钟丽霞 王欣然

    [摘要] 目的 探讨外科重症监护病房(ICU)患者失禁相关性皮炎(IAD)发生的危险因素，建立预测模型。 方法 采用连续抽样入组方式，收集2018年7月～2019年4月首都医科大学宣武医院外科ICU患者资料116份，根据患者有无发生IAD，分为非IAD组(93例)和IAD组(23例)。采用logistic逐步回归分析方法对IAD影响因素进行分析，构建预测模型，并评估效果。 结果 外科ICU患者IAD发生率为19.83%，IAD发生的主要影响因素包括PAT风险分层、Barthel指数、急性生理与慢性健康评分(APACHEⅡ)、Braden评分、年龄(P 70岁(OR = 4.474，95%CI：1.112～17.993，P 70岁是影响外科ICU患者发生IAD的独立危险因素。建立IAD的预测模型有助于早期识别IAD高风险患者。

    [关键词] 重症监护病房;失禁相关性皮炎;影响因素;预测

    [中图分类号] R587.1? ? ? ? ? [文献标识码] A? ? ? ? ? [文章编号] 1673-7210(2020)02(b)-0109-04

    Study on risk factors and predictive model of incontinence-associated dermatitis in surgical ICU patients

    ZHONG Lixia? ?WANG Xinran

    Department of General Surgery， Xuanwu Hospital Capital Medical University， Beijing? ?100053， China

    [Abstract] Objective To investigate the risk factors of incontinence-associated dermatitis (IAD) in patients in surgical intensive care unit (ICU) and to establish a prediction model. Methods A total of 116 patients were collected by continuous sampling from July 2018 to April 2019 in ICU of Xuanwu Hospital Capital Medical University. They were divided into non-IAD group (93 cases) and IAD group (23 cases) according to the presence or absence of IAD. The influencing factors of IAD were analyzed by logistic stepwise regression analysis ......