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我国手术病人术中获得性压疮影响因素Meta分析

李玉 杨敏萍 吕忠容 赵琳 龙凌丽 江智霞

全科护理2019,Vol.17Issue(6):645-647,3.
全科护理2019,Vol.17Issue(6):645-647,3.DOI:10.12104/j.issn.1674-4748.2019.06.002

我国手术病人术中获得性压疮影响因素Meta分析

Influencing factors of acquired pressure ulcer in surgical patients in China:a meta-analysis

李玉 1杨敏萍 1吕忠容 1赵琳 1龙凌丽 1江智霞1

作者信息

  • 1. 遵义医学院附属医院 563000
  • 折叠

摘要

Abstract

Objective:To evaluate the influencing factors of acquired pressure ulcers in surgical patients in China using meta-analysis, and to provide the evidence-based evidence for prevention and control the acquired pressure ulcers.Methods:Investigation literature of the factors affecting the acquired pressure ulcer in Chinese surgical patients was retrieved from the Chinese biomedical literature database, China National Knowledge Infrastructure (CNKI), VIP database, and Wanfang database.The fixed effect model and random effect model were used to comprehensively evaluate the intraoperative factors influencing the acquired pressure ulcers.Results:A total of 10 studies were included involving 4496 patients.Meta-analysis results showed that the effective value and 95% CI of each factor were:0.83 (0.51~1.14) on fasting blood glucose, -8.39 (-14.40~-2.39) on serum total protein, 97.73 (92.45~103.01) on length of operation, 3.37 (1.83~4.91) years old on age, 1.64 (0.81~2.48) on body mass index (BMI), 23.02 (19.74~26.30) blood loss, 2.83 (1.23~6.49) on smoking history.The Braden score[-0.72 (-5.68~4.24) points]and the history of diabetes[2.96 (1.60~5.47) years] were significant in the fixed effect model, but not in the random effects model.Conclusions:The length of operation and intraoperative blood loss were important factors influencing the acquired pressure ulcers.Serum total protein, age, smoking history, BMI, and fasting blood glucose were also the influencing factors of intraoperative acquired pressure ulcers.Whether Barden score and diabetes history were the influencing factors of intraoperative acquired pressure ulcers still need further research to confirm.

关键词

术中获得性压疮/影响因素/Meta分析

Key words

intraoperative acquired pressure ulcer/influencing factors/meta-analysis

分类

医药卫生

引用本文复制引用

李玉,杨敏萍,吕忠容,赵琳,龙凌丽,江智霞..我国手术病人术中获得性压疮影响因素Meta分析[J].全科护理,2019,17(6):645-647,3.

基金项目

遵义医学院附属医院硕士启动基金资助,编号:院字(2014)27号 (2014)

全科护理

1674-4748

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