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Factors Influencing the Development of Pressure Ulcers in Surgical Patients  

Park, Hyoung-Sook (Department of Nursing, College of Medicine, Pusan National University)
Park, Kyung-Yeon (Department of Nursing, College of Medicine, Pusan National University)
Yu, Sung-Mi (Nurse, Busan Paik Hospital)
Publication Information
Journal of Korean Academy of Nursing / v.35, no.1, 2005 , pp. 125-134 More about this Journal
Abstract
Purpose: The purpose of this study was to identify the influencing factors on the development of pressure ulcers in patients undergoing surgery which lasted more than two hours. Method: One hundred nineteen surgical adult patients were included in the study. Data was measured on each participant from December 2003 to February 2004. It was collected using a structured researcher-administered sheet and analyzed by descriptive statistics, t-test, chi-square test and logistic regression analysis. Result: The prevalence of a perioperative pressure ulcer was 26.1%. The level of moisture, friction and shear, length of surgery, and perioperative irrigation were significantly higher in the pressure ulcer group than those in the non-pressure ulcer group. The level of activity and level of consciousness were significantly lower in the pressure ulcer group than those in the non-pressure ulcer group. Significant influencing factors on the development of pressure ulcer were 'moisture' and 'irrigation' and those variables explained 23.1% of varience in the development of a pressure ulcer during surgery. Conclusion: It is necessary to develop a strategy to prevent pressure ulcer by taking 'moisture' and 'irrigation' into account during the preoperative, perioperative and postoperative period.
Keywords
Care; Patients; Pressure ulcer;
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