.1006-1959.2022.03.020]
　WANG Wei-rong,FU Hong-ying,YUE Hui-juan,et al.Meta Analysis of Risk Factors for Medical Adhesive-related Skin Injury in Infants[J].Medical Information,2022,35(03):86-90.[doi:10.3969/j.issn.1006-1959.2022.03.020]
点击复制

婴幼儿医用粘胶相关性皮肤损伤危险因素的Meta分析()
分享到：

医学信息[ISSN:1006-1959/CN:61-1278/R]

卷:
35卷
期数:
2022年03期
页码:
86-90
栏目:
论著
出版日期:
2022-02-01

文章信息/Info

Title:
Meta Analysis of Risk Factors for Medical Adhesive-related Skin Injury in Infants
文章编号:
1006-1959（2022）03-0086-05
作者:
王维榕1; 付红英2; 岳慧娟1; 彭 娇1
1.贵州中医药大学护理学院，贵州 贵阳 550002；2.贵州省人民医院骨科，贵州 贵阳 550002
Author(s):
WANG Wei-rong1; FU Hong-ying2; YUE Hui-juan1; PENG Jiao1
1.School of Nursing,Guizhou University of Traditional Chinese Medicine,Guiyang 550002,Guizhou,China；2.Department of Orthopedics,Guizhou Provincial People’s Hospital,Guiyang 550002,Guizhou,China
关键词:
医用粘胶相关性皮肤损伤; 婴幼儿; 皮肤干燥; 皮肤水肿; 循证护理
Keywords:
Medical adhesive related skin injury; Infants; Dry skin; Skin edema; Evidence-based care
分类号:
R473.72
DOI:
10.3969/j.issn.1006-1959.2022.03.020
文献标志码:
A
摘要:
目的 通过Meta分析明确婴幼儿住院期间发生医用粘胶相关性皮肤损伤（MARSI）的危险因素。方法 计算机检索中国知网、万方、维普、中国生物医学文献数据库、Cochrane Library、PubMed、Web of Science、EMbase数据库关于婴幼儿医用粘胶相关性皮肤损伤危险因素的文献，采用RevMan5.3软件进行Meta分析。结果 共纳入7篇文献，共17项危险因素。Meta分析结果显示，胎龄[OR=3.05，95%CI（1.87，4.98），P＜0.00001]、蓝光治疗[OR=3.84，95%CI（3.40，4.35），P＜0.00001]、留置胃管[OR=3.30，95%CI（1.28，8.48），P=0.01]、皮肤干燥[OR=5.29，95%CI（2.67，10.46），P＜0.00001]、皮肤水肿[OR=4.11，95%CI（2.14，7.91），P＜0.00001]是婴幼儿发生MARSI的危险因素。结论 胎龄、蓝光治疗、留置胃管、皮肤干燥、皮肤水肿是婴幼儿发生MARSI的危险因素，护理过程中应加强监测，对可改变因素进行早期识别与干预，预防MARSI的发生。
Abstract:
Objective To identify the risk factors of medical adhesive-related skin injury (MARSI) in infants during hospitalization through Meta-analysis.Methods Searched CNKI, Wanfang, VIP, CBM, Cochrane Library, PubMed, Web of Science and EMbase databases for literatures on risk factors of medical adhesive-associated skin injury in infants and young children. Meta-analysis was performed using RevMan 5.3 software.Results A total of seven literatures were included, with a total of 17 risk factors. Meta-analysis results showed that the gestational age [OR=3.05, 95%CI(1.87, 4.98), P<0.00001], blue light treatment [OR=3.84, 95%CI(3.40,4.35), P<0.00001], indwelling gastric tube [OR=3.30, 95%CI(1.28, 8.48 ), P=0.01], dry skin [OR=5.29, 95%CI(2.67, 10.46), P<0.00001], and skin edema [OR=4.11, 95%CI(2.14, 7.91), P<0.00001] were the risk factors for MARSI in infants.Conclusion The gestational age, blue light therapy, indwelling gastric tube, dry skin, and skin edema are the risk factors for MARSI in infants and young children. The monitoring should be strengthened in the nursing process, and the changeable factors should be identified and intervened early to prevent the occurrence of MARSI.

参考文献/References:

[1]李霞,胡艳玲,万兴丽.《预防医用粘胶相关皮肤损伤的最佳实践国际共识》解读[J].护理研究,2021,35(10):1693-1696.[2]桂园园,于新颖,范玲.NICU新生儿医用粘胶相关性皮肤损伤的现况调查与分析[J].中国实用护理杂志,2017,33(5):365-368.[3]王丹,夏玮,徐红贞,等.危重症新生儿医用粘胶相关皮肤损伤危险因素的前瞻性研究[J].护理与康复,2019,18(2):19-23,28.[4]贺万香,梁迎盈,李建雄,等.新生儿医用粘胶相关性皮肤损伤的风险评估及预防对策[J].黑龙江医药,2018,31(2):252-254.[5]王亚珂,贺芳,杨依慧,等.预防新生儿医用粘胶相关性皮肤损伤的最佳证据总结[J].广州医药,2021,52(3):4.[6]乔琳茜,付红英.骨科老年住院患者MARSI危险因素的调查研究及分析[D].贵州:贵州中医药大学,2019.[7]刘澳林,周莉,韩如雪.中医领域病例对照研究方法学质量与报告质量的相关性分析[J].中医杂志,2020,61(7):594-600.[8]Eljilany I,El-Dahiyat F,Curley LE,et al.Evaluating quantity and quality of literature focusing on health economics and pharmacoeconomics in Gulf Cooperation Council countries[J].Expert Rev Pharmacoecon Outcomes Res,2018,18(4):403-414.[9]胡玉萍.新生儿医用粘胶相关皮肤损伤危险因素分析及其护理对策[J].护理实践与研究,2020,17(4):140-142.[10]李玮桐,向美芹,赵希平,等.预测早产儿医用粘胶相关性皮肤损伤风险的列线图模型的建立[J].中国实用护理杂志,2020,36(18):1394-1399.[11]李保宁,郭锦丽.儿童医用粘胶相关性皮肤损伤危险因素分析及预防措施[J].护理研究,2020,34(5):900-903.[12]余淑仪,高钰琳,蔡楚云.婴幼儿医用粘胶相关性皮肤损伤风险评估量表的研制及初步评价[J].护理研究,2019,33(23):4009-4014.[13]Wang D,Xu H,Chen S,et al.Medical Adhesive-Related Skin Injuries and Associated Risk Factors in a Pediatric Intensive Care Unit[J].Adv Skin Wound Care,2019,32(4):176-182.[14]de Oliveira Marcatto J,Santos AS,Oliveira AJF,et al.Medical adhesive-related skin injuries in the neonatology department of a teaching hospital[J].Nursing in Critical Care,2021:1-6.Epub ahead of print.[15]Csoma ZR,Meszes A,Abrahám R,et al.Iatrogenic skin disorders and related factors in newborn infants[J].Pediatric Dermatology,2016,33(5):543-548.[16]Kim MJ,Jang JM,Kim HK,et al.Medical adhesives-related skin injury in a pediatric intensive care unit:a single-center observational study[J].J Wound Ostomy Continence Nurs,2019,46(6):491-496.[17]周瑛,陈丽斯,张军杰.ICU护士医用黏胶相关性皮肤损伤的知信行现状及影响因素分析[J]护理学报,2017,11(10):172-176.[18]Fumarola S,Allaway R,Callaghan R,et al.Overlooked and underestimated:medical adhesive-related skin injuries[J].Journal of Wound Care,2020,29(Sup 3c):S1-S24.[19]Woo KY,Beeckman D,Chakravarthy D.Management of moisture-associated skin damage: a scoping review[J].Adv Skin Wound Care,2017,30(11):494-501.[20]Reevell G,Anders T,Morgan T.Improving patients’experience of dressing removal in practice[J].J Community Nurs,2016,30(5):44-49.

相似文献/References:

[1]兰文林,白宝鑫,石武祥.手足口病研究进展及防治措施[J].医学信息,2018,31(15):29.[doi:10.3969/j.issn.1006-1959.2018.15.011]
　LAN Wen-lin,BAO Bao-xin,SHI Wu-xiang.Research Progress and Control Measures of Hand-Foot-Mouth Disease[J].Medical Information,2018,31(03):29.[doi:10.3969/j.issn.1006-1959.2018.15.011]
[2]姚 博,杜 娟.北京城乡结合部地区6个月~3岁儿童营养性缺铁性贫血的现况调查及相关因素分析[J].医学信息,2018,31(20):105.[doi:10.3969/j.issn.1006-1959.2018.20.031]
　YAO Bo,DU Juan.Investigation on the Status of Nutritional Iron Deficiency Anemia in Children Aged 6 Months to 3 Years in Beijing Urban-rural Fringe and Analysis of Related Factors[J].Medical Information,2018,31(03):105.[doi:10.3969/j.issn.1006-1959.2018.20.031]
[3]魏 星,雷 宇,余 娟,等.婴幼儿感染轮状病毒相关因素Meta分析[J].医学信息,2019,32(15):70.[doi:10.3969/j.issn.1006-1959.2019.15.022]
　WEI Xing,LEI Yu,YU Juan,et al.Meta-analysis of Factors Related to Rotavirus Infection in Infants and Young Children[J].Medical Information,2019,32(03):70.[doi:10.3969/j.issn.1006-1959.2019.15.022]
[4]高莉莉,唐志红,周 景,等.苏州西部地区婴幼儿缺铁性贫血状况调查[J].医学信息,2022,35(03):146.[doi:10.3969/j.issn.1006-1959.2022.03.038]
　GAO Li-li,TANG Zhi-hong,ZHOU Jing,et al.Investigation on Iron Deficiency Anemia of Infants in Western Suzhou[J].Medical Information,2022,35(03):146.[doi:10.3969/j.issn.1006-1959.2022.03.038]
[5]陈化卉,邬凌丽.营养指导配合健康教育在婴幼儿生长发育中的作用[J].医学信息,2023,36(13):163.[doi:10.3969/j.issn.1006-1959.2023.13.036]
　CHEN Hua-hui,WU Ling-li.The Role of Nutrition Guidance Combined with Health Education in the Growth and Development of Infants[J].Medical Information,2023,36(03):163.[doi:10.3969/j.issn.1006-1959.2023.13.036]

更新日期/Last Update: 1900-01-01