Volume 20 Issue 10
Oct.  2022
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Article Navigation >  Chinese Journal of General Practice  > 2022  >  20(10): 1708-1710
FENG Zhe, WANG Yang, LAN Duan-yun, YI Jing, JU Min. Current status and related risk factors of stress injury in children in neonatal intensive care unit[J]. Chinese Journal of General Practice, 2022, 20(10): 1708-1710. doi: 10.16766/j.cnki.issn.1674-4152.002685
Citation: FENG Zhe, WANG Yang, LAN Duan-yun, YI Jing, JU Min. Current status and related risk factors of stress injury in children in neonatal intensive care unit[J]. Chinese Journal of General Practice, 2022, 20(10): 1708-1710. doi: 10.16766/j.cnki.issn.1674-4152.002685
shu

Current status and related risk factors of stress injury in children in neonatal intensive care unit

doi: 10.16766/j.cnki.issn.1674-4152.002685
  • 1.

    Endocrine Department, Nanyang Central Hospital of Henan Province, Nanyang, Henan 473000, China

Funds:

 192103210073

 KJGG20134

  • Received Date: 2021-09-15
    Available Online: 2022-11-30
    Abstract
  •   Objective  To understand the occurrence, distribution characteristics and risk factors of neonatal intensive care unit (NICU) pressure injuries.  Methods  Total 467 children admitted to the NICU of Nanyang Central Hospital from January to December 2019 were selected. The relevant demographic data, condition, location and physical signs of pressure injury that affect the risk of pressure injury in children were collected. These factors were analysed by logistic regression.  Results  Amongst the 467 children, 79 cases (93 places) had different degrees of stress injury, the incidence of stress injury was 16.92%. Among 93 places, 62.37% (58 places) of the stress injuries were related to medical equipment and 83.87% (78 places) of the degree of damage was a phase 1 injury. The high-risk part of the stress injury was the nose [20.43% (19/93)] followed by the appendix [17.20% (16/93)], the cheek [11.83% (11/93)], the occipital [10.75% (10/93)], the mouth [9.68% (9/93)], the heel [7.53% (7/93)], and behind the ears [6.45% (6/93)]. NICU stay ≥7 days (OR=3.025, 95% CI: 1.178-7.729), mechanical ventilation (OR=4.568, 95% CI: 2.110-9.848), unconsciousness (OR=4.397, 95% CI: 1.860-10.351), somnolence (OR=5.447, 95% CI: 2.359-12.578) and critical illness (OR=3.142, 95% CI: 1.184-8.340) were independent risk factors for stress injury in children in the NICU.  Conclusion  NICU injuries are mainly medical equipment-related stress injuries. The high-risk predisposing factors vary and are related to the child' s condition, restricted activities and use of medical equipment.

     

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