老年患者失禁相关性皮炎危险因素的Meta分析

doi:10.3761/j.issn.0254-1769.2023.04.013

摘要/Abstract

摘要：

目的通过Meta分析确定老年患者失禁相关性皮炎的危险因素。方法计算机检索PubMed、Embase、Web of Science、Cochrane Library、CINAHL、维普期刊数据库、万方数据库、中国知网以及中国生物医学文献数据库，检索时限为建库至2022年1月，采用RevMan 5.4软件进行Meta分析。结果共纳入12篇文献，包含29项相关危险因素，Meta分析结果显示，合并糖尿病（OR=1.96）、腹泻（OR=3.18）、发热（OR=1.85）、意识障碍（OR=1.75）、使用抗生素（OR=2.97）、失禁频次≥3次/d（OR=3.51）、尿粪双失禁（OR=1.96）、稀水样便（OR=3.66）为老年患者失禁相关性皮炎的危险因素（P<0.05）。结论老年患者失禁相关性皮炎的危险因素较多，护理人员应动态评估患者皮肤情况，采取针对性、个体化干预措施，预防失禁相关性皮炎的发生。

Abstract:

Objective To identify the risk factors of incontinence-associated dermatitis（IAD） in elder patients through Meta-analysis. Methods We searched databases including PubMed，Embase，Web of Science，Cochrane Library，CINAHL，VIP，Wanfang，CNKI，and CBM from inception to January，2022. RevMan 5.4 software was used for meta-analysis. Results A total of 12 articles were included，including 29 related risk factors. Meta-analysis result showed that diabetes（OR=1.96）， diarrhea（OR=3.18）， fever（OR=1.85）， disorder of consciousness（OR=1.75）， antibiotic（OR=2.97）， incontinence frequency≥3times/day（OR=3.51）， urinary and fecal incontinence（OR=1.96） and watery stool（OR=3.66） were the risk factors of IAD in elderly patients（P<0.05）. Conclusion Elderly patients have many risk factors for IAD，and caregivers should dynamically assess patients’ skin conditions and adopt targeted，individualized interventions to prevent the occurrence of IAD.

Key words: Aged, Incontinence-Associated Dermatitis, Risk Factors, Meta-Analysis, Evidence-Based Nursing

江鸿展, 陈丽娟, 申嘉丽, 林慧慧. 老年患者失禁相关性皮炎危险因素的Meta分析[J]. 中华护理杂志, 2023, 58(4): 471-476.

JIANG Hongzhan, CHEN Lijuan, SHEN Jiali, LIN Huihui. Risk factors of incontinence-associated dermatitis in elderly patients：a Meta-analysis[J]. Chinese Journal of Nursing, 2023, 58(4): 471-476.

图/表 2

参考文献 35

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