일개 대학병원 입원환자의 욕창 실태와 욕창상태 영향요인
Survey on Pressure Ulcers and Influencing Factors of Stage Change in Acute University Hospital Inpatients
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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 614patients 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 (β=-.068, p=.047), elimination (β=-.145, p<.001), active exercise and movement (β=-.505, p<.001), albumin levels (β=.166, p<.001), and inflammatory markers (CRP)(β=-.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.
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 614patients 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 (β=-.068, p=.047), elimination (β=-.145, p<.001), active exercise and movement (β=-.505, p<.001), albumin levels (β=.166, p<.001), and inflammatory markers (CRP)(β=-.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.
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