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Factors Influencing the Development of Pressure Ulcers in Surgical Patients

Journal of Korean Academy of Nursing 2005³â 35±Ç 1È£ p.125 ~ 134
KMID : 0806120050350010125
¹Ú°æ¿¬/Park KY
¹ÚÇü¼÷/·ù¼º¹Ì/Park HS/Yu SM

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, ¼ö¼úȯÀÚ, ¿åâ, ¿¹Ãø¿äÀÎ
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