• 한국정밀공학회:학술대회논문집
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• 한국정밀공학회 2010년도 추계학술대회 논문집
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• pp.645-646
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• 2010

• 한국콘텐츠학회논문지
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• 제15권8호
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• pp.356-365
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• 2015

본 연구는 노인요양병원 간호사의 욕창간호지식과 욕창예방 간호수행과의 관계를 파악하기 위한 서술적상관조사 연구이다. 2014년 3월 1일부터 7월 1일까지 노인요양병원에 근무하고 있는 간호사 317명을 대상으로 분석하였으며 욕창간호지식, 욕창예방 간호수행, 욕창예방 장애요인에 관한 구조화된 설문지를 배부하여 자가 보고법으로 작성하였고 수집된 자료는 기술통계로 분석하였다. 일반적 특성에 따른 욕창간호지식은 임상경력, 교육내용, 교육시간, 교육 횟수에서는 유의한 차이를 보였고(p<.05), 욕창예방 간호수행에서는 교육 횟수에서만 유의한 차이를 보였다(p=.04). 욕창지식정도와 욕창예방 간호수행에서는 음의 상관관계를 나타냈으며(rho=.137, p<.05), 욕창예방 간호수행 장애요인으로는 인력부족이 57.7%로 나타났다. 따라서 욕창간호 예방수행의 질적 향상을 위해서는 욕창예방 간호지식을 올리는 것보다는 욕창예방 간호교육의 횟수를 증가시키는 것과 적정인력이 근무할 수 있는 제도적 정책이 필요하다.

• Archives of Plastic Surgery
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• 제49권5호
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• pp.608-610
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• 2022

In this article, we reported a single case of ischemic fasciitis in a young woman with a progressive immobilization due to a multifocal demyelinating disease of central nervous system, which appeared on an extensive pressure ulcer of the sacral region treated with 10 days of negative-pressure wound therapy (NPWT). Wound examination revealed a significant nontender brown neoformation (9 cm in length × 10 cm in width × 7 cm in height), fixed to the sacrum, presenting hard consistency, and grown in the central portion of the sacral pressure sore. The histologic examination showed central fibrinoid necrosis, and vascular and atypical fibroblastic proliferations, and a diagnosis of ischemic fasciitis was made. Ischemic fasciitis is a rare benign proliferation of atypical fibroblasts that occurs in physically weak patients with reduced mobility. In the literature, the relationship between the use of NPWT on pressure ulcers and the development of ischemic fasciitis is, to the best of our knowledge, not described yet.

• 대한간호학회지
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• 제43권4호
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• pp.526-535
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• 2013

Purpose: This study was done to compare clinical nurses' knowledge and visual differentiation diagnostic ability for the pressure ulcer classification system (PUCS) and incontinence-associated dermatitis (IAD). Methods: A convenience sample of 602 nurses took the pressure ulcer classification system and incontinence-associated dermatitis knowledge test (PUCS & IAD KT) and completed the visual differentiation tool (VDT), consisting of 21 photographs with clinical information. Results: The overall mean score for correct answers was 14.5 (${\pm}3.2$) in PUCS & IAD KT and 11.15 (${\pm}4.9$) in PUCS & IAD VDT. Incorrect responses were most common for statements related to stage III, IAD for PUCS & IAD KT, and suspected deep tissue injury (SDTI), unstageable, and stage III for PUCS & IAD VDT. Significant correlations were found between PUCS & IAD KT and VDT (r=.48, p<.001). Factors affecting scores for PUCS & IAD VDT were PUCS & IAD KT, frequency of pressure ulcer, IAD management and participation in wound care education programs. Conclusion: Results indicate that nurses have an overall understanding of PUCS & IAD, but low visual differentiation ability regarding stage III, SDTI, and unstageable ulcers. Continuing education is needed to further improve knowledge and visual differentiation ability for PUCS & IAD.

• 디지털융복합연구
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• 제19권12호
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• pp.649-660
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• 2021

본 연구의 목적은 중환자실 환자를 대상으로 케어비데로봇을 이용한 배설간호가 실금관련 피부염, 욕창위험도, 생리적 지표(혈청 알부민, 단백질, 헤모글로빈, 림프구 변화)에 미치는 효과를 확인하기 위해 시행되었다. 연구대상은 종합병원 중환자실에 입실한 환자들을 대상으로 케어비데로봇 ((주)큐라코)을 이용하여 실험군에게는 케어비데로봇을 1인당 1대씩 장착하고 실금이 발생 될 시 작동하게 하여 건조 완료하였으며, 대조군에게는 실금이 발생될 시 물티슈로 닦고 자연 건조를 시키는 방법으로 1주간 진행하였다. 수집된 자료는 기술통계, t-test, repeated measured ANONA로 분석하였다. 연구결과 실금 관련 피부염, 욕창 위험도, 알부민, 림프구는 집단간에 통계적으로 유의한 차이가 있었다. 본 연구는 케어비데로봇을 이용한 배설간호가 피부 점막에 미치는 효과를 과학적 근거인 생리적 지표로 검증하였다는 점에서 의의가 있으며, 대상자 확대를 통한 추후 연구가 더욱 필요하다.

• 대한한방내과학회지
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• 제44권6호
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• pp.1318-1326
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• 2023

Introduction: Pressure ulcers, often found in patients with mobility issues, particularly elderly patients, are increasing in prevalence. Their treatment is complex, with recovery more challenging in advanced stages, and certain factors can delay healing. Case Presentation: An 87-year-old male developed a grade IV pressure ulcer on his left greater trochanter following lumbar fractures and subsequent percutaneous vertebroplasty in 2021. Despite potential surgical recommendations, his treatment consisted of daily wet dressings, acupuncture from July 2021 to February 2022, and Gami-sipjeondaebo-tang beginning August 2021. The ulcer, initially measuring 6 cm×6 cm and showing a red wound without necrosis, healed completely and showed no signs of recurrence as of August 2023. Conclusion: A grade IV pressure ulcer was effectively treated using wet dressing, acupuncture, and Gami-sipjeondaebo-tang, demonstrating no recurrence over a 1.5-year period.

• Journal of Korean Biological Nursing Science
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• 제11권2호
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• pp.99-104
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• 2009

Purpose: An animal model of pressure ulcers was experimentally-induced with the use of greater trochanter of rats. Methods: Twelve male Sprague-Dawley rats were used in this study and they were randomly divided into 4 groups: Group I (n=3, 120 mmHg, 2 hr), Group II (n=3, 120 mmHg, 3 hr), Group III (n=3, 140 mmHg, 3 hr) and Group IV (n=3, 140 mmHg, 4 hr). The rats were anesthetized with 100 mg/kg of ketamine. The pressure ulcers were induced by using a personally-designed pressing apparatus. After 5 days, the wounds were photographed and excised. Results: After 5 days of induced pressure ulcers, it was observed that Group I and Group II responded with Grade I and Grade II, respectively, while Group III and Group IV responded with Grade III. Conclusion: According to the result of this study, it can be concluded that the pressure ulcers were induced the characteristic grades of pressure ulcer classification by adjusting the degree and the duration of compression.

• 근관절건강학회지
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• 제29권1호
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• pp.18-27
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• 2022

Purpose: A network meta-analysis was conducted to assess the comparative effects and ranks of repositioning for pressure ulcer prevention in adults. Methods: A network meta-analysis was performed in a frequency method, using the "netmeta" package of R software version 4.1. The effects of repositioning intervention were confirmed by the odds ratio. The comparative ranking of the repositioning effects was confirmed using the cumulative probability (P-score). Results: Seven intervention studies were included in this study. Based on the P-score, the use of the repositioning system was ranked as the most effective among all interventions (P-score 78.7%). Next was 3~4-hour repositioning combined with memory foam mattress use (P-score 77.2%), use of wearable sensor (P-Score 61.4%), 2-hour repositioning combined with memory foam mattress use (P-score 59.1%), 2-hour repositioning combined with powered air pressure redistribution mattress use (P-score 18.0%), and 4-hour repositioning combined with powered air pressure redistribution mattress use (P-score 18.0%). Conclusion: This study provides information on the relative comparative value of various repositioning interventions to prevent pressure ulcers using network meta-analysis. This is expected to be useful for nurses' decision-making when applying repositioning interventions in clinical practice

• Archives of Plastic Surgery
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• 제45권5호
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• pp.418-424
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• 2018

Background Complication rates after flap coverage for pressure ulcers have been high historically. These patients have multiple risk factors associated with poor wound healing and complications including marginal nutritional status, prolonged immobilization, and a high comorbidities index. This study utilizes the National Surgical Quality Improvement Program (NSQIP) to examine perioperative outcomes of flap coverage for pressure ulcers. Methods Data from the NSQIP database (2005-2015) for patient undergoing flap coverage for pressure ulcers was identified. Demographic, perioperative information, and complications were reviewed. One-way analysis of variance and Pearson chi-square were used to assess differences for continuous variables and nominal variables, respectively. Multivariate logistic regression was performed to identify independent risk factors for complications. Results There were 755 cases identified: 365 (48.3%) sacral ulcers, 321 (42.5%) ischial ulcers, and 69 (9.1%) trochanteric ulcers. Most patients were older male, with some degree of dependency, neurosensory impairment, high functional comorbidities score, and American Society of Anesthesiologists class 3 or above. The sacral ulcer group had the highest incidence of septic shock and bleeding, while the trochanteric ulcer group had the highest incidence of superficial surgical site infection. There was an overall complication rate of 25% at 30-day follow-up. There was no statistical difference in overall complication among groups. Total operating time, diabetes, and non-elective case were independent risk factors for overall complications. Conclusions Despite patients with poor baseline functional status, flap coverage for pressure ulcer patients is safe with acceptable postoperative complications. This type of treatment should be considered for properly selected patients.

• Archives of Plastic Surgery
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• 제46권5호
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• pp.455-461
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• 2019

Background Various surgical management methods have been proposed for ischial sore reconstruction, yet it has the highest recurrence rate of all pressure ulcer types. A novel approach combining the advantages of a perforator-based fasciocutaneous flap and a muscle flap is expected to resolve the disadvantages of previously introduced surgical methods. Methods Fifteen patients with ischial pressure ulcers with chronic osteomyelitis or bursitis, who underwent reconstructive procedures with an inferior gluteal artery perforator (IGAP) fasciocutaneous flap and a split inferior gluteus maximus muscle flap from January 2011 to June 2016, were analyzed retrospectively. The split muscle flap was rotated to obliterate the deep ischial defect, managing the osteomyelitis or bursitis, and the IGAP fasciocutaneous flap was rotated or advanced to cover the superficial layer. The patients' age, sex, presence of bursitis or osteomyelitis, surgical details, complications, follow-up period, and ischial sore recurrence were reviewed. Results All ischial pressure ulcers were successfully reconstructed without any flap loss. The mean duration of follow-up was 12.9 months (range, 3-35 months). Of 15 patients, one had a recurrent ulcer 10 months postoperatively, which was repaired by re-advancing the previously elevated fasciocutaneous flap. Conclusions The dual-flap procedure with an IGAP fasciocutaneous flap and split inferior gluteus maximus muscle flap for ischial pressure ulcer reconstruction is a useful method that combines the useful characteristics of perforator and muscle flaps, providing thick dual padding with sufficient vascularization while minimizing donor morbidity and vascular pedicle injury.