Journal of Nursing

Analysis of the Characteristics and Influencing Factors of Medical Device Pressure Injury in ICU Patients

Chongfeng Li, Xiangjuan Li

Abstract


Objective To understand the characteristics of medical device pressure injury in intensive care unit patients and explore its related influencing factors. Methods A total of 280 patients in ICU of Baoding First Central Hospital from August to December 2022 were selected and divided into the occurrence group and the non-occurrence group according to whether MDRPI occurred. The general data, clinical data and device use were compared between the two groups. Multivariate logistic regression was used to analyze the influencing factors of MDRPI in ICU patients. Results Fifty-five patients developed MDRPI, with an incidence of 19.6%. Age, prone position ventilation and APACHEⅡ score were the influencing factors of MDRPI in ICU patients (P<0.05). Conclusions Patients in ICU are prone to develop MDRPI due to old age, prone position ventilation, critical condition, large number of medical devices and use of non-invasive ventilation masks. In order to reduce the incidence of MDRPI, nursing staff should make a comprehensive evaluation of patients and give preventive measures in advance.


Keywords


Intensive Care Unit; Pressure Injuries from Medical Devices; Influencing Factors

Full Text:

PDF

Included Database


References


Yang Y, Chen JP, Pan YX, et al. Influencing factors and nursing measures of intraoperative pressure injury in patients with head and face surgery [J]. Chinese Journal of Applied Medicine, 2020, 36(21): 3005-3008.

Wang SL, Chuang PY, Su WC. Application of Care Bundles to Reduce Medical-depose-related Pressure Injury (MDRPI) Incidence in a Coronary Care [J]. Hu Li Za Zhi, 2018,65 (3) : 80-87.

Lin F, Wu Z, Song B, et al. The effectiveness of multicomponent pressure injury prevention programs in adult intensive care patients: A systematic review [J]. Int J Nurs Stud, 2020,102:103483.

Chen LJ, Sun LL, Liu LH, et al. Interpretation of 2019 edition of prevention and treatment of pressure ulcers/pressure injuries: clinical practice guidelines [J]. Chin J Nursing, 2020, 35(13): 41-43+51.

Koo M, Sim Y, Kang I. Risk Factors of Medical Device-Related Pressure Ulcer in Intensive Care Units[J]. J Korean Acad Nurs, 2019, 49 (1) : 36-45.

Kim JY, Lee YJ. Medical device-related pressure ulcer (MDRPU) in acute care hospitals and its perceived importance and prevention performance by clinical nurses [J]. Int Wound J, 2019,16 (Suppl 1) : 51-61.

Gu MQ, Zhao YY, Chen SZ, et al. Evidence application review and obstacle factors analysis of medical device-related pressure injury in ICU patients [J]. Nursing Research, 2020,34 (13) : 2257-2263.

Erbay D, Ceylan I, Kelebek GN. Incidence, characteristics and risk factors of medical device-related pressure injuries: An observational cohort study [J]. Intensive Crit Care Nurs, 2021, 69:103180.




DOI: http://dx.doi.org/10.18686/jn.v12i2.280

Refbacks

  • There are currently no refbacks.


Copyright (c) 2023 Chongfeng Li, Xiangjuan Li

Creative Commons License
This work is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License.