住院病人皮膚撕裂傷盛行率與相關危險因素之探討

A Study on Skin Tear Prevalence and Related Risk Factors Among Inpatients

本研究目的在探討住院病人皮膚撕裂傷盛行率與相關危險因素。採橫斷式調查法，以方便取樣選取某醫院內外科病房及重症單位724位病人為研究對象。運用實際觀察法檢視皮膚及自擬結構式問卷收集資料。結果發現住院病人皮膚撕裂傷盛行率11.05 %；發生部位以臉與頭頸部為首，移除醫材敷料所致73.91%居多，損傷程度65.95%屬第三類型組織完全缺損居多。經邏輯斯回歸分析結果顯示年齡、移動性受限者、日常生活活動功能依賴者、皮膚狀況異常者，可預測皮膚撕裂傷的發生。研究結果可提供臨床護理人員皮膚撕裂傷高危險群評估與預防措施執行之依據，同時可作為臨床護理人皮膚撕裂傷照護在職教育課程規劃之參考。

The purposes of this study were to explore skin tear prevalence and related factors among inpatients. A cross-sectional study with convenience sampling was used to conduct this study at a medical center in Taiwan. There were 724 participants enrolled in this study. Data were collected by using self-structured questionnaires and actual observation to examine the skin conditions. The results of this study indicated that the prevalence of skin tears on inpatients was 11.05%. The majority of participants with skin tearsoccurred on the face, head and neck. Out of the 11.05%, 73.91% were related to remove tape and wound dressing, and 65.95% of skin tear involves the entire loss of tissue (Payne-Martin categories III). According to the logistic regression, the important predictors of skin tears were age, mobility limitation, ADLs independence, and abnormal skin presence. These results may offer nursing staff a basis for assessments of skin tears related risk factors and development of skin tears prevention strategies. Moreover, the findings can be used as a reference for designing a curriculum of in-service education on skin tear care for clinical nursing staffs.