A study on influencing factors of incontinence-associated dermatitis complication to severe stroke patients / 预防医学

ABSTRACT

Objective To explore the influencing factors of incontinence-associated dermatitis (IAD) complication to severe stroke patients, and to provide basis for prevention of IAD.Methods Clinical data of 125 severe stroke patients was collected, and was grouped into IAD group and non-IAD group according to with or without complicated with IAD.Correlations of IAD and gender, age, obfuscation, temperature≥38 ℃, BMI, complicated with chronic disease, NIHSS score, stroke type, nutrition, immunity were analyzed.Results There were 30 of 125 severe stroke patients complicated with IAD, and the incidence of IAD was 24.00%,with 20 mild cases,7 moderate cases and 3 severe cases.Logistic aggression suggested that age (OR=7.515, 95%CI 2.369-21.454), temperature (OR=5.225, 95%CI 2.612-10.774), NIHSS score (OR=3.467, 95%CI 1.455-7.767), stroke type (OR=0.596, 95%CI 0.387-0.895), hypoproteinenia (OR=8.120, 95%CI 3.574-27.644) were influencing factors of IAD.Conclusion Senility, fever≥38 ℃, NIHSS score≥12, cerebral arterial thrombosis, hypoproteinemia could be risk factors of complication with IAD among severe stroke patients, and preventive interventions should be taken to reduce the risk of IAD.