Journal of Digital Convergence (디지털융복합연구)

The Society of Digital Policy and Management (한국디지털정책학회)
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Pressure Ulcer preventive intervention and risk factors for pressure ulcers : A review of the literature

욕창예방을 위한 중재와 영향요인 : 체계적 문헌고찰

  • Received : 2019.12.20
  • Accepted : 2020.02.20
  • Published : 2020.02.28
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Abstract

This study was to perform a systematic review to examine pressure ulcer preventive intervention and risk factors. PRISMA flow diagram in accordance with the selection process of this research was done. The literatures were retrieved from domestic and international study from 2010 to June, 2019. A total of 30 literatures were selected according to the selection criteria of this study. The literatures were searched electronically using the search engine with the key words of 'pressure ulcers', 'bedsore', 'decubitus ulcers', 'intervention', 'prevention'. The results of this study suggest that mediation with position change and pressure reduction device reduced the incidence of pressure sores and was important for prevention. Based on the results of this study, we provide basic data for preventive intervention of pressure ulcers that are appropriate for each medical institution.

본 연구의 목적은 욕창에 대한 예방적 중재방법과 영향요인을 비교, 분석하기 위해 기존문헌을 체계적으로 고찰하였으며 논문은 PRISMA(Preferred reporting items for systematic reviews) 지침에 따라 자료를 수집하고 분석하였다. 문헌은 2010년부터 2019년 6월까지 국내외에서 발표된 논문을 대상으로 하였다. 본 연구의 논문 선정기준에 따라 총 30의 논문이 선택되었으며 실험연구가 8편, 코호트 연구가 3편, 단면조사연구가 19편 이었다. 논문검색어는 국내논문의 경우 욕창, 압박욕창, 압박궤양, 예방, 중재의 단어를 조합하여 검색하였다. 분석결과 욕창의 예방적 중재와 예측요인을 통합적으로 제시하였으며 특히 체위변경과 압력 감소 장치 적용한 중재는 욕창 발생률을 감소시켰으며 욕창 발생 감소와 욕창예방에 중요한 중재임이 확인되었다. 본 연구결과를 토대로 각 의료기관에 적합한 욕창의 예방적 중재를 위한 기초 자료를 제공하고자 한다.

Keywords

References

  1. The National Pressure Ulcer Advisory Panel. National Pressure Ulcer Advisory Panel (NPUAP) announces a change in terminology from pressure ulcer to pressure injury and updates the stages of pressure injury. (2016).
  2. M. Baumgarten, D. J. Margolis, A. R. Localio, S. H. Kagan, R. A. Lowe & B. Kinosiam. (2008). Extrinsic risk factors for pressure ulcers early in the hospital stay: A nested care control study. Journal of Gerontology: Medical Sciences, 63(4), 408-413. https://doi.org/10.1093/gerona/63.4.408
  3. C. Gorecki, S. Closs, J. Nixon & M. Briggs. (2011). Patient-reported pressure ulcer pain: A mixed-methods systematic review. Journal of Pain and symptom Management, 42(3), 443-445. https://doi.org/10.1016/j.jpainsymman.2010.11.016
  4. I. S. Jeong et al. (2014). Development of pressure ulcer management guideline by adaptation process. Journal of Korean Clinical Nursing Research., 20, 40-52. https://doi.org/10.22650/JKCNR.2014.20.1.40
  5. D. H. Rintala, S. L. Friedman & S. A. Holmes. (2008). Preventing recurrent pressure ulcers in veterans with spinal cord injury: Impact of a structured education and follow up intervention. Archives of Physical Medicine and Rehabilitation, 89, 1429-1441. https://doi.org/10.1016/j.apmr.2008.01.015
  6. C. W. Lee & Y. H. Yi. (2018). Effects of the trunk maintenance repositioning method on keeping a 30$^{\circ}$ side-lying position, comfort, and skin condition. Journal of Korean Critical Care Nursing, 11(1), 79-88.
  7. N. E. Knibbe, Z. Elien, J. J. Hanneke & D. Beeckman. (2017). An automatic repositioning system to prevent pressure ulcers: a case series. British Journal of Nursing, 27(6), 16-22.
  8. E. Jaul. (2010). Assessment and management of pressure ulcers in the elderly: current strategies. Drugs Aging, 27(4), 311-325. DOI:10.2165/11318340.
  9. S. Seyhan. (2018). Decubitus ulcer development: An Investigation on its effect and evidence in home care patients. Indian Journal of Palliative Care, 24(4), 5-11. https://doi.org/10.4103/IJPC.IJPC_85_18
  10. A. Pinar, E. Ayis & G. Karada. (2018). Efficacy and cost-effectiveness analysis of evidence-based nursing interventions to maintain tissue integrity to prevent pressure ulcers and Incontinence-associated dermatitis. World views on Evidence-Based Nursing, Vol. 15(1), 54-61. https://doi.org/10.1111/wvn.12264
  11. A. R. Jadad, R. A. Moore, D. Carroll, C. Jenkinson, D. J. Reynolds, D. J. Gavaghan, & H. J. McQuay. (1996). Assessing the quality of reports of randomized clinical trials: is blinding necessary?. Controlled Clinical Trials, 17(1), 1-12. https://doi.org/10.1016/0197-2456(95)00134-4
  12. H. J. Kim & I. S. Jung. (2012). Optimal time interval for position change for ICU patients using foam mattress against pressure ulcer risk. Journal of korean academy of nursing, 42(5),730-737. http://dx.doi.org/10.4040/jkan.2012.42.5.730
  13. K. R. Shin et al. (2012). Facility and nursing factors influence on pressure ulcer occurrence among patients at risk for pressure ulcer in long-term care hospitals. Journal of Korean Gerontology Nursing, 14(1), 29-38.
  14. E. O. Kwon, I. H. Eom, S. J. Chang, M. Y. Shim & S. H. Lee. (2012). Accuracy of nurses' assessments of pressure ulcers in hospitalized patients. Journal of Korean Clinical Nursing Research., 18(1), .29-38. https://doi.org/10.22650. https://doi.org/10.22650/JKCNR.2012.18.1.29
  15. K. R. Shin, M. Y. Kim, Y. H. Kang & D. Y. Jung. (2012). Pressure ulcerin long term care hospitals in Korea: Prevalence and risk factors. Journal of Korean Gerontology Society, 32(1), 115-127.
  16. M. J. Kang & M. S. Kim. (2018). Correlations among attitude toward pressure ulcer prevention, knowledge and non-compliance risk for pressure ulcer prevention practice and degree of nursing performance. Journal of the Korea Academia-Industrial cooperation Society. , 19(9), 408-419. https://doi.org/10.5762/KAIS.2018.19.9.408
  17. E. H. Jo, H. S. Kim & S. J. Lee. (2015). A study on the knowledge of nurses, performance and preventive practice of pressure ulcer among nurses in long-term care hospital. The Journal of the Korea Contents Association, 15(8), 356-365. doi.org/10.5392/JKCA.2015.15.08.356.
  18. E. J. Lee & S. O. Yang. (2011). Clinical knowledge and actual performance of pressure ulcer care by hospital nurses. Journal of Korean Clinical Nursing Research, 17(2), 251-261.
  19. Y. Z. Ahmed, M. .T. Khaled, S. I. Mohamed & E. Sameh. (2018). Impact of a suggested nursing protocol on the occurrence of medical device-related pressure ulcers in critically ill patients. Central European Journal of Nursing Midwifery, 9(4), 924-931. DOI: 10.15452/CEJNM.2018.09.0025
  20. A. Jenny, Z. Yunchuan, Y. Zhang, D. Thomas, R. Butcher, Y. Zhang & M. Rebecca. (2018). Outcomes associated with stage 1 pressure injuries: a retrospective cohort study. American Journal of critical care, 27(6), 471-476. https://doi.org/10.4037/ajcc2018293
  21. A. Lahmann, A. Tannen & T. Dassen. (2011). Friction and shear highly associated with pressure ulcers of residents in long-term care-classification Tree Analysis (CHAID) of Braden items. Journal of evaluation clinical practicest, 17(1), 471-476. DOI: 10.1111/j.1365-2753.2010.01417.x.
  22. M. Artico. et al. (2018). Prevalence, incidence and associated factors of pressure ulcers in home palliative care patients: A retrospective chart review. Journal of Pain Symptom Manage, 32(1), 299-307. DOI: 10.1177/0269216317737671.
  23. K. N. Kim, K. J. Kang, H. S. Lee, Y. H. Shin, S. K. Kim, K. H. Park & HY. Kim. (2011). Survey on pressure ulcers and influencing factors of stage change in acute university hospital inpatients. Journal of korean clinical nursing research., 17(3). 433-442.
  24. H. N. Lee & J. S. Park. (2014). Nutrition-related factors predicted pressure ulcers in Intensive Care Unit Patients. Journal of Korean Academic Fundamantal Nursing, 21( 4), 413-422. https://doi.org/10.7739/jkafn.2014.21.4.413
  25. J. S. Shine, S. J. Kim, J. H. Lee & M. Yu. (2017). Factors predicting the interface Pressure related to pressure injury in Intensive Care Unit patients. Journal of Korean Academic Nursing, 47(6), 794-805. https://doi.org/10.4040/jkan.2017.47.6.794.
  26. W. Paul. et al. (2018). Risk factors for recurrence of pressure ulcers after defect reconstruction. Wound Healing Society, 26, 64-68.
  27. E. Werku, F. H. Getahun & A. M. Diriba. (2019). Nurses' knowledge to pressure ulcer prevention in public hospitals in Wollega: BMC Nursing, 18(20), 2-12. https://doi.org/10.1186/s12912-019-0346-y.
  28. D. Wilborn, R. Halfens, T. Dassen & A. Tannen. (2010). Pressure ulcer prevalence in German nursing homes and hospitals: what role does the National Nursing Expert Standard Prevention of Pressure Ulcer play?. Gesundheit swesen., 72(4), 240-245. DOI: 10.1055/s-0029-1220757.
  29. T. L. Yap, S. M. Kennerly, S. D. Home, N. Berstrom, S. Datta & C. Colon. (2018). A cluster randomized controlled trial protocol focused on preventing pressure ulcers through repositioning frequency and precipitating factors. BMC Geriatric, 18(1), 54-64. DOI: 10.1186/s12877-018-0744-0.
  30. R. O. Gillianen. (2015). The relationship between nurses assessment of early pressure ulcer damage and sub epidermal moisture measurement: A prospective explorative study. Royal College of Surgeons in Irelande-publications@RCSI.
  31. Y. H. Kim, J. N. Jang, M. J. Song & Y. M. Lee. (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.
  32. Y. H. Seo, K. H. Kim, S. O. Lim & H. J. Lee. (2017). The effects of pressure ulcer prevention using Care Sheet Pup: Focusing on ICU patient. Joural of knowledge Information Technology and system, 12(2), 375-386. DOI : 10.34163/jkits.2017.12.2.016.
  33. H. J. Kim, S. M. Lee, H. Y. Choi, Y. K. Min & Y. J. Jung. (2016). Prophylactic effect of transparent film dressing on sacrum and coccyx in SICU patients. The korean journal of fundamentals of nursing, 23, 256-263. https://doi.org/10.7739/jkafn.2016.23.3.256
  34. D. H. Kim, H. S. Kim & D. W. Lee. (2011). Evaluation of risk for pressure ulcers using the Braden Scale in elderly patients receiving long-term care. Jornal of Korean Geriatric Society, 15(4), 191-199. doi.org/10.4235/jkgs.2011.15.4.191.
  35. H. R. Kwak & J. Y. Kang. (2015). Pressure ulcer prevalence and risk factors at the time of intensive care unit admission. The Journal of Korean Academic Society of Adult Nursing, 27(3), 347-357. https://doi.org/10.7475/kjan.2015.27.3.347
  36. Z. Moore, S. Cowman & R. M. Conrory. (2011). A randomized control clinical trial of repositioning, using 30 degree tilt, for the prevention of pressure ulcers. Journal of clinical Nursing, 20(17), 2633-2644. https://doi.org/10.1111/j.1365-2702.2011.03736.x
  37. D. H. Kim, H. S. Kim & D. W. Lee. (2011). Evaluation of risk for pressure ulcers using the Braden Scale in elderly patients receiving long-term care. Jornal of Korean Geriatric Society, 15(4), 191-199. doi.org/10.4235/jkgs.2011.15.4.191.