Risk factors analysis of incontinence related dermatitis in ICU patients
ICU 患者失禁相关性皮炎的危险因素分析

摘要

目的 分析 ICU 患者失禁相关性皮炎（IAD）的危险因素。方法 回顾性分析我院于 2021.10 月-2022.10 月收治的符合条件的 300 例 ICU 患者的临床资料，分别选取符合观察组及对照组纳入标准的患者各 50 例进行病 例对照分析，通过统计学方法对 ICU 患者出现 IAD 的危险因素进行分析。结果 ICU 患者 IAD 的发生率为 22.33%。 单因素分析结果显示：高热、意识状态、血清白蛋白、腹泻、大小便失禁、APACHRE-Ⅱ评分与 ICU 患者 IAD 的发生有关（P＜0.05）。年龄、性别、抗生素使用情况与 ICU 患者 IAD 的发生无关（P＞0.05）；多因素分析显 示：腹泻、大小便失禁、APACHRE-Ⅱ评分是 ICU 患者出现 IAD 的危险因素。结论 腹泻、大小便失禁、APACHRE-Ⅱ 评分是 ICU 患者出现 IAD 的独立危险因素。

Abstract

Objective To analyze the risk factors of incontinence associated dermatitis (IAD) in ICU patients. Method A retrospective analysis was conducted on the clinical data of 300 eligible ICU patients admitted to our hospital from October 2021 to October 2022. Fifty patients who met the inclusion criteria of the observation group and the control group were selected for case-control analysis, and the risk factors for IAD in ICU patients were analyzed using statistical methods. Result The incidence of IAD in ICU patients was 22.33%. The results of univariate analysis showed that high fever, state of consciousness, serum albumin, diarrhea, urinary and fecal incontinence, APACHRE - II score were associated with the occurrence of IAD in ICU patients (P<0.05). Age, gender, and antibiotic use were not associated with the occurrence of IAD in ICU patients (P>0.05); Multivariate analysis showed that diarrhea, urinary and fecal incontinence, and APACHRE - II score were risk factors for IAD in ICU patients.
Conclusion   Diarrhea, urinary and fecal incontinence, and APACHRE - Ⅱ score are independent risk factors for IAD in ICU patients.