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Survey on Pressure Ulcers and Influencing Factors of Stage Change in Acute University Hospital Inpatients

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KMID : 1004620110170030433
±è°æ³² ( Kim Kyoung-Nam ) - ºÐ´ç¼­¿ï´ëÇб³º´¿ø ÇàÁ¤ÆÀ

°­°æÀÚ ( Kang Kyung-Ja ) - ¹èÀç´ëÇб³ °£È£Çаú
ÀÌÇö¼÷ ( Lee Hyun-Sook ) - ºÐ´ç¼­¿ï´ëÇб³º´¿ø °£È£ºÎ
½Å¿¬Èñ ( Shin Yeon-Hee ) - ºÐ´ç¼­¿ï´ëÇб³º´¿ø °£È£ºÎ
±è¼±°æ ( Kim Sun-Kyung ) - ºÐ´ç¼­¿ï´ëÇб³º´¿ø °£È£ºÎ
¹Ú±¤Èñ ( Park Kwang-Hee ) - ºÐ´ç¼­¿ï´ëÇб³º´¿ø °£È£ºÎ
±èÇý¿µ ( Kim Hye-Young ) - ºÐ´ç¼­¿ï´ëÇб³º´¿ø °£È£ºÎ

Abstract

Purpose: The purpose of this study was to conduct a retrospective investigation on the general characteristics
of pressure ulcer and influencing factors of pressure ulcer stage during hospitalization.

Methods: A total of 614 patients were selected between January 1, and December 31, 2009 from one acute university hospital if they had pressure ulcers on admission or newly developed pressure ulcer during hospitalization. The data were analyzed using the SPSS WIN 12.0 with percentage, mean, standard deviation, t-test, Chi-square test, ANOVA,
and multiple regression analysis.

Results: Influencing factors of pressure ulcer stage at discharge were eating (¥â=-.068, p=.047), elimination (¥â=-.145, p<.001), active exercise and movement (¥â=-.505, p<.001), albumin levels (¥â=.166, p<.001), and inflammatory markers (CRP)(¥â=-.091, p=.005). These variables accounted 55.8% of the variance in ulcer stage.

Conclusion: Study results indicate that nurses¡¯ active role on pressure ulcer care and systematic approach are necessary to manage acutely ill inpatients¡¯ pressure ulcers.
KeyWords
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Pressure ulcer, Hospitalization, Risk factors
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