以质量求发展，以服务铸品牌

护理学报 ›› 2019, Vol. 26 ›› Issue (3): 1-4.doi: 10.16460/j.issn1008-9969.2019.03.001

• 研究生园地 •    下一篇

ICU心脏外科术后成人患者压力性损伤影响因素分析

王亚婷1, 彭晓红2a, 董正惠2b   

  1. 1.新疆医科大学 护理学院,新疆 乌鲁木齐 830054;
    2.新疆医科大学第一附属医院 a.重症医学科;b.护理部,新疆 乌鲁木齐 830011
  • 收稿日期:2018-10-13 出版日期:2019-02-10 发布日期:2020-07-08
  • 通讯作者: 董正惠（1970-）,女,湖北潜江人,硕士,主任护师,硕士研究生导师。E-mail:2397495105@qq.com
  • 作者简介:王亚婷（1993-）,女,甘肃武威人,本科学历,硕士研究生在读,护士。
  • 基金资助:
    新疆医科大学2017年人文社会科学基金项目-改革与发展专项（2017XYFG46）

Influence Factors of Stress Injury of Adult Patients after Cardiac Surgery in ICU

WANG Ya-ting1, PENG Xiao-hong2a, DONG Zheng-hui2b   

  1. 1. School of Nursing, Xinjiang Medical University, Urumqi 830054, China;
    2a. Dept. of Critical Care Medicine; 2b. Dept. of Nursing Administration, the First Affiliated Hospital of Xinjiang Medical University, Urumqi 830011, China
  • Received:2018-10-13 Online:2019-02-10 Published:2020-07-08

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摘要： 目的 探讨ICU心脏外科术后成人患者压力性损伤影响因素。方法 回顾性分析2017年1—12月新疆医科大学第一附属医院ICU收治的心脏外科术后成人患者322例,描述患者临床资料及压力性损伤情况,同时采用单因素分析和多因素Logistic回归分析方法确定ICU心脏外科术后患者压力性损伤的影响因素。结果 多因素Logistic回归分析显示,年龄、术中输血量是ICU心脏外科术后患者发生压力性损伤的独立危险因素（P<0.05）。性别、体外循环时间、术中最低体温是ICU心脏外科术后患者发生压力性损伤的保护因素（P<0.05）。结论 ICU心脏外科术后成人患者压力性损伤发生率较高,年龄、性别、术中输血量、体外循环时间、术中最低体温是其影响因素。临床护理时应对患者进行全面评估,对患者术中输血量、体外循环时间、术中体温做到严格把控,同时给予患者围术期预见性干预措施,以降低ICU心脏外科术后患者压力性损伤发生率,提升护理服务质量。

关键词: 重症监护室, 心脏外科手术, 压力性损伤, 影响因素

Abstract: Objective To explore the influence factors of stress injury of adult patients after cardiac surgery in intensive care unit (ICU). Methods A retrospective analysis was performed on 322 cases of postoperative cardiac surgery adult patients admitted to the ICU of the First Affiliated Hospital of Xinjiang Medical University from January to December 2017. The clinical data and stress injury of the patients were described. Univariate analysis and multivariate logistic regression analysis were used to determine the influence factors of stress injury in postoperative cardiac surgery patients. Results The multiple logistic regression analysis showed that age and intraoperative blood transfusion volume were independent risk factors for stress injury after cardiac surgery in ICU patients (P<0.05). Gender, length of extracorporeal circulation, and intraoperative minimum body temperature were protective factors for stress injury after cardiac surgery in ICU patients (P<0.05). Conclusion The incidence of stress injury of adult patients after cardiac surgery in ICU is high, age, gender, intraoperative blood transfusion volume, length of extracorporeal circulation, and intraoperative minimum body temperature were influence factors.A comprehensive assessment of the patients is recommended. More attention should be paid to intraoperative blood transfusion volume, extracorporeal circulation time and intraoperative minimum body temperature. Meanwhile, predictive measures should be taken for patients thus to reduce the incidence of stress injury of ICU patients after cardiac surgery and to improve the quality of nursing service.

Key words: intensive care unit, cardiac surgery, stress injury, influence factor

中图分类号: 

  • R473.6
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