To explore the pressure injury incidence and influencing factors in elderly patients with different activity levels.
A multicenter cross-sectional survey was conducted,enrolling elderly patients aged≥65 years from eight tertiary hospitals. Data on general information,health status,skin examination,and implementation of preventive measures were collected using uniformly trained research tools and methods.
A total of 4 851 elderly patients were included,of whom 107 developed pressure injuries,resulting in an incidence rate of 2.2%.Among the independently mobile group,7(0.2%) developed pressure injuries.Among the crutches/assistance/wheelchairs group,16(1.9%) developed pressure injuries.Among the bedridden group,84(7.9%) developed pressure injuries.In the independently mobile group,age,dietary status,and type of dressing at pressure sites were independent risk factors for pressure injuries.In the crutches/assistance/wheelchair group,the Braden score was an independent risk factor.In the bedridden group,education level,Braden score and type of dressing at pressure sites were independent risk factors.
The incidence of pressure injuries in elderly patients is closely related to their activity levels,with lower activity levels associated with higher incidence rates.Risk factors for pressure injuries vary among patients with different activity levels.Targeted stratified prevention strategies should be implemented for independently mobile,crutches/assistance/wheelchair,and bedridden patients,focusing on key factors such as advanced age,nutrition,Braden score,medication use,and local dressing applications to effectively reduce the risk of pressure injuries.
| 科 Family | 属数 Number of genus | 种数 Number of species | 占总种数比例 Percentage of total species (%) | 属 Genus | 种数 Number of species | 占总种数比例 Percentage of total species (%) |
|---|---|---|---|---|---|---|
| 鹅膏菌科Amanitaceae | 2 | 11 | 5.26 | 鹅膏菌属 Amanita | 10 | 4.78 |
| 小菇科 Mycenaceae | 2 | 12 | 5.74 | 丝盖伞属 Inocybe | 5 | 2.39 |
| 多孔菌科 Polyporaceae | 8 | 14 | 6.70 | 蜡蘑属 Laccaria | 5 | 2.39 |
| 红菇科 Russulaceae | 3 | 23 | 11.00 | 小皮伞属 Marasmius | 6 | 2.87 |
| 小菇属 Mycena | 11 | 5.26 | ||||
| 光柄菇属 Pluteus | 5 | 2.39 | ||||
| 红菇属 Russula | 17 | 8.13 | ||||
| 栓菌属 Trametes | 5 | 2.39 |