Journal of Home Health Care Nursing (가정∙방문간호학회지)

Korean Academic Society of Home Health Care Nursing (한국가정∙방문간호학회)
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Pressure Ulcers caused by Equipment and Supplies in Intensive Care Unit

중환자실 환경에서 의료기기 사용과 욕창발생 관련성

  • Received : 2017.08.16
  • Accepted : 2017.11.20
  • Published : 2017.12.31
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Abstract

Purpose: This study was conducted to assess the incidence and characteristics of pressure ulcer in relation to the type of equipment and supplies(EnS) in intensive care unit(ICU). Method: By using secondary data analysis and descriptive investigation, 29 patients of pressure ulcers caused by EnS were examined from January 2013 to December 2015, at the advanced general hospital located in Gyeongsangnam-do. The subjects were aged 19 years and above and had been in the ICU for more than 3 days. The data were analyzed using the SPSS WIN 23.0 with frequency, percentage, and mean and standard deviation. Result: The incidence of EnS-related pressure ulcers was 3.71%. The EnS-related causes for pressure ulcers were endotracheal tube(31.03%), restraint(20.69%), and neck brace(10.34%). The longest use of EnS was oxygen tube(29 days). EnS that were possibly causing pressure ulcer for one day were restraint(upper extremities), endotracheal tube(oral and face), and oxygen mask(ear and nose). Conclusion: This study has been limited to secondary data analysis that may result in missing records of pressure ulcers related to EnS in ICU. However, the analysis of this research is expected to contribute to the development of nursing interventions to clarify the guidelines for the prevention of pressure ulcers related to EnS in ICUs.

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References

  1. Apold, J., & Rydrych, D. (2012). Preventing device related pressure ulcers: Using data to guide statewide change. Journal of Nursing Care Quality. 27(1), 28-34. https://doi.org/10.1097/NCQ.0b013e31822b1fd9
  2. Black, J. M., Cuddigan, J. E., Walko, M. A., Didier, L. A., Lander, M. J., & Kelpe, M. R. (2010). Medical device related pressure ulcers in hospitalized patients. International Wound Journal, 7(5), 358-365. https://doi.org/10.1111/j.1742-481X.2010.00699.x
  3. Cox, J., & Roche, S. (2015). Vasopressors and development of pressure ulcers in adult critical care patients. American Journal of Critical Care, 24(6), 501-511. https://doi.org/10.4037/ajcc2015123
  4. Coyer, F. M., Stotts, N. A., & Blackman, V. S. (2014). A prospective window into medical device-related pressure ulcers in intensive care. International Wound Journal, 11(6), 656-664. https://doi.org/10.1111/iwj.12026
  5. Dealey, C., Posnett, J., & Walker, A. (2012). The cost of pressure ulcers in the United Kingdom. Journal of Wound Care, 21(6), 261-2, 264, 266. https://doi.org/10.12968/jowc.2012.21.6.261
  6. Eleni, A., Athanasios, T., Konstantinos, T., Efstathia, K., Ioannis, L., & Andreas, K. (2014). Pressure ulcer incidence and risk factors in ventilated intensive care patients. Health Science Journal, 8(3), 333-342.
  7. Fumihiro, M., Katsunori, K., & Zenzo, I. (2014). Necrotizing soft tissue infections developing from pressure ulcers. Journal of Tissue Viability, 23(1), 1-6. https://doi.org/10.1016/j.jtv.2013.11.001
  8. Glasgow, D., Millen, I. S., Nzewi, O. C., & Varadarajaran, B. (2014). Device-related atypical pressure ulcer after cardiac surgery. Journal of Wound Care, 23(8), 383-386. https://doi.org/10.12968/jowc.2014.23.8.383
  9. Gorecki, C., Closs, S. J., Nixon, J., & Briggs, M. (2011). Patient-reported pressure ulcer pain: a mixed-methods systematic review. Journal of Pain and Symptom Management. 42(3), 443-459. https://doi.org/10.1016/j.jpainsymman.2010.11.016
  10. Jaul, E. (2010). A prospective pilot study of atypical pressure ulcer presentation in a skilled geriatric nursing unit. Ostomy Wound Management, 57(2). 49-54.
  11. Jeong, I. S., Kim, S. M., Jeong, J. S., Hong, E. Y., Im, E. Y., Seo, H. J., Park, K. H., Hong, Y. E., & Hwang, J. H. (2013). Pressure Ulcer Care of Evidence Based Clinical Nursing Practice Guidelines: Hospital Nurse Association.
  12. Kim, Y. H., Jang, J. N., Song, M. J., Oh, M. K., & Lee, Y. M. (2015). Effect of integrative pressure ulcers nursing program for the prevention and management of pressure ulcers. Journal of The Korean Data Analysis Society, 17(2), 1015-1029
  13. Korea ministry of government legislation. (2016, December). Second Amendment of Medical device: Low No.14330. Retrieved Nobember 11, 2017, from the National Law Information Center Web site: http://www.law.go.kr/main.html
  14. Kwak, H. R., & Kang, J. Y. (2015). Pressure ulcer prevalence and risk factors at the time of intensive care unit admission. The Korean Academic Society Of Adult Nursing, 27(3), 347-357, https://doi.org/10.7475/kjan.2015.27.3.347
  15. Linder-Ganz, E., Engelberg S., Scheinowitz, M., & Gefen, A. (2006). Pressure-time cell death threshold for albino rat skeletal muscles as related to pressure sore biomechanics. Journal of Biomechanics, 39(14), 2725-2732. https://doi.org/10.1016/j.jbiomech.2005.08.010
  16. Mallah, Z., Nassar, N., & Kurdahi Badr, L. (2015). The effectiveness of a pressure ulcer intervention program on the prevalence of hospital acquired pressure ulcers: controlled before and after study. Applied Nursing Research, 28(2), 106-113. https://doi.org/10.1016/j.apnr.2014.07.001
  17. Mehta, C., George, J. V., Mehta, Y., & Wangmo, N. (2015). Pressure ulcer and patient characteristics-A point prevalence study in a tertiary hospital of India based on the european pressure ulcer advisory panel minimum data set. Journal of Tissue Viability, 24(3), 123-130. https://doi.org/10.1016/j.jtv.2015.04.001
  18. Moreiras-Plaza, M. (2010). Abdominal wall skin pressure ulcer due to a peritoneal catheter. Peritoneal Dialysis International. 30(2), 257-258. https://doi.org/10.3747/pdi.2009.00128
  19. National Pressure Ulcer Advisory Panel, European Pressure Ulcer Advisory Panel and Pan Pacific Pressure Injury Alliance. (2014). Pevention and Treatment of Pressure Ulcers: Quick Reference Guide. Emily Haesler (Ed.). Perth, Australia: Cambridge Media. 12-13.
  20. Whittington, K., Patrick M., & Roberts, J. L. (2000). A national study of pressure ulcer prevalence and incidence in acute care hospitals. Journal of Wound, Ostomy and Continence Nursing, 27(4), 209-215. https://doi.org/10.1097/00152192-200007000-00004
  21. Wille, J., Braams, R., van Harren, W., & van der Werken, C. (2000). Pulse oximeter -induced digital injury: frequency rate and possible causative factors. Critical Care Medicine, 28(10), 3555-3557. https://doi.org/10.1097/00003246-200010000-00036

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