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http://dx.doi.org/10.34250/jkccn.2021.14.3.26

Differences in Associated Factors according to the Time of Occurrence of Pressure Ulcers in Intensive Care Unit Patients  

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)
Publication Information
Journal of Korean Critical Care Nursing / v.14, no.3, 2021 , pp. 26-36 More about this Journal
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
Pressure ulcer; Incidence; Risk factors; Intensive care units; Nurses;
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