尿失禁重症患者发生尿失禁相关皮炎的风险因素:系统回顾与元分析》。

IF 1.7 3区 医学 Q2 NURSING
Guandong Wang, Xueying Wang, Haibo Wang, Liang Wang, Wenjuan Li
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引用次数: 0

摘要

目的:本系统综述分析了与危重尿失禁患者尿失禁相关皮炎(IAD)风险因素有关的证据:方法:系统综述和荟萃分析:检索包括PubMed、Embase、CINAHL、Cochrane Library和Web of Science在内的8个数据库,检索以英文发表的研究。此外,还检索了中国国家知识基础设施、万方数据和中国科学期刊论文数据库中以中文发表的评估危重失禁患者IAD风险的研究:结果:共纳入了 24 项方法学质量中上的研究。发生 IAD 的重要风险因素是年龄较大[几率比(OR)= 1.06,95% 置信区间(CI):1.02-1.10,P = .007]、发热(OR = 2.57,95% CI:1.87-3.57,P 含义:发热是导致 IAD 的重要因素:本系统综述和荟萃分析的结果表明,医护人员在制定危重失禁患者 IAD 的预防和管理策略时,应考虑年龄较大、发热、意识障碍、APACHE II 评分较高、Braden 评分较低和双重失禁等风险因素。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Risk Factors for Incontinence-Associated Dermatitis in Critically Ill Patients with Incontinence: A Systematic Review and Meta-analysis.

Purpose: This systematic review analyzed evidence related to risk factors for Incontinence Associated Dermatitis (IAD) in critically ill incontinent patients.

Method: Systematic review and meta-analysis.

Search strategy: Eight databases, including PubMed, Embase, CINAHL, Cochrane Library, and Web of Science, were searched for studies published in the English language. The China National Knowledge Infrastructure, WanFang Data, and Chinese Scientific Journal Database were also searched for studies evaluating risk of IAD in critically ill incontinent patients published in the Chinese language.

Findings: Twenty-four studies with moderate-to-high methodological quality were included. Significant risk factors for developing IAD were being older [odds ratio (OR) = 1.06, 95% confidence interval (CI): 1.02-1.10, P = .007], fever (OR = 2.57, 95% CI: 1.87-3.57, P < .00001), diagnosed with consciousness disorder (OR = 5.70, 95% CI: 2.28-14.22, P = .0002), having higher Acute Physiology and Chronic Health Evaluation (APACHE) II score (OR = 1.71, 95% CI: 1.25-2.35, P = .0009), lower Braden score (OR = 0.73, 95% CI: 0.56-0.96, P = .02), lower oxygen saturation (OR = 2.76, 95% CI: 1.52-5.00, P = .0008), double incontinence (OR = 4.10, 95% CI: 2.34-7.17, P < .00001), liquid stool (OR = 6.55, 95% CI: 4.12-10.41, P < .00001), frequent incontinence (OR = 1.21, 95% CI: 1.03-1.43, P = .02), and higher perineal assessment tool (PAT) score (OR = 3.18, 95% CI: 1.76-5.76, P = .0001).

Implications: Findings of this systematic review and meta-analysis suggest that healthcare providers should consider risk factors such as older age, fever, consciousness disorder, higher APACHE II score, lower Braden score and double incontinence matter when developing strategies for the prevention and management of IAD in critically ill incontinent patients.

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来源期刊
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.
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