越南危重病人压伤发生率和预防护理包的有效性：一项前瞻性队列研究

IF 2.6 3区医学 Q2 CRITICAL CARE MEDICINE

Australian Critical Care Pub Date : 2025-06-24 DOI:10.1016/j.aucc.2025.101262

Ca Thi Mai Luu RN, MN , Tung-Chen Han RN, PhD , Ngan Hoang Kim Trieu MD , Huy Minh Pham MD, PhD , Dai Quang Huynh MD, PhD , Linh Thanh Tran MD , Thi Thi Ho RN , Phong Thanh Phung MN, PhD , Trang Thi Minh Nguyen MD, PhD , Bang Thi Kim Nguyen MN, PhD , Thao Thi Ngoc Pham MD, PhD

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引用次数: 0

摘要

背景：压力性损伤（PI）是危重患者发生PI的一个主要挑战，有多种危险因素。发达国家已经实施了先进的一揽子预防措施，从而降低了PI率。然而，亚洲发展中国家在PI发病率和预防方面仍然存在知识差距。目的本研究的目的是确定越南危重患者PI的发生率和PI预防护理包的有效性。方法本前瞻性队列研究纳入了于2023年4月至8月间入住内科-外科重症监护病房的患者。PI是根据2019年全国压疮咨询小组/欧洲压疮咨询小组/泛太平洋压疮联盟指南定义的。收集患者人口统计学、PI特征、第1天和第7天布雷登量表评分、PI预防护理包依从性比例等数据。在纳入研究的120例患者中，12.5%（15例）发生pi（95%置信区间[CI]: 6.9-19.9%）。最常见的PI位置是臀区（12例），其次是骶骨（6例），15例患者中有8例出现单一PI。在广义估计方程模型中，Braden评分从第1天到第7天提高了1.67分（95% CI: 1.24-2.10）。每增加10%的PI预防护理包依从性比例与0.45点的改善相关（95% CI: 0.20-0.70）。结论越南危重患者PIs发生率为12.5%。高依从性的PI预防护理包与提高布雷登评分相关。需要进一步的研究来评估不同的预防护理包对危重患者的有效性。

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Incidence of pressure injuries and effectiveness of a prevention care bundle in critically ill Vietnamese patients: A prospective cohort study

Background

Pressure injury (PI) presents a major challenge for critically ill patients with multiple risk factors for developing PI. Advanced prevention bundles have been implemented in developed countries, leading to a reduction in PI rates. However, a knowledge gap remains regarding PI incidence and prevention bundles in developing Asian countries.

Objectives

The objectives of this study were to identify the incidence of PIs and the effectiveness of the PI prevention care bundle in critically ill Vietnamese patients.

Methods

This prospective cohort study included patients admitted to a medical-surgical intensive care unit between April and August 2023. PI was defined according to the 2019 National Pressure Ulcer Advisory Panel/European Pressure Ulcer Advisory Panel/Pan Pacific Pressure Injury Alliance guideline. Data on patient demographics, PI characteristics, Braden Scale scores on days 1 and 7, and PI prevention care bundle compliance proportion were collected.

Results

Of the 120 patients enrolled in the study, 12.5%(15 patients) developed PIs (95% confidence interval [CI]: 6.9–19.9%). The most common PI location was the gluteal region (12 patients), followed by the sacrum (six patients), with eight of 15 patients presenting a single PI. In the generalised estimating equation model, Braden scores improved by 1.67 points from day 1 to day 7 (95% CI: 1.24–2.10). Each 10% increase in PI prevention care bundle compliance proportion was associated with a 0.45-point improvement (95% CI: 0.20–0.70).

Conclusions

The incidence of PIs was 12.5% in critically ill Vietnamese patients. A higher compliance with the PI prevention care bundle was associated with improved Braden scores. Further research is needed to evaluate the effectiveness of different prevention care bundles in critically ill patients.

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来源期刊

Australian Critical Care NURSING-NURSING

CiteScore

4.90

自引率

9.10%

发文量

148

审稿时长

>12 weeks

期刊介绍： Australian Critical Care is the official journal of the Australian College of Critical Care Nurses (ACCCN). It is a bi-monthly peer-reviewed journal, providing clinically relevant research, reviews and articles of interest to the critical care community. Australian Critical Care publishes peer-reviewed scholarly papers that report research findings, research-based reviews, discussion papers and commentaries which are of interest to an international readership of critical care practitioners, educators, administrators and researchers. Interprofessional articles are welcomed.