Journal of Korean Critical Care Nursing (중환자간호학회지)

Korean Society of Critical Care Nursing (한국중환자간호학회)
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Differences in Associated Factors according to the Time of Occurrence of Pressure Ulcers in Intensive Care Unit Patients

중환자실 환자의 욕창 발생 시기에 따른 관련요인의 차이

  • Lee, Mijung (Nursing Education Team, Ajou University Medical Center) ;
  • Seo, Eunjeoung (Division of Nursing Service, Ajou University Medical Center) ;
  • Kim, Miok (Division of Nursing Service, Ajou University Medical Center) ;
  • Park, Jeongok (Division of Nursing Service, Ajou University Medical Center) ;
  • Lee, Seonmi (Referral Center, Ajou University Medical Center) ;
  • Shin, Hyunkyung (Division of Nursing Service, Ajou University Medical Center) ;
  • Yun, Ilsim (Division of Nursing Service, Ajou University Medical Center) ;
  • Cho, Mina (Division of Nursing Service, Ajou University Medical Center) ;
  • Cho, Youngcha (Division of Nursing Service, Ajou University Medical Center) ;
  • Kang, Bomi (Division of Nursing Service, Ajou University Medical Center) ;
  • Seo, Hyunmi (Division of Nursing Service, Ajou University Medical Center) ;
  • Lee, Misoon (Division of Nursing Service, Ajou University Medical Center) ;
  • Lee, Sira (Division of Nursing Service, Ajou University Medical Center) ;
  • Jang, Hyejoo (Division of Nursing Service, Ajou University Medical Center) ;
  • Jung, Hyunsuk (Division of Nursing Service, Ajou University Medical Center) ;
  • Ahn, Jeong-Ah (College of Nursing.Research Institute of Nursing Science, Ajou University)
  • Received : 2021.07.02
  • Accepted : 2021.08.12
  • Published : 2021.10.31
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Abstract

Purpose : This study aimed to present the incidence of pressure ulcers and identify different associated factors according to the time of occurrence of pressure ulcers in intensive care unit (ICU) patients. Methods : The participants were 313 patients who reported pressure ulcers among 2,908 patients in ICUs at a large tertiary hospital in Gyeonggi-do. Among them, 220 patients (70.3%) had a pressure ulcer before admission, and 93 patients (29.7%) reported newly developed pressure ulcers after admission to the ICU. Data were collected between August 2018 and April 2019. Along with the time of occurrence and characteristics of pressure ulcers, diverse associated factors were gathered through electronic medical records. Data were analyzed using descriptive statistics, independent t-tests, and 𝑥2-tests. Results : Different risk factors associated with pressure ulcers in ICU patients according to the time of occurrence were main diagnosis, score of acute physiology and chronic health evaluation, score of Richmond agitation sedation scale, level of consciousness, administered sedatives, use of a ventilator, insertion of a feeding tube, and the duration of fasting period. Conclusion : Based on the results of this study, healthcare providers, especially ICU nurses, should try to detect early signs and symptoms of pressure ulcers, taking into account the derived factors associated with pressure ulcers in ICU patients. Practical intervention programs and strategies considering the factors associated with pressure ulcers must be developed to prevent and alleviate such ulcers in ICU patients in the future.

Keywords

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