Research progress on medical device-related pressure injury in neonatal intensive care unit_West China Medical Journal

Authors：

LI Siqing ¹ ,  HU Ailing ²

1. School of Nursing, Sun Yet-sen University, Guangzhou, Guangdong 510080, P. R. China;
2. Nursing Department, Lingnan Branch of the Third Affiliated Hospital of Sun Yat-sen University, Guangzhou, Guangdong 510070, P. R. China;

Corresponding?author：

HU Ailing, Email: h-ailing@163.com

Keywords：

Neonatal intensive care unit; Medical device; Pressure injury; Nursing

DOI：

10.7507/1002-0179.201901093

Video：

Export PDF Favorites Scan Get Citation

Abstract Full text Figures/Tables Video References Cited by

Medical device-related pressure injury (MDRPI) is a kind of pressure injury that occurs in the course of diagnosis and treatment, and its appearance is similar to that of medical device. Neonatal intensive care unit (NICU) infants are more likely to develop MDRPI than children and adults because of the physiological characteristics of skin and the influence of disease. At present, the occurrence of MDRPI in NICU infants is attracting worldwide attention. Its treatment and nursing consume a large amount of medical resources, which not only affect the outcome of the disease, but also increase the economic burden of the family and society. This article summarizes the MDRPI from three aspects: summary, influencing factors, and evaluation tools. It is expected that NICU nurses will carry out large sample clinical investigation of MDRPI in the future, so as to provide a reference for risk prediction model and risk assessment tools to identify high-risk infants and take effective measures in advance to reduce the incidence of MDRPI.

Citation： LI Siqing, HU Ailing. Research progress on medical device-related pressure injury in neonatal intensive care unit. West China Medical Journal, 2019, 34(2): 218-222. doi: 10.7507/1002-0179.201901093 Copy

1.	The National Pressure Ulcer Advisory Panel. National Pressure Ulcer Advisory Panel (NPUAP) announces a change in terminology from pressure ulcer to pressure injury and updates the stages of pressure injury. (2016-04-13)[2016-06-13]. http://www.npuap.org/national-pressure-ulcer-advisory-panel-npuap-announces-a-change-in-terminology-from-pressure-ulcer-to-pressure-injury-and-updates-the-stages-of-pressure-injury/.
2.	Black JM, Cuddigan JE, Walko MA, et al. Medical device related pressure ulcers in hospitalized patients. Int Wound J, 2010, 7(5): 358-365.
3.	World Health Organization. Preterm birth, 2018. (2018-02-19)[2018-11-29]. http://www.who.int/news-room/fact-sheets/detail/preterm-birth.
4.	Fujii K, Sugama J, Okuwa M, et al. Incidence and risk factors of pressure ulcers in seven neonatal intensive care units in Japan: a multisite prospective cohort study. Int Wound J, 2010, 7(5): 323-328.
5.	Grosvenor J, Dowling M. Prevention of neonatal pressure injuries. J Neonatal Nurs, 2018, 24(3): 122-125.
6.	Amir Y, Lohrmann C, Halfens RJ, et al. Pressure ulcers in four Indonesian hospitals: prevalence, patient characteristics, ulcer characteristics, prevention and treatment. Int Wound J, 2017, 14(1): 184-193.
7.	Peterson MJ, Gravenstein N, Schwab WK, et al. Patient repositioning and pressure ulcer risk--monitoring interface pressures of at-risk patients. J Rehabil Res Dev, 2013, 50(4): 477-488.
8.	靳辭辭, 王惠琴. 醫療器械相關性壓瘡的研究現狀. 護理與康復, 2016, 15(10): 946-949.
9.	Willock J, Harris C, Harrison J, et al. Identifying the characteristics of children with pressure ulcers. Nurs Times, 2005, 101(11): 40-43.
10.	Visscher M, Taylor T. Pressure ulcers in the hospitalized neonate: rates and risk factors. Sci Rep, 2014, 4: 7429.
11.	Coyer FM, Stotts NA, Blackman VS. A prospective window into medical device-related pressure ulcers in intensive care. Int Wound J, 2014, 11(6): 656-664.
12.	Apold J, Rydrych D. Preventing device-related pressure ulcers: using data to guide statewide change. J Nurs Care Qual, 2012, 27(1): 28-34.
13.	劉亞紅, 李婷, 付成成, 等. ICU 醫療器械相關性壓瘡的原因分析及對策. 中華現代護理雜志, 2014, 20(11): 1252-1254.
14.	胡軍, 王秀鋒, 李玉環, 等. 壓瘡分期與危險因素的研究及預防進展. 上海護理, 2011, 11(2): 69-72.
15.	Defloor T. The risk of pressure sores: a conceptual scheme. J Clin Nurs, 1999, 8(2): 206-216.
16.	徐玲. 住院患者壓瘡現患率的多中心聯合橫斷面調查研究. 南京: 南京中醫藥大學, 2012.
17.	Fauroux B, Lavis JF, Nicot F, et al. Facial side effects during noninvasive positive pressure ventilation in children. Intens Care Med, 2005, 31(7): 965-969.
18.	García-Molina P, Balaguer-López E, García-Fernández FP, et al. Pressure ulcers’ incidence, preventive measures, and risk factors in neonatal intensive care and intermediate care units. Int Wound J, 2018, 15(4): 571-579.
19.	程莉萍, 董建英, 雷娜, 等. NICU 患兒壓瘡預防護理進展. 中華現代護理雜志, 2014, 20(20): 2590-2592.
20.	Newnam KM, McG rather JM, Estes T, et al. An integrative review of skin breakdown in the preterm infant associated with nasal continuous positive airway pressure. J Obstet Gynecol Neonatal Nurs, 2013, 42(5): 508-516.
21.	Visscher MO, White CC, Jones JM, et al. Face masks for noninvasive ventilation: fit, excess skin hydration, and pressure ulcers. Respir Care, 2015, 60(11): 1536-1547.
22.	何利, 安如俊, 龍燕瓊, 等. 新生兒液體滲漏后預防皮膚損害的臨床觀察. 實用預防醫學, 2006, 13(5): 1321.
23.	Irving V. Caring for and protecting the skin of preterm neonates. J Wound Care, 2001, 10: 253-256.
24.	金平, 趙紅玲, 王珊丹. 新生兒壓瘡風險量表的編制和信效度分析. 中國實用護理雜志, 2016, 32(9): 682-684.
25.	余卓文, 顧鶯. 危重患兒發生壓瘡的危險因素及評估進展. 護理研究, 2011, 25(2): 101-103.
26.	王娟, 張嵐. 醫療設備相關壓瘡的發生原因及預防研究進展. 護理學雜志, 2015, 30(7): 100-102.
27.	Schindler CA, Mikhailov TA, Kuhn EM, et al. Protecting fragile skin: nursing interventions to decrease development of pressure ulcers in pediatric intensive care. Am J Crit Care, 2011, 20(1): 26-34.
28.	Murray JS, Noonan C, Quigley S, et al. Medical device-related hospital-acquired pressure ulcers in children: an integrative review. J Pediatr Nurs, 2013, 28(6): 585-595.
29.	彭均, 王穎. 壓瘡危險因素及護理干預的研究進展. 解放軍護理雜志, 2010, 27(7A): 987-989.
30.	Razmus I, Lewis L, Wilson D. Pressure ulcer development in infants: state of the science. J Healthc Qual, 2008, 30(5): 36-42.
31.	Kottner J, Wilborn D, Dassen T. Frequency of pressure ulcers in the paediatric population: a literature review and new empirical data. Int J Nurs Stud, 2010, 47(10): 1330-1340.
32.	楊曉玲, 江湖, 蒲亨萍. 兒童醫療器械相關性壓瘡的護理研究進展. 上海護理, 2017, 17(4): 78-81.
33.	王皓月, 李紅艷, 趙艷芳, 陳曉玉, 等. NICU 發生醫療設備相關壓瘡的原因及預防進展. 當代護士 (下旬刊), 2016(10): 19-22.
34.	Makic MB. Medical device-related pressure ulcers and intensive care patients. J Perianesth Nurs, 2015, 30(4): 336-337.
35.	張穎, 孫一丹. 醫療器械相關性壓瘡的預防及護理現狀. 天津護理, 2018, 26(1): 117-119.
36.	張翠鳳, 李婭, 朱跟娣. " 鳥巢”式護理在早產兒臨床中的應用. 國際護理學志, 2011, 30(11): 1663-1664.
37.	Quigley S, Curley M. Skin integrity in the pediatric population; preventing and managing pressure ulcers. J Soc Pediatr Nurs, 1996, 1(1): 7-18.
38.	Curley MAQ, Quigley SM, Lin M. Pressure ulcers in pediatric intensive care: incidence and associated factors. Pediatr Crit Care Med, 2003, 4(3): 284-290.
39.	Curley MAQ, Hasbani NR, Quigley SM, et al. Predicting pressure injury risk in pediatric patients: the Braden QD Scale. J Pediatr, 2018, 192: 189-195.
40.	陸曄峰, 樓建華, 陸秀文. 2 種壓瘡評估量表在患兒中的應用研究. 中國實用護理雜志, 2010, 26(11): 41-43.
41.	Noonan C, Quigley S, Curley MA. Using the Braden Q Scale to predict pressure ulcer risk in pediatric patients. J Pediatr Nurs, 2010, 26(6): 566-575.
42.	Gray M. Which pressure ulcer risk scales are valid and reliable in a pediatric population?. J Wound Ostomy Continence Nurs, 2004, 31(4): 157-160.
43.	韓雪馨, 許紅梅, 于秀榮, 等. 兒童壓瘡風險評估工具臨床應用的研究進展. 中國實用護理雜志, 2015, 31(33): 2572-2574.
44.	Resar R, Pronovost P, Haraden C, et al. Using a bundle approach to improve ventilator care processes and reduce ventilator associated pneumonia. J Qual Patient Saf, 2005, 31(5): 243-248.
45.	汪麗平, 魯琦, 張海玲. 新生兒皮膚風險評估護理記錄單在預防 NICU 危重患兒壓瘡中的應用. 國際護理學雜志, 2014, 33(11): 3152-3153.
46.	黃艷, 王小紅, 王媛. 壓瘡風險因素評估量表在兒科中的應用進展. 齊魯護理雜志, 2011, 17(17): 46-47.
47.	羅嬋, 梁綺鐮, 溫宋佳, 等. 新生兒壓瘡風險評估量表的臨床應用. 全科護理, 2018, 16(17): 2067-2070.
48.	馮新榮, 薛虹, 白亞莎. 新生兒壓瘡風險評估量表的設計與應用效果. 天津護理, 2015, 23(5): 423-424.

1. The National Pressure Ulcer Advisory Panel. National Pressure Ulcer Advisory Panel (NPUAP) announces a change in terminology from pressure ulcer to pressure injury and updates the stages of pressure injury. (2016-04-13)[2016-06-13]. http://www.npuap.org/national-pressure-ulcer-advisory-panel-npuap-announces-a-change-in-terminology-from-pressure-ulcer-to-pressure-injury-and-updates-the-stages-of-pressure-injury/.
2. Black JM, Cuddigan JE, Walko MA, et al. Medical device related pressure ulcers in hospitalized patients. Int Wound J, 2010, 7(5): 358-365.
3. World Health Organization. Preterm birth, 2018. (2018-02-19)[2018-11-29]. http://www.who.int/news-room/fact-sheets/detail/preterm-birth.
4. Fujii K, Sugama J, Okuwa M, et al. Incidence and risk factors of pressure ulcers in seven neonatal intensive care units in Japan: a multisite prospective cohort study. Int Wound J, 2010, 7(5): 323-328.
5. Grosvenor J, Dowling M. Prevention of neonatal pressure injuries. J Neonatal Nurs, 2018, 24(3): 122-125.
6. Amir Y, Lohrmann C, Halfens RJ, et al. Pressure ulcers in four Indonesian hospitals: prevalence, patient characteristics, ulcer characteristics, prevention and treatment. Int Wound J, 2017, 14(1): 184-193.
7. Peterson MJ, Gravenstein N, Schwab WK, et al. Patient repositioning and pressure ulcer risk--monitoring interface pressures of at-risk patients. J Rehabil Res Dev, 2013, 50(4): 477-488.
8. 靳辭辭, 王惠琴. 醫療器械相關性壓瘡的研究現狀. 護理與康復, 2016, 15(10): 946-949.
9. Willock J, Harris C, Harrison J, et al. Identifying the characteristics of children with pressure ulcers. Nurs Times, 2005, 101(11): 40-43.
10. Visscher M, Taylor T. Pressure ulcers in the hospitalized neonate: rates and risk factors. Sci Rep, 2014, 4: 7429.
11. Coyer FM, Stotts NA, Blackman VS. A prospective window into medical device-related pressure ulcers in intensive care. Int Wound J, 2014, 11(6): 656-664.
12. Apold J, Rydrych D. Preventing device-related pressure ulcers: using data to guide statewide change. J Nurs Care Qual, 2012, 27(1): 28-34.
13. 劉亞紅, 李婷, 付成成, 等. ICU 醫療器械相關性壓瘡的原因分析及對策. 中華現代護理雜志, 2014, 20(11): 1252-1254.
14. 胡軍, 王秀鋒, 李玉環, 等. 壓瘡分期與危險因素的研究及預防進展. 上海護理, 2011, 11(2): 69-72.
15. Defloor T. The risk of pressure sores: a conceptual scheme. J Clin Nurs, 1999, 8(2): 206-216.
16. 徐玲. 住院患者壓瘡現患率的多中心聯合橫斷面調查研究. 南京: 南京中醫藥大學, 2012.
17. Fauroux B, Lavis JF, Nicot F, et al. Facial side effects during noninvasive positive pressure ventilation in children. Intens Care Med, 2005, 31(7): 965-969.
18. García-Molina P, Balaguer-López E, García-Fernández FP, et al. Pressure ulcers’ incidence, preventive measures, and risk factors in neonatal intensive care and intermediate care units. Int Wound J, 2018, 15(4): 571-579.
19. 程莉萍, 董建英, 雷娜, 等. NICU 患兒壓瘡預防護理進展. 中華現代護理雜志, 2014, 20(20): 2590-2592.
20. Newnam KM, McG rather JM, Estes T, et al. An integrative review of skin breakdown in the preterm infant associated with nasal continuous positive airway pressure. J Obstet Gynecol Neonatal Nurs, 2013, 42(5): 508-516.
21. Visscher MO, White CC, Jones JM, et al. Face masks for noninvasive ventilation: fit, excess skin hydration, and pressure ulcers. Respir Care, 2015, 60(11): 1536-1547.
22. 何利, 安如俊, 龍燕瓊, 等. 新生兒液體滲漏后預防皮膚損害的臨床觀察. 實用預防醫學, 2006, 13(5): 1321.
23. Irving V. Caring for and protecting the skin of preterm neonates. J Wound Care, 2001, 10: 253-256.
24. 金平, 趙紅玲, 王珊丹. 新生兒壓瘡風險量表的編制和信效度分析. 中國實用護理雜志, 2016, 32(9): 682-684.
25. 余卓文, 顧鶯. 危重患兒發生壓瘡的危險因素及評估進展. 護理研究, 2011, 25(2): 101-103.
26. 王娟, 張嵐. 醫療設備相關壓瘡的發生原因及預防研究進展. 護理學雜志, 2015, 30(7): 100-102.
27. Schindler CA, Mikhailov TA, Kuhn EM, et al. Protecting fragile skin: nursing interventions to decrease development of pressure ulcers in pediatric intensive care. Am J Crit Care, 2011, 20(1): 26-34.
28. Murray JS, Noonan C, Quigley S, et al. Medical device-related hospital-acquired pressure ulcers in children: an integrative review. J Pediatr Nurs, 2013, 28(6): 585-595.
29. 彭均, 王穎. 壓瘡危險因素及護理干預的研究進展. 解放軍護理雜志, 2010, 27(7A): 987-989.
30. Razmus I, Lewis L, Wilson D. Pressure ulcer development in infants: state of the science. J Healthc Qual, 2008, 30(5): 36-42.
31. Kottner J, Wilborn D, Dassen T. Frequency of pressure ulcers in the paediatric population: a literature review and new empirical data. Int J Nurs Stud, 2010, 47(10): 1330-1340.
32. 楊曉玲, 江湖, 蒲亨萍. 兒童醫療器械相關性壓瘡的護理研究進展. 上海護理, 2017, 17(4): 78-81.
33. 王皓月, 李紅艷, 趙艷芳, 陳曉玉, 等. NICU 發生醫療設備相關壓瘡的原因及預防進展. 當代護士 (下旬刊), 2016(10): 19-22.
34. Makic MB. Medical device-related pressure ulcers and intensive care patients. J Perianesth Nurs, 2015, 30(4): 336-337.
35. 張穎, 孫一丹. 醫療器械相關性壓瘡的預防及護理現狀. 天津護理, 2018, 26(1): 117-119.
36. 張翠鳳, 李婭, 朱跟娣. " 鳥巢”式護理在早產兒臨床中的應用. 國際護理學志, 2011, 30(11): 1663-1664.
37. Quigley S, Curley M. Skin integrity in the pediatric population; preventing and managing pressure ulcers. J Soc Pediatr Nurs, 1996, 1(1): 7-18.
38. Curley MAQ, Quigley SM, Lin M. Pressure ulcers in pediatric intensive care: incidence and associated factors. Pediatr Crit Care Med, 2003, 4(3): 284-290.
39. Curley MAQ, Hasbani NR, Quigley SM, et al. Predicting pressure injury risk in pediatric patients: the Braden QD Scale. J Pediatr, 2018, 192: 189-195.
40. 陸曄峰, 樓建華, 陸秀文. 2 種壓瘡評估量表在患兒中的應用研究. 中國實用護理雜志, 2010, 26(11): 41-43.
41. Noonan C, Quigley S, Curley MA. Using the Braden Q Scale to predict pressure ulcer risk in pediatric patients. J Pediatr Nurs, 2010, 26(6): 566-575.
42. Gray M. Which pressure ulcer risk scales are valid and reliable in a pediatric population?. J Wound Ostomy Continence Nurs, 2004, 31(4): 157-160.
43. 韓雪馨, 許紅梅, 于秀榮, 等. 兒童壓瘡風險評估工具臨床應用的研究進展. 中國實用護理雜志, 2015, 31(33): 2572-2574.
44. Resar R, Pronovost P, Haraden C, et al. Using a bundle approach to improve ventilator care processes and reduce ventilator associated pneumonia. J Qual Patient Saf, 2005, 31(5): 243-248.
45. 汪麗平, 魯琦, 張海玲. 新生兒皮膚風險評估護理記錄單在預防 NICU 危重患兒壓瘡中的應用. 國際護理學雜志, 2014, 33(11): 3152-3153.
46. 黃艷, 王小紅, 王媛. 壓瘡風險因素評估量表在兒科中的應用進展. 齊魯護理雜志, 2011, 17(17): 46-47.
47. 羅嬋, 梁綺鐮, 溫宋佳, 等. 新生兒壓瘡風險評估量表的臨床應用. 全科護理, 2018, 16(17): 2067-2070.
48. 馮新榮, 薛虹, 白亞莎. 新生兒壓瘡風險評估量表的設計與應用效果. 天津護理, 2015, 23(5): 423-424.

Previous Article
Progress in magnetic resonance imaging of brain structural changes in post-traumatic stress disorder

West China Medical Journal

Research progress on medical device-related pressure injury in neonatal intensive care unit

Abstract Full text Figures/Tables Video References Cited by

Previous Article

Format

Content