급성기 대학병원 입원환자의 욕창중증도의 영향요인
Risk Factors of Severity of Pressure Injuries in Acute University Hospital Inpatients
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본 연구는 급성기 종합병원 입원 욕창환자에서 욕창 중등도에 영향을 미치는 요인을 파악하기 위해 수행되었다. 입원환자의 퇴원시 욕창악화에 영향요인을 확인하기 위해 수집한 자료를 이차자료 분석하였다. 원 연구는 2017년 5월부터 2018년 11월까지 일 급성기 대학병원에 입원한 만 18세 이상의 욕창환자의 의무기록을 후향적으로 조사하여 자료수집하였다. 이차자료 분석에 입원시 욕창이 있었던 472명의 자료를 이용하였다. 욕창 중증도에 따른 영향요인을 확인하기 위하여, 표면욕창에 비해 중증욕창에 영향을 미치는 요인을 로지스틱 회귀분석을 통해 확인하였다. 연구결과 급성기 대학병원 입원 욕창환자는 전체 환자의 12.7%이었으며, 중증욕창은 그 중 19.1%이었다. 중증욕창에 영향을 미치는 요인으로 성별, 체온과 환자의 기동력이 확인되었다. 입원 욕창환자에 대한 피부관리가 필요하며, 특히 기동력이 저하된 환자에게 체위변경의 횟수 증가 및 욕창부위 압력완화를 위한 관리가 요구된다.
Abstract
This study was conducted to identify the factors influencing the severity of pressure injuries of patients with pressure injuries admitted to acute university hospital. This study was a secondary analysis on the data of the study conducted to identify the factors influencing the deterioration of pressure injuries during hospitalization. The data were collected by retrospectively examining the medical records of patients with pressure injuries who were 18 years of age or older and who were admitted to acute university hospital from May 2017 to November 2018. We used data from 472 patients with pressure injuries at admission for this secondary analysis. In order to identify the factor influencing of severe pressure injuries compare to superficial pressure injuries, we analyzed the data using logistic regression analysis. As a result of the study, gender, body temperature, and patient’s movement were identified as factors affecting severe pressure injuries. Therefore, special care is necessary to increased the number of position change for inpatients with pressure injuries, especially for patients with decreased mobility
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