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http://dx.doi.org/10.7586/jkbns.2019.21.1.54

Factors Influencing on Pressure Ulcer Incidence among Older Patients with Hip Fracture in a Hospital  

Lee, Sun Jin (Department of Nursing, Asan Medical Center)
Jeong, Jae Shim (Department of Clinical Nursing, Graduate School of Industry, University of Ulsan)
Lim, Kyung-Choon (Department of Nursing, College of Nursing, Sungshin Women's University)
Park, Eun Young (Institutional Review Board, Asan Medical Center)
Kim, Hye Youn (Department of Nursing, Asan Medical Center)
Publication Information
Journal of Korean Biological Nursing Science / v.21, no.1, 2019 , pp. 54-61 More about this Journal
Abstract
Purpose: This study aimed to identify the incidence and risks for pressure ulcer among older patients with hip fracture. Methods: The subject were 215 older patients suffering from hip fracture who were admitted for surgical operation from January 1, 2012 to April 30, 2016 in a university-affiliated hospital. The incidence of pressure ulcer was collected retrospectively through medical record review and the risk factors were analyzed using Cox's proportional hazard model. Results: Out of the total, 32 patients (14.9%) developed pressure ulcer with the average occurrence period being 4.72 (${\pm}3.81$) days. Stage II pressure ulcer was the most common at 72.0%. Risk factors included ambulation status before injury (p= .039), spinal anesthesia (p= .029), and stay at intensive care unit after operation (p= .009). Conclusion: Despite pressure ulcer prevention efforts, the incidence remained relatively high. Considering the identified risk factors, more efforts is needed for early detection and prevention of pressure ulcers in such patients.
Keywords
Aged; Pressure ulcer; Fracture, Bone; Hip joint;
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Times Cited By KSCI : 3  (Citation Analysis)
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