华西医学

华西医学

新生儿重症监护病房医疗器械相关压力性损伤的研究进展

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医疗器械相关压力性损伤(medical device-related pressure injury,MDRPI)是指在诊治过程中使用医疗器械发生的压力性损伤,其外表和医疗器械的外形类似。新生儿重症监护病房(neonatal intensive care unit,NICU)患儿因皮肤生理特点及疾病影响,较儿童和成年人更易发生 MDRPI。目前 NICU 患儿发生 MDRPI 正引起全世界的关注,其治疗和护理消耗大量医疗资源,不仅影响患儿疾病的转归,还增加了家庭和社会的经济负担。该文主要从 MDRPI 的概述、影响因素、评估工具 3 个方面进行综述,以期今后 NICU 护士进行 MDRPI 的大样本临床调研,为构建风险预测模型和风险评估工具提供参考依据,以此识别高危患儿,提前采取有效措施,降低 MDRPI 发生率。

Medical device-related pressure injury (MDRPI) is a kind of pressure injury that occurs in the course of diagnosis and treatment, and its appearance is similar to that of medical device. Neonatal intensive care unit (NICU) infants are more likely to develop MDRPI than children and adults because of the physiological characteristics of skin and the influence of disease. At present, the occurrence of MDRPI in NICU infants is attracting worldwide attention. Its treatment and nursing consume a large amount of medical resources, which not only affect the outcome of the disease, but also increase the economic burden of the family and society. This article summarizes the MDRPI from three aspects: summary, influencing factors, and evaluation tools. It is expected that NICU nurses will carry out large sample clinical investigation of MDRPI in the future, so as to provide a reference for risk prediction model and risk assessment tools to identify high-risk infants and take effective measures in advance to reduce the incidence of MDRPI.

关键词: 新生儿重症监护病房; 医疗器械; 压力性损伤; 护理

Key words: Neonatal intensive care unit; Medical device; Pressure injury; Nursing

引用本文: 李思情, 胡爱玲. 新生儿重症监护病房医疗器械相关压力性损伤的研究进展. 华西医学, 2019, 34(2): 218-222. doi: 10.7507/1002-0179.201901093 复制

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