关键词: 压力性损伤, 重症监护病房, 预测, 风险, 模型, 护理

Abstract:

Objective To conduct a systematic review of pressure injuries risk prediction models in ICU patients,in order to provide evidence-based references for clinical nurses to conduct pressure injuries prediction models. Methods Cochrane Library, PubMed, Embase,CINAHL, Web of science,CNKI,VIP,Wanfang,and Chinese bio-medical databases were searched for the related studies on pressure injuries risk prediction models in ICU patients from the establishment of the databases to December 31, 2020. 2 researchers were selected to retrieve studies according to the inclusion and exclusion criteria, and critically evaluated the quality of studies based on the Checklist for Critical Appraisal and Data Extraction for Systematic Reviews of Prediction Modelling Studies. Results 15 studies were included, containing 28 pressure injuries risk prediction models. The AUC（area under ROC curve） of 20 models were all over 0.7. Gender,age,diabetes mellitus, mechanical ventilation,length of ICU stay were the most important predictors of pressure injuries. Conclusion Studies of the pressure injury risk prediction model in ICU patients had high research quality, and the risk prediction models also had good predictive performance. Male, the aged, history of diabetes,mechanical ventilation and long stay in ICU were high risk factors for pressure injuries in ICU patients. Clinical nurses should choose models with better predictive performance based on clinical practice, so as to provide targeted preventions for patients.

Key words: Pressure Injuries, Intensive Care Units, Prediction, Risk, Models, Nursing Care