标题：海南省老年住院患者不同失禁特征对失禁相关性皮炎及合并真菌感染患病率的影响

      作者：麦惠盈，宋菲菲，刘倩，王余娜，冯程程，覃颖鲜，王清华    麦惠盈，宋菲菲，刘倩，王余娜，冯程程，覃颖鲜，王清华海南省人民医院专科护理诊疗中心，海南 海口 570311

      卷次： 2023年34卷20期

      【摘要】 目的 了解海南省60岁及以上老年住院患者失禁相关性皮炎(IAD)现状，并分析其相关危险因素，为预防 IAD的发生提供科学依据。方法 使用自制 IAD调查表及 IAD评估工具于2021年9~11月对海南省15个市县45家医疗机构的 5 878例老年住院患者进行横断面调查，收集患者的一般人口学信息、失禁特征和 IAD及真菌感染资料。计数资料采用频数与百分比描述，组间差异比较采用χ2检验，采用二项Logistic回归多因素分析失禁频率、失禁持续时间、不同失禁类型等因素与 IAD及真菌感染发生风险的关系。结果 5 878例老年住院患者中失禁发生率为26.4% (1 552/5 878)，老年住院患者 IAD患病率为20.5% (1 205/5 878)，其中伴有真菌感染者为1.2%(69/5 878)。经单因素和二项Logistic回归多因素分析结果显示，尿失禁、大便失禁、双重失禁、腹泻、频繁失禁、生活于湿润地区是发生 IAD的独立危险因素(P<0.05)，双重失禁、腹泻、频繁失禁、生活于湿润地区是 IAD合并真菌感染发生的独立危险因素(P<0.05)。结论 海南省老年住院患者 IAD及真菌感染发生的高危人群为大小便失禁、频繁失禁、生活于湿润地区的患者，应针对高危人群采取科学的防护措施以减少 IAD及真菌感染的情况发生。
      【关键词】 海南；老年人；失禁相关性皮炎；真菌感染；现况调查；危险因素
      【中图分类号】 R751.05 【文献标识码】 D 【文章编号】 1003—6350（2023）20—2999—04

Effect of different incontinence characteristics on the prevalence of incontinence-associated dermatitis andco-infection of fungal infections in elderly hospitalized patients in Hainan Province.
MAI Hui-ying, SONG Fei-fei,LIU Qian, WANG Yu-na, FENG Cheng-cheng, QING Ying-xian, WANG Qing-hua. Specialist Nursing Center, HainanGeneral Hospital, Haikou 570311, Hainan, CHINA
【Abstract】 Objective To understand the current situation of incontinence-associated dermatitis (IAD) in elder-ly hospitalized patients aged 60 years and above in Hainan Province and to explore and analyze the related risk factors,so as to provide scientific basis for the prevention of IAD. Methods A cross-sectional survey was conducted among5 878 elderly hospitalized patients from 45 medical institutions in 15 cities and counties in Hainan Province from Sep-tember 2021 to November 2021 using a homemade IAD questionnaire and IAD assessment tool, and the general demo-graphic information, incontinence characteristics, and information on IAD and fungal infections were collected. Countdata were described by frequency and percentage, and differences between groups were compared by χ 2 test. BinomialLogistic regression multivariate analysis was used to test the association of incontinence frequency, duration of inconti-nence, different types of incontinence with the risk of IAD and fungal infections. Results The incidence of inconti-nence in 5 878 elderly hospitalized patients was 26.4% (1 552/5 878), the prevalence of incontinence-associated dermati-tis in elderly patients was 20.5% (1 205/5 878), and the incidence of fungal infection was 1.2% (69/5 878). Univariateand binomial Logistic regression analysis showed that identified urinary incontinence, fecal incontinence, double inconti-nence, diarrhea, frequent incontinence, and living in a humid area were independent risk factors for the development ofIAD (P<0.05); dual incontinence, diarrhea, frequent incontinence, and living in a humid area were independent risk fac-tors for the development of fungal infections in combination with IAD (P<0.05). Conclusion The high-risk groups forIAD and fungal infections in elderly inpatients in Hainan Province are those who are incontinent, frequently incontinent,and live in wet areas. Scientific protective measures should be taken to reduce the occurrence of IAD and fungal infec-tions in high-risk groups.
      【Key words】 Hainan; Elderly; Incontinence-associated dermatitis; Fungal infection; Cross-section survey; Risk factor