Abstract:

Objective To investigate the status of iatrogenic skin injury in infants in neonatal intensive care unit（NICU） and analyze its related factors.Methods From July 1st,2017,to December 31st,2017,a self-designed questionnaire was used to collect incidence and distribution of iatrogenic skin injury in 384 infants in NICU from a tertiary hospital,and related factors were analyzed.Results The incidence of iatrogenic skin injury in infants was 15.1%. The causes of iatrogenic skin injury in infants included peeling of adhesive tape,continuous positive airway pressure,nasal skin pressure by tracheal intubation,skin pressure by percutaneous oxygen saturation probe,and diaper dermatitis. Multivariate logistic regression analysis showed that the independent risk factors of NICU infants’ iatrogenic skin injury were days of hospitalization and birth weight（P<0.05）.Conclusion The incidence of iatrogenic skin injury in infants is high. Infants with less birth weight,less gestational weeks,and longer length of hospitalization,are more likely to develop iatrogenic skin injury.

Key words: Intensive Care, Neonatal, Iatrogenic Skin Injury, Root Cause Analysis, Pediatric Nursing

摘要：

目的 调查新生儿重症监护病房（neonatal intensive careunit,NICU）患儿医源性皮肤损伤的现况,并分析其影响因素。方法 2017年7月1日—12月31日,采用自行设计的NICU患儿医源性皮肤损伤资料收集表对某三级甲等医院NICU中384例患儿的医源性皮肤损伤情况进行调查,并分析其影响因素。结果 患儿医源性皮肤损伤的发生率为15.1%;患儿医源性皮肤损伤的原因包括撕拉胶布、持续气道末正压通气以及气管插管压迫鼻部皮肤、经皮血氧饱和度探头压迫皮肤、臂部皮肤保护不当等;多因素Logistic回归分析结果显示,NICU患儿医源性皮肤损伤的独立危险因素为患儿的住院时间及出生体重（P<0.05）。结论 NICU患儿医源性皮肤损伤的发生率高,患儿出生体重越小、住院时间越长,越容易发生医源性皮肤损伤。

关键词: 重症监护, 新生儿, 医源性皮肤损伤, 影响因素分析, 儿科护理学