成人ICU病人专用压力性损伤风险评估工具的系统评价

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Abstract Objective：To systematically review the predictability of dedicated stress injury risk assessment scales for adult ICU patients.Methods：The research of ICU dedicated stress injury risk assessment scales were searched from PubMed，EMbase，the Cochrane Library，CINAHL，CNKI，WanFang Database，and VIP.The retrieval time was from inception to May 31，2022.The diagnostic research quality evaluation tool launched by the Evidence-based Health Care Center of Joanna Briggs Institute （JBI） in Australia was used to evaluate the quality of the included literature，and a Meta-analysis was conducted using STATA 16.0 software.Results：A total of 18 articles were included，including 5 642 patients，with 824 cases of stress injury.5 articles evaluated the COMHON scale，with a combined sensitivity of 0.82，95%CI［0.46，0.96］ and a specificity of 0.83，95%CI［0.79，0.86］.The area under the comprehensive subject operating characteristic curve（SROC） was 0.85.Ten articles evaluated the Cubbin & Jackson Scale，with a combined sensitivity of 0.75，95%CI［0.66，0.83］，a specificity of 0.81，95%CI［0.73，0.87］，and the area under the SROC curve was 0.85.Conclusion：Current evidence show that the predictive ability of the stress injury risk assessment scales for ICU patients is acceptable，but there are still some problems.It is necessary to develop a stress injury risk assessment scales for ICU patients that is suitable for national conditions based on the existing assessment scales.

Keywords adult;ICU patients;pressure injury;risk assessment;system evaluation;evidence-based nursing

基金项目 深圳市南山区技术研发和创意设计项目分项资金教育（卫生）科技项目，编号：2020053

作者简介 刘家红，主管护师，硕士研究生

*通讯作者 秦玉菊，E-mail：94375164@qq.com

引用信息 刘家红，王文娟，张静，等.成人ICU病人专用压力性损伤风险评估工具的系统评价［J］.循证护理，2023，9（8）：1337-1344.

摘要 目的：系统评价成人ICU病人专用压力性损伤风险评估工具的预测性。（剩余13562字）