Early warning effect of clinical nutrition index on pressure ulcer in patients with ICU
HUO Wan-jun1 LIU Rong-min1 XIONG Xiao-ling2▲
1.School of Nursing,Guangdong Pharmaceutical University in Guangdong Province,Guangzhou 510000,China;
2.Department of Intensive Care Unit,the First Affiliated Hospital of Guangdong Pharmaceutical University,Guangdong Province, Guangzhou 510000,China
Abstract:ObjectiveTo explore the relationship between pressure ulcers and common clinical nutritional indexes in ICU patients.Methods256 hospitalized patients in ICU of a three class A hospital in Guangdong Province from May 2016 to February 2017 were investigated by using self-designed questionnaire for risk factors of decubitus ulcers in ICU patients.ResultsUnivariate analysis showed that there were significant differences in hemoglobin,red blood cell, hematocrit,albumin,total protein,mid-upper arm circumference,calf circumference and body mass index between two groups(P<0.05).Logistic regression analysis showed that,the decrease of albumin level and calf circumference were independent risk factors for pressure ulcer in ICU patients.ConclusionThe medical staff should pay attention to the early warning effect of the decrease of albumin level and calf circumference on pressure ulcers.
霍婉君;刘荣敏;熊小玲. 临床常用营养指标对ICU患者压疮发生的预警作用[J]. 中国当代医药, 2017, 24(14): 138-140.
HUO Wan-jun;LIU Rong-min;XIONG Xiao-ling. Early warning effect of clinical nutrition index on pressure ulcer in patients with ICU. 中国当代医药, 2017, 24(14): 138-140.
Npuap.National Pressure Ulcer Advisory Panel(NPUAP)announces a change in terminology from pressure ulcer to pressure injury and updates the stages of pressure injury [EB/OL].https://www.npuap.org/,13 April 2016.
[2]
Keller PB,Wille J,van Ramshorst B,et al.Pressure ulcers in intensive care patients:a review of risks and prevention[J]. Intensive Care Med,2002,28(10):1379-1388.
Serra R,Caroleo S,Buffone G,et al.Low serum albumin level as an independent risk factor for the onset of pressure ulcers in intensive care unit patients[J].Int Wound J,2014,11(5):550-553.
Nassaji M,Askari Z,Ghorbani R.Cigarette smoking and risk of pressure ulcer in adult intensive care unit patients[J].Int J Nurs Pract,2014,20(4):418-423.
[8]
Corniello AL,Moyse T,Bates J,et al.Predictors of pressure ulcer development in patients with vascular disease[J].J Vasc Nurs,2014,32(2):55-62.
[9]
Sayar S,Turgut S,Dogan H.Incidence of pressure ulcers in intensive care unit patients at risk according to the waterlow scale and factors influencing the development of pressure ulcers[J].J Clin Nurs,2009,18(5):765-774.
Campos AC,Groth AK,Branco AB.Assessment and nutritional aspects of wound healing[J].Curr Opin Clin Nutr Metab Care,2008,11(3):281-288.
[15]
Bonnefoy M,Jauffret M,Kostka T,et al.Usefulness of calf circumference measurement in assessing the nutritional state of hospitalized elderly people[J].Gerontology,2002,48(3):162-169.
[16]
Chumlea WC,Guo SS,Vellas B,et al.Techniques of assessing muscle mass and function(sarcopenia)for epidemiological studies of the elderly[J].J Gerontol A Biol Sci Med Sci,1995,50(Spec):45-51.