Analysis of Outcomes and Factors Influencing Community-Acquired Pressure Injury: A Retrospective Review of 413 Patients.

IF 1.7 3区医学 Q2 NURSING

Journal of Wound Ostomy and Continence Nursing Pub Date : 2025-01-01 Epub Date: 2025-01-13 DOI:10.1097/WON.0000000000001138

Xiuru Yang, Dan Zhang, Hongmei Zhang, Liangliang Cui, Qin Hu, Yang Hu, Dan Wen, Yanfei Ma, Qiuhong He

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引用次数: 0

Abstract

Purpose: The purpose of this study was to analyze the outcomes and influencing factors of patients with community-acquired pressure injuries (CAPIs) and provide insights for clinical practice.

Design: Retrospective cohort study.

Subjects and setting: We reviewed medical records of 413 patients with a total of 522 CAPIs. Patients with CAPIs who were hospitalized at Mianyang Central Hospital, Sichuan Province, China, between December 2021 and December 2022.

Methods: Depending on CAPI outcome at the time of discharge, the patients were split into "improvement" and "no improvement" groups. Factors influencing CAPI outcomes were examined using univariate analysis followed by multivariate analysis (logistic regression).

Results: A majority of patients (n = 324, 78.5%) showed improvement, and 89 (21.5%) showed no improvement. Logistic regression analysis showed statistically significant associations between CAPI outcomes and Braden Scale for Pressure Sore Risk scores, Barthel Index for Activities of Daily living scores, along with serum albumin, hemoglobin, interleukin-6, and C-reactive protein levels.

Conclusions: The outcomes of patients with CAPIs were influenced by the Braden score, the Barthel score, serum albumin and hemoglobin levels, as well as inflammatory markers, including interleukin-6 and C-reactive protein. To effectively treat and care for patients with CAPIs, nurses should develop customized nursing interventions based on the unique characteristics of patients.

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413例社区获得性压力性损伤的预后及影响因素分析

目的：分析社区获得性压力损伤（CAPIs）患者的预后及影响因素，为临床实践提供参考。设计：回顾性队列研究。对象和环境：我们回顾了413例患者的医疗记录，共522例capi。2021年12月至2022年12月期间在中国四川省绵阳市中心医院住院的capi患者。方法：根据出院时CAPI结果将患者分为“改善”组和“无改善”组。影响CAPI结果的因素采用单因素分析和多因素分析（逻辑回归）进行检验。结果：多数患者（324例，占78.5%）改善，89例（21.5%）无改善。Logistic回归分析显示，CAPI结果与布雷登压疮风险评分、Barthel日常生活活动指数评分以及血清白蛋白、血红蛋白、白细胞介素-6和c反应蛋白水平之间存在统计学显著相关性。结论：CAPIs患者的预后受Braden评分、Barthel评分、血清白蛋白、血红蛋白水平以及白细胞介素-6、c反应蛋白等炎症标志物的影响。为了有效地治疗和护理capi患者，护士应根据患者的独特特点制定个性化的护理干预措施。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Journal of Wound Ostomy and Continence Nursing 医学-护理

CiteScore

3.10

自引率

34.60%

发文量

186

审稿时长

6-12 weeks

期刊介绍： The Journal of Wound, Ostomy and Continence Nursing (JWOCN), the official journal of the Wound, Ostomy and Continence Nurses Society™ (WOCN®), is the premier publication for wound, ostomy and continence practice and research. The Journal’s mission is to publish current best evidence and original research to guide the delivery of expert health care. The WOCN Society is a professional nursing society which supports its members by promoting educational, clinical and research opportunities to advance the practice and guide the delivery of expert health care to individuals with wounds, ostomies and continence care needs.