医用粘胶相关皮肤损伤风险预测模型的研究进展 

宿建利 金银姬* 

延边大学护理学院，吉林省延吉市，133002； 

摘要：MARSI 可以造成病人明显的疼痛和应激、住院时间延长、社区治疗时间延长、医疗投入增加、伤口敷料使 用量增加、伤口延迟愈合、并发症发生率增加等，并且其发生率较高。近年来，国内临床风险预测模型的相关研 究呈持续上升趋势。本研究对近年来 MARSI 的影响因素及风险预测模型相关文献进行综述，以期为临床患者预防 MARSI 的发生提供理论参考。 

关键词：医用粘胶；皮肤损伤；风险预测；护理；综述

参考文献;

[1] Van Tiggelen H, Van Damme N, Theys S, et a l. The prevalence and associated factors of sk in tears in Belgian nursing homes: A cross-sec tional observational study[J]. J Tissue Viabil ity, 2019, 28(2): 100-106.

[2] Mcnichol L, Lund C, Rosen T, et al. Medica l adhesives and patient safety: state of the s cience: consensus statements for the assessmen t, prevention, and treatment of adhesive-relat ed skin injuries[J]. Orthop Nurs, 2013, 32(5): 267-81. 

[3] Hitchcock J, Savine L. Medical adhesive-re lated skin injuries associated with vascular a ccess[J]. Br J Nurs, 2017, 26(8): S4-s12. 

[4] Zhang Y, Wang S, Zhang X, et al. Incidence and Influencing Factors of Medical Adhesive-R elated Skin Injury in Critically Ill Patients [J]. Adv Skin Wound Care, 2020, 33(5): 260-26 6.

[5] 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. 护理学杂志 [J], 2022, 37(06): 54-57. 

[6] Frota O P, Pinho J N, Ferreira-Júnior M A, et al. Incidence and risk factors for medical adhesive-related skin injury in catheters of critically ill patients: A prospective cohort study[J]. Aust Crit Care, 2023, 36(6): 997-100 3.

[7] Gao C, Yu C, Lin X, et al. Incidence of an d Risk Factors for Medical Adhesive-Related Sk in Injuries Among Patients: A Cross-sectional Study[J]. J Wound Ostomy Continence Nurs, 2020, 47(6): 576-581. 

[8] Fumarola S, Allaway R, Callaghan R, et al. Overlooked and underestimated: medical adhesi ve-related skin injuries[J]. J Wound Care, 202 0, 29(Sup3c): S1-s24. 

[9] Wang D, Xu H, Chen S, et al. Medical Adhes ive-Related Skin Injuries and Associated Risk Factors in a Pediatric Intensive Care Unit[J]. Adv Skin Wound Care, 2019, 32(4): 176-182.

 [10] Swift T, Westgate G, Van Onselen J, et al. Developments in silicone technology for use i n stoma care[J]. Br J Nurs, 2021, 30(Sup8): 7- 18. 

[11] 李海英. 成人ICU患者医用黏胶相关性皮肤损伤 危险因素分析及风险评估量表的研制[D]. 2018.

[12] Li Y, Zhang H, Zhang S, et al. Developmen t and validation of medical adhesive-related s kin injury risk assessment scale at peripheral ly inserted central catheter insertion site in oncology patients[J]. Nurs Open, 2023, 10(8): 5244-5251. 

[13] Pires-Júnior J F, Chianca T C M, Borges E L, et al. Medical adhesive-related skin inju ry in cancer patients: A prospective cohort st udy[J]. Rev Lat Am Enfermagem, 2021, 29: e350 0. 

[14] Li J, Hao N, Han J, et al. Incidence and Predictive Model of Medical Adhesive-Related S kin Injury in Cancer Patients Managed With Cen tral Venous Access Devices: A Retrospective St udy[J]. J Wound Ostomy Continence Nurs, 2023, 50(3): 209-213.

[15] 龙国利. PICC 居家患者医用粘胶相关性皮肤损 伤的影响因素分析及预测模型的构建[D]. 2022.

[16] 赖永明星. 成都市 PICC 置入部位 MARSI 的危险 因素分析及预测模型构建[D]. 2022. 

[17] 谢婷, 张桂屏, 张娟, 等. ICU 患者医用粘胶相 关性皮肤损伤发生风险预测模型的建立与验证. 护士 进修杂志[J], 2024, 39(20): 2173-2178. [18] 吴喻, 陆雁, 许容芳, 等. 恶性肿瘤患者置入 输液港后发生医用粘胶相关性皮肤损伤风险预测模型 的构建. 交通医学[J], 2024, 38(01): 99-105. 

[19] 刘晓莉, 李瑞红, 张阳阳, 等. PICC 置入部位 医用粘胶相关性皮肤损伤风险预测模型的构建和验证. 现代中西医结合杂志[J], 2023, 32(23): 3349-335 4.

作者简介：宿建利(1998.10.25)，男，汉族，籍贯： 吉林省四平市，硕士研究生在读，延边大学护理学院， 研究方向：临床护理 作者简介：金银姬，女，朝鲜族，硕士研究生导师， 延边大学护理学院。