Abstract
Objective: This paper aims to explore clinical status and related influence factors of pressure injury (PI) in the elderly inpatients with kidney disease, so as to provide reference for the prevention and treatment of PI in the elderly inpatients with kidney disease. Methods: Retrospective collection method is adopted to collect 158 clinical cases of the elderly inpatients with kidney disease aged ≥ 60 in the Nephrology Department, the First Affiliated Hospital of Jinan University from January 2017 to December 2019, and then least absolute shrinkage and selection Operator (LASSO) regression analysis is used to analyze 17 possible influence factors; finally Logistic regression model is established to analyze and screen influence factors of risk. Results: 1) Among 158 elderly inpatients with medium and high risk of PI, the incidence of PI is 20.25%; the most common stage of injury is stage I (42.5%); sacrococcygeal (60%) is the high-risk site of pressure injury. 2) LASSO regression analysis shows that history of present respiratory infection/respiratory failure (β = 1.2714. P β = 0.4177. P < 0.05) are independent factors influencing PI risk in the elderly inpatients with kidney disease. Conclusion: The elderly patients with kidney disease and PI risk are the high incidence population of hospital acquired PI; for the elderly inpatients with kidney disease and having respiratory infection history or respiratory failure, prolonged hospitalization will significantly increase the risk of PI. Therefore, targeted preventive and control measures should be taken to reduce the incidence of PI.
Highlights
In 2016, the National Pressure Ulcer Advisory Panel (NPUAP) updated the definition of pressure ulcer and changed the name of “pressure ulcer” to “pressure injury”
This paper aims to explore clinical status and related influence factors of pressure injury (PI) in the elderly inpatients with kidney disease, so as to provide reference for the prevention and treatment of Pressure injury (PI) in the elderly inpatients with kidney disease
2) LASSO regression analysis shows that history of present respiratory infection/respiratory failure
Summary
In 2016, the National Pressure Ulcer Advisory Panel (NPUAP) updated the definition of pressure ulcer and changed the name of “pressure ulcer” to “pressure injury”. The hospitalization time will increase; and the elderly patients will be seriously infected, which will make them feel worse and even threaten their life [5]. The incidence of hospital acquired PI is one of the key indicators to evaluate nursing quality [6] It is one of the key and difficult points to prevent and reduce the complication of PI in the elderly inpatients with kidney disease. This study reviews the elderly patients with kidney disease and with medium and high risk of PI in three years of undergraduate course, and uses LASSO Logistic regression model to analyze and screen the relevant influence factors of PI occurrence, so as to provide reference for clinical researches on the improvement of PI prevention measures and reduction of PI incidence
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