Influencing factors of medical adhesive-related skin injury at the site of central venous catheter placement in ICU patients
10.3760/cma.j.cn115682-20210113-00170
- VernacularTitle:ICU患者中心静脉导管置入部位医用粘胶相关性皮肤损伤发生的影响因素分析
- Author:
Jing GUO
1
;
Xiaoxue ZHANG
;
Lixia ZHONG
;
Xinran WANG
Author Information
1. 首都医科大学宣武医院普外科，北京 100053
- Keywords:
Intensive Care Units;
Central venous catheter;
Medical adhesive;
Skin injury;
Risk factors
- From:
Chinese Journal of Modern Nursing
2021;27(32):4346-4350
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To explore the influencing factors of medical adhesive-related skin injury (MARSI) at the site of central venous catheter (CVC) placement in ICU patients.Methods:Using the convenient sampling method, a total of 479 patients who were admitted to General Surgery ICU and Vascular Surgery ICU of a Class Ⅲ Grade A hospital in Beijing were selected as the research objects from January to November 2019. A self-designed data collection form was used for investigation. Binomial Logistic regression was used to analyze the influencing factors of MARSI at the CVC placement site in ICU patients.Results:The incidence of MARSI at the CVC placement site in ICU patients was 6.89% (33/479) . Binary logistic regression analysis showed that age, length of stay in ICU, NRS 2002 score and skin edema were risk factors for MARSI at the CVC placement site in ICU patients ( OR=1.033, 1.005, 4.221, 13.107; P<0.05) . Serum albumin and normal skin color were protective factors for MARSI at the CVC placement site in ICU patients ( OR=0.876, 0.052; P<0.01) . Conclusions:Nurses should strengthen the evaluation and intervention of ICU patients with risk factors for MARSI to effectively prevent the occurrence of MARSI at the CVC placement site.
