Objective To explore the characteristics of endotracheal intubation-related pressure injury in ICU patients,and to analyze its influencing factors.Methods A total of 713 ICU patients with indwelling tracheal intubation were selected,and they were divided into an injury group(n=290)and a non-injury group(n=423)according to whether tracheal intubation-related PI oc-curred.The clinical data and endotracheal intubation-related data were compared between the two groups.Logistic regression was used to analyze the influencing factors of endotracheal intubation-related pressure injury in ICU patients.Results Endotracheal intu-bation-related PI occurred in 290 patients,with an incidence of 40.67％.Logistic regression analysis showed that APACHE Ⅱscore,interleukin-6,prone ventilation,analgesia,and duration of endotracheal intubation were risk factors for endotracheal intuba-tion-related PI in ICU patients,and lower degree of skin humidity and higher serum albumin levels were protective factors(all P＜0.05).The constructed logistic regression model had an AUC=0.948(95％CI:0.933-0.963),and good model fit.Conclusion The incidence of endotracheal intubation-related PI in ICU patients is high,and clinical attention should be paid to its influencing factors and targeted interventions should be formulated to reduce the incidence of endotracheal intubation-related PI.
关键词
重症监护室/气管插管/压力性损伤/俯卧位通气/镇痛/皮肤潮湿/血清白蛋白/影响因素
Key words
intensive care unit/endotracheal intubation/pressure injuries/prone ventilation/analgesia/skin dampness/serum albumin/influencing factors
维普
万方数据