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은성숙
서순림
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Abstract
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The purpose of this study was to identify risk factors of pressure sore of intensive care units and to determine the prevalence and staging of pressure sores of intensive care units in a general hospital.
The 210 patients data were collected by chart review from 1999. 12. 1. to 2000. 2. 29. Statistical analysis were performed using the SAS(Statistical Analyses System). The chi--square and t-test were used to assess whether or not pressure ulcer positive group differed from negative group by risk factors. The major risk factors were assessed by logistic analysis.
The result of this study are as follows:
1. The prevalence rate of the pressure ulcer of ICUs is 21.4o/~, and the incidence rate of pressure ulcer of ICUs is 10.5%.
2. Mean hospitalization days until pressure ulcer development was 8. ldays.
3. The most common pressure ulcer site is the sacrum and coccyx area(51.7%), and the next is the buttocks(31%).
The most common pressure ulcer stage is the two(60.3%) and the next is the one(27.6%).
4. Those with pressure ulcers had cerebral disease and pulmonary disease and Levin tube feeding or fluid therapy.
Pressure ulcer-positive patients had significantly more ventilator therapy, more drugs, more older, lower serum albumin level, more longer lengths of stay of ICUs than patients without pressure ulcer, and other factor was lower Norton scale scores.
5. The major factors of pressure ulcer development appeared to be the following: more older, longer lengths of stay in ICU, Decreased mobility.
This article identified a profile of the high-risk patient of pressure ulcer development of intensive care Units in a general hospital and provided the extent of the pressure ulcer problem.
Effective management of pressure ulcer is shortened hospitalization and preventive intervention will be concentrate on the high-risk group.
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KeyWords
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중환자실, 욕창, 욕창발생 위험인자
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원문 및 링크아웃 정보
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등재저널 정보
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