Meta-analysis of risk factors for pressure injury in stroke patients
Objective To analyze the risk factors for pressure injury in stroke patients.Methods The Cochrane Library,PubMed,Em-base,Web of Science,CINAHL,Sinomed,the Evidence-Based Health Care Center database,CNKI,Wanfang Data Knowledge Service Plat-form,and VIP Chinese Scientific and Technical Journals database were searched for research on the risk factors of pressure injury in stroke patients.RevMan 5.4 software was used for Meta-analysis.Results A total of 19 studies(16 Chinese articles,3 English articles)were in-cluded.The risk factors for pressure injury in stroke patients included age≥70 years[OR=1.64,95% CI(1.52,1.77),P＜0.001],malnutri-tion[OR=2.62,95% CI(2.02,3.41),P＜0.001],and bed rest time≥14 days[OR=3.99,95% CI(3.45,4.60),P＜0.001],indwelling tub-ing[OR=6.57,95% CI(4.51,9.59),P＜0.001],mechanical ventilation[OR=4.45,95% CI(2.99,6.64),P＜0.001],impairment of con-sciousness[OR=2.76,95% CI(2.14,3.56),P＜0.001],anemia[OR=2.53,95% CI(1.84,3.47),P＜0.001],incontinence[OR=3.20,95% CI(2.36,4.34),P＜0.001],diabetes mellitus[OR=7.44,95% CI(3.22,17.19),P＜0.001],paralysis[OR=3.86,95% CI(2.44,6.10),P＜0.001],sensory dysfunction[OR=4.26,95% CI(1.42,12.74),P=0.010],friction[OR=4.92,95% CI(1.61,15.04),P=0.005],shear force[OR=5.37,95% CI(2.17,13.29),P＜0.001],pressure[OR=5.45,95% CI(1.14,25.97),P=0.030],sedatives or nonsteroidal anti-inflammatory drugs[OR=30.78,95% CI(5.25,180.61),P＜0.001].Conclusion There are many risk factors for pressure injury in stroke patients.Medical staff should evaluate and identify high-risk patients as early as possible and take targeted preventive meas-ures to reduce the incidence of pressure injury in stroke patients.
万方数据
维普
