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이미정 ( Lee Mi-Jung ) - Ajou University Medical Center Nursing Education Team
서은정 ( Seo Eun-Jeoung ) - Ajou University Medical Center Division of Nursing Service
김미옥 ( Kim Mi-Ok ) - Ajou University Medical Center Division of Nursing Service
박정옥 ( Park Jeong-Ok ) - Ajou University Medical Center Division of Nursing Service
이선미 ( Lee Seon-Mi ) - Ajou University Medical Center Referral Center
신현경 ( Shin Hyun-Kyung ) - Ajou University Medical Center Division of Nursing Service
윤일심 ( Yun Il-Sim ) - Ajou University Medical Center Division of Nursing Service
조미나 ( Cho Mi-Na ) - Ajou University Medical Center Division of Nursing Service
조영자 ( Cho Young-Cha ) - Ajou University Medical Center Division of Nursing Service
강보미 ( Kang Bo-Mi ) - Ajou University Medical Center Division of Nursing Service
서현미 ( Seo Hyun-Mi ) - Ajou University Medical Center Division of Nursing Service
이미순 ( Lee Mi-Soon ) - Ajou University Medical Center Division of Nursing Service
이시라 ( Lee Si-Ra ) - Ajou University Medical Center Division of Nursing Service
장혜주 ( Jang Hye-Joo ) - Ajou University Medical Center Division of Nursing Service
정현숙 ( Jung Hyun-Suk ) - Ajou University Medical Center Division of Nursing Service
안정아 ( Ahn Jeong-Ah ) - Ajou University College of Nursing
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Abstract
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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 χ2-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.
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KeyWords
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욕창, 유병률, 위험요인, 중환자실, 간호사
Pressure ulcer, Incidence, Risk factors, Intensive care units, Nurses
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원문 및 링크아웃 정보
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등재저널 정보
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