Journal of Korean Clinical Nursing Research (임상간호연구)

Hospital Nurses Association (병원간호사회)
권호 표지
DOI QR코드

DOI QR Code

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

일개 대학병원 입원환자의 욕창 실태와 욕창상태 영향요인

  • Kim, Kyoung Nam (Department of Nursing, Seoul National University Bundang Hospital) ;
  • Kang, Kyung Ja (Department of Nursing, PAI CHAI University) ;
  • Lee, Hyun Sook (Department of Nursing, Seoul National University Bundang Hospital) ;
  • Shin, Yeon Hee (Department of Nursing, Seoul National University Bundang Hospital) ;
  • Kim, Sun Kyung (Department of Nursing, Seoul National University Bundang Hospital) ;
  • Park, Kwang Hee (Department of Nursing, Seoul National University Bundang Hospital) ;
  • Kim, Hye Young (Department of Nursing, Seoul National University Bundang Hospital)
  • Received : 2011.09.22
  • Accepted : 2011.10.24
  • Published : 2011.12.31
Download PDF
⟨ Previous Next ⟩

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 (${\beta}=-.068$, p=.047), elimination (${\beta}=-.145$, p<.001), active exercise and movement (${\beta}=-.505$, p<.001), albumin levels (${\beta}=.166$, p<.001), and inflammatory markers (CRP)(${\beta}=-.091$, 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

References

  1. 건강보험심사평가원(2011. 9). 요양병원 3차년도 추구 평가 결과. 서울: 저자.
  2. 김금순, 김진아, 김문숙, 김유정, 김을순, 박광옥 등(2009). 욕창,낙상예방 및 통증간호의 간호과정 적용 평가도구 개발. 임상간호연구, 15 (1), 133-147.
  3. 김금순, 조남옥, 박영숙(1997). 가정간호 대상자의 욕창발생 및 간호중재에 관한 조사연구. 기본간호학회지, 4 (1), 43-60.
  4. 김진미, 박정숙(2010). 입원환자의 욕창예방과 중재를 위한 알고리즘 개발. 성인간호학회지, 22 (4), 353-364.
  5. 박명숙(2008). 상처치유에 대한 노화의 영향과 노인 욕창발생 위험 요인. 대한창상학회지, 4 (2), 88-91.
  6. 박정호(1988). 한국형 진단명기준 환자군(K-DRG) 분류를 이용한 입원환자의 간호원가 산정에 관한 연구. 이화여자대학교 박사학위논문, 서울.
  7. 박종연(2010). 신경계 중환자실 노인환자의 중증도가 욕창발생에 미치는 영향에 관한 연구. 이화여자대학교 석사학위논문, 서울.
  8. 박형숙, 박경연, 류성미(2005). 수술 환자의 욕창발생 예측요인에 관한 연구. 대한간호학회지, 35 (1), 125-134.
  9. 보건복지부, 의료기관평가인증원(2011). 2011년도 의료기관인증조사기준집. 서울: 저자.
  10. 송효정, 김수미, 김남초(2003). 장기 요양시설 노인의 배뇨 형태 및 욕창 실태에 대한 조사. 대한배뇨장애 및 요실금학회지, 7 (2), 91-97.
  11. 신정화(2009). 내과중환자실 입원환자의 욕창특성과 욕창발생 위험요인. 경북대학교 석사학위논문, 대구.
  12. 이민정(2010). 노인전문병원 입원 노인의 욕창발생 위험요인 연구. 이화여자대학교 석사학위논문, 서울.
  13. 이상화(2010). 노인요양시설과 노인전문병원 노인의 욕창 실태조사 연구. 이화여자대학교 석사학위논문, 서울.
  14. 이종경(2003). Braden scale을이용한신경외과중환자의욕창위험 요인 사정과 욕창 발생과의 관계. 성인간호학회지, 15 (2), 267-277.
  15. 임미자, 박형숙(2006). 신경계 중환자의 욕창발생에 관한 연구.기본간호학회지, 13 (2), 190-199.
  16. 임상간호사회(2002). 일반간호단위_중환자간호단위 환자 분류도구(2002). 서울: 저자.
  17. 조강희, 전경진, 복수경, 홍준형, 이호, 박노경 등(2005). 욕창의 발생과 임상상에 대한 역학조사 - 전향적 연구.대한재활의학회지, 29 (1), 122-127.
  18. 최선주, 배성열, 최종윤, 방현자(2005). 신경외과 환자의 욕창발생 예측도구 개발. 임상간호연구, 11 (1), 95-108.
  19. Agency for Health Care Policy and Research(1992). Pressure ulcer in adults: Prediction and prevention. Rockville, MD: Author.
  20. Baranoski, S. (2006). Raising awareness of pressure ulcer prevention and treatment. Advances in Skin & Wound Care, 19 (7), 398-405 https://doi.org/10.1097/00129334-200609000-00018
  21. Dellefield, M. E. (2004). Prevalence rate of pressure ulcers in california nursing homes: Using the OSCAR database to develop a risk-adjustment model. Journal of Gerontological Nursing, 30 (11), 3-21.
  22. European Pressure Ulcer Advisory Panel & National Pressure Ulcer Advisory Panel(2009). Treatment of pressure ulcers: Quick reference guide. Washington, DC: Author.
  23. Gallagher, P., Barry, P., Hartigan, I., McCluskey, P., O'Connor, K., & O'Connor, M. (2008). Prevalence of pressure ulcers in three university teaching hospitals in Ireland. Journal of Tissue Viability, 17 (4), 103-109. https://doi.org/10.1016/j.jtv.2007.12.001
  24. Gunnarsson, A. K., Lonn, K., & Gunningberg, L. (2009). Does nutritional intervention for patients with hip fractures reduce postoperative complications and improve rehabilitation? Journal of Clinical Nursing, 18 (9), 1325-1333. https://doi.org/10.1111/j.1365-2702.2008.02673.x
  25. Hatanaka, N., Yamamoto, Y., Ichihara, K., Mastuo, S., Nakamura, Y., Watanabe, M., et al. (2008). A new predictive indicator for development of pressure ulcers in bedridden patients based on common laboratory tests results. Journal of Clinical Pathology, 61 (4), 514-518. https://doi.org/10.1136/jcp.2007.050195
  26. Kottner, J., Tannen, A., & Dassen, T. (2009). Hospital pressure ulcer prevalence rates and number of raters. Journal of Clinical Nursing, 18 (11), 1550-1556. https://doi.org/10.1111/j.1365-2702.2008.02609.x
  27. Nonnemacher, M., Stausberg, J., Bartoszek, G., Lottko, B., Neuhaeuser, M., & Maier, I. (2009). Predicting pressure ulcer risk: A multifactorial approach to assess risk factors in a large university hospital population. Journal of Clinical Nursing, 18 (1), 99-107. https://doi.org/10.1111/j.1365-2702.2008.02425.x
  28. Whittington, K., Patrick, M., & Roberts, J. L. (2000). A national study of pressure ulcer prevalence and incidence in acute care hospitals. Journal of Wound, Ostomy and Continence Nursing, 27 (4), 209-215.