대한간호학회지 (Journal of Korean Academy of Nursing)

한국간호과학회 (Korean Society of Nursing Science)
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폼매트리스 사용 중환자의 욕창발생위험군별 적정 체위변경시간

Optimal Time Interval for Position Change for ICU Patients using Foam Mattress Against Pressure Ulcer Risk

  • 투고 : 2012.02.14
  • 심사 : 2012.09.27
  • 발행 : 2012.10.31
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초록

Purpose: This study was done to identify the time interval to pressure ulcer and to determine the optimal time interval for position change depending on pressure ulcer risk in patients using foam mattress in intensive care units. Methods: The Braden scale score, occurrence of pressure ulcers and position change intervals were assessed with 56 patients admitted to an intensive care unit from April to November, 2011. The time to pressure ulcer occurrence by Braden scale risk group was analyzed with Kaplan-Meier survival analysis and log rank test. Then, the optimal time interval for position change was calculated with ROC curve. Results: The median time to pressure ulcer occurrence was 5 hours at mild or moderate risk, 3.5 hours at high risk and 3 hours at very high risk on the Braden scale. The optimal time interval for position change was 3 hours at mild and moderate risk, 2 hours at high and very high risk of Braden scale. Conclusion: When foam mattresses are used a slight extension of the time interval for position change can be considered for the patients with mild or moderate pressure ulcer risk but not for patients with high or very high pressure ulcer risk by Braden scale.

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참고문헌

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  3. Automated Pressure Injury Risk Assessment System Incorporated Into an Electronic Health Record System vol.66, pp.6, 2012, https://doi.org/10.1097/nnr.0000000000000245
  4. The Efficacy of a Viscoelastic Foam Overlay on Prevention of Pressure Injury in Acutely Ill Patients : A Prospective Randomized Controlled Trial vol.44, pp.5, 2017, https://doi.org/10.1097/won.0000000000000359
  5. Perioperative factors and pressure ulcer development in postoperative ICU patients: a retrospective review vol.27, pp.8, 2012, https://doi.org/10.12968/jowc.2018.27.8.475
  6. [수술실] 욕창예방 간호 실무지침 현황 및 적용실태 조사 vol.19, pp.11, 2018, https://doi.org/10.5762/kais.2018.19.11.635
  7. 고관절 골절로 입원한 노인 환자의 욕창 발생 위험요인 vol.21, pp.1, 2012, https://doi.org/10.7586/jkbns.2019.21.1.54
  8. 욕창예방을 위한 중재와 영향요인 : 체계적 문헌고찰 vol.18, pp.2, 2012, https://doi.org/10.14400/jdc.2020.18.2.323
  9. Comparing Pressure Injury Incidence Based on Repositioning Intervals and Support Surfaces in Acute Care Settings: A Quasi-Experimental Pragmatic Study vol.34, pp.8, 2012, https://doi.org/10.1097/01.asw.0000755912.27170.9a