Status quo and risk factors of medical viscose-related skin injury in severe patients: a meta-analysis

WANG Daoxin; LIU Nan; SHI Zeyuan; CHEN Yan; GUAN Ningxiao; ZHAO Wenli

doi:10.7619/jcmp.20222806

Journal of Clinical Medicine in Practice > 2022 > 26(22): 1-6, 11. > DOI: 10.7619/jcmp.20222806

WANG Daoxin, LIU Nan, SHI Zeyuan, CHEN Yan, GUAN Ningxiao, ZHAO Wenli. Status quo and risk factors of medical viscose-related skin injury in severe patients: a meta-analysis[J]. Journal of Clinical Medicine in Practice, 2022, 26(22): 1-6, 11. DOI: 10.7619/jcmp.20222806

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Status quo and risk factors of medical viscose-related skin injury in severe patients: a meta-analysis

1.
Catheter Room, Henan Provincial People's Hospital, Zhengzhou, Henan, 450003
2.
School of Nursing and Health of Henan University, Kaifeng, Henan, 475004
3.
School of Clinical Medicine of Henan University, Kaifeng, Henan, 475004

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Received Date: September 06, 2022
Available Online: December 01, 2022

Graphical Abstract

Abstract

Abstract

Objective
To analyze status quo and the risk factors of medical viscose-related skin injury (MARSI) in critical patients.
Methods
Related articles about independent risk factors of MARSI critical patients were searched in databases of PubMed, Web of Science, Cochrane Library, Chinese National Knowledge Infrastructure (CNKI), Wanfang, etc. RevMan 5.3 software was used for meta-analysis of the literature.
Results
Twelve literatures were included after screening of all relevant literature, and the number of patients with MARSI was 2 799 and 10 kinds of risk factors were included. The results of meta-analysis showed that skin edema (OR=4.09, 95%CI, 2.97 to 5.63, I²=0%, P=0.49), older or younger age (OR=2.05, 95%CI, 1.50 to 2.78, I²=0%, P=0.49), dry skin (OR=3.12, 95%CI, 1.92 to 5.07, I²=26%, P=0.26), history of MARSI (OR=10.31, 95%CI, 8.06 to 13.19, I²=0%, P=0.62), blood disease (OR=2.44, 95%CI, 1.80 to 3.31, I²=0%, P=1.00), infection (OR=1.25, 95%CI, 1.15 to 1.36, I²=41%, P=0.19), receiving surgery (OR=1.27, 95%CI, 1.18 to 1.36, I²=8%, P=0.34), blue light therapy (OR=4.15, 95%CI, 2.70 to 6.38, I²=0%, P=0.62), length of Intensive Care Unit (ICU) stay >5 days (OR=1.06, 95%CI, 0.91 to 1.24, I²=0%, P=0.46), immune diseases (OR=5.07, 95%CI, 2.11 to 12.22, I²=0%, P=0.46) were risk factors of MARSI (P < 0.05).
Conclusion
Medical staff should make a comprehensive assessment for MARSI high-risk patients according to risk factors, and make corresponding nursing prevention and intervention measures for them so as to reduce the incidence of MARSI.
- critical patients,
- medical viscose-related skin injury,
- risk factors,
- meta-analysis,
- intervention

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References

[1]	蔡佩源, 孙国珍, 李丽, 等. 中心静脉血管通路装置医用粘胶相关性皮肤损伤预防措施的最佳证据总结[J]. 中华现代护理杂志, 2021, 27(32): 4351-4356. doi: 10.3760/cma.j.cn115682-20210318-01195
[2]	KELLY-O'FLYNN S, MOHAMUD L, COPSON D. Medical adhesive-related skin injury[J]. Br J Nurs, 2020, 29(6): S20-S26. doi: 10.12968/bjon.2020.29.6.S20
[3]	王欣然. 医用粘胶相关性皮肤损伤的现状与展望[J]. 中华现代护理杂志, 2021, 27(32): 4341-4345. doi: 10.3760/cma.j.cn115682-20210115-00228
[4]	FUMAROLA S, ALLAWAY R, CALLAGHAN R, et al. Overlooked and underestimated: medical adhesive-related skin injuries[J]. J Wound Care, 2020, 29(sup3c): S1-S24. doi: 10.12968/jowc.2020.29.Sup3c.S1
[5]	陈锦明, 张芬, 邓姣, 等. 中医体质类型与多囊卵巢综合征相关性的meta分析[J]. 中华全科医学, 2022, 20(4): 691-695. https://www.cnki.com.cn/Article/CJFDTOTAL-SYQY202204038.htm
[6]	ZHAO H, HE Y, WEI Q, et al. Medical adhesive-related skin injury prevalence at the peripherally inserted central catheter insertion site: a cross-sectional, multiple-center study[J]. J Wound Ostomy Continence Nurs, 2018, 45(1): 22-25. doi: 10.1097/WON.0000000000000394
[7]	DE OLIVEIRA MARCATTO J, SANTOS A S, OLIVEIRA A J F, et al. Medical adhesive-related skin injuries in the neonatology department of a teaching hospital[J]. Nurs Crit Care, 2022, 27(4): 583-588. doi: 10.1111/nicc.12621
[8]	ZHANG Y, WANG S, ZHANG X, et al. Incidence and influencing factors of medical adhesive-related skin injury in critically ill patients[J]. Adv Skin Wound Care, 2020, 33(5): 260-266. doi: 10.1097/01.ASW.0000658584.09988.fa
[9]	ZHAO H, HE Y, HUANG H, et al. Prevalence of medical adhesive-related skin injury at peripherally inserted central catheter insertion site in oncology patients[J]. J Vasc Access, 2018, 19(1): 23-27. doi: 10.5301/jva.5000805
[10]	WANG D, XU H, CHEN S, et al. Medical adhesive-related skin injuries and associated risk factors in a pediatric intensive care unit[J]. Adv Skin Wound Care, 2019, 32(4): 176-182. doi: 10.1097/01.ASW.0000553601.05196.fb
[11]	PIRES-JÙNIOR J F, CHIANCA T C M, BORGES E L, et al. Medical adhesive-related skin injury in cancer patients: a prospective cohort study[J]. Rev Lat Am Enfermagem, 2021, 29: e3500. doi: 10.1590/1518-8345.5227.3500
[12]	GAO C, YU C, LIN X, et al. Incidence of and risk factors for medical adhesive-related skin injuries among patients: a cross-sectional study[J]. J Wound Ostomy Continence Nurs, 2020, 47(6): 576-581. doi: 10.1097/WON.0000000000000714
[13]	桂园园, 于新颖, 范玲. NICU新生儿医用粘胶相关性皮肤损伤的现况调查与分析[J]. 中国实用护理杂志, 2017, 33(5): 365-368. doi: 10.3760/cma.j.issn.1672-7088.2017.05.012
[14]	李素玲, 李雪莹, 邓敏仪. 医用粘胶相关性皮肤损伤影响因素分析及预防策略探究[J]. 现代诊断与治疗, 2018, 29(10): 1660-1662. https://www.cnki.com.cn/Article/CJFDTOTAL-XDZD201810083.htm
[15]	张晓雪, 王硕, 张宇, 等. ICU老年患者医用粘胶相关性皮肤损伤现况及影响因素分析[J]. 护理学杂志, 2022, 37(6): 54-57. https://www.cnki.com.cn/Article/CJFDTOTAL-HLXZ202206016.htm
[16]	李海英, 魏绍辉, 李娟娟, 等. ICU患者医用粘胶相关性皮肤损伤危险因素分析[J]. 中国临床护理, 2018, 10(6): 493-496, 501. doi: 10.3969/j.issn.1674-3768.2018.06.009
[17]	李保宁, 郭锦丽. 儿童医用粘胶相关性皮肤损伤危险因素分析及预防措施[J]. 护理研究, 2020, 34(5): 900-903. https://www.cnki.com.cn/Article/CJFDTOTAL-SXHZ202005038.htm
[18]	COLLIER M. Minimising pain and medical adhesive related skin injuries in vulnerable patients[J]. Br J Nurs, 2019, 28(15): S26-S32. doi: 10.12968/bjon.2019.28.15.S26
[19]	张涌静, 王娟, 李秋萍, 等. 学龄期癌症患儿PICC置管部位医用粘胶相关性皮肤损伤影响因素分析[J]. 护理研究, 2021, 35(20): 3725-3728. doi: 10.12102/j.issn.1009-6493.2021.20.032
[20]	CRESPO J C L, REUTER DO AMARAL D, CAMPANILI T C G F, et al. Incidence of medical adhesive-related skin injuries and associated factors after pediatric congenital heart surgery: a prospective cohort study[J]. J Wound Ostomy Continence Nurs, 2022, 49(2): 137-142.
[21]	毛丽娜, 文素芳, 冯淑慧. 皮肤力学理论在老年肿瘤患者PICC维护中的应用[J]. 护理学杂志, 2020, 35(17): 49-51. https://www.cnki.com.cn/Article/CJFDTOTAL-HLXZ202017015.htm
[22]	LIN T R, HU M F, LIU J H, et al. Reducing the incidence of medical adhesive-related skin injuries in surgical intensive care unit[J]. Hu Li Za Zhi, 2021, 68(1): 74-81.
[23]	SWIFT T, WESTGATE G, VAN ONSELEN J, et al. Developments in silicone technology for use in stoma care[J]. Br J Nurs, 2020, 29(6): S6-S15.

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