노인요양병원 욕창위험군의 욕창발생에 영향을 미치는 시설요인 및 간호요인
Facility and Nursing Factors Influence on Pressure Ulcer Occurrence among Patients at Risk for Pressure Ulcer in Long-term Care Hospitals
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Purpose: The purpose of this study was to examine pressure ulcer occurrence, facility and nursing factors that are associated with occurrence of pressure ulcers among patients at risk for pressure ulcer in long-term care hospitals. Methods: For this cross-sectional descriptive study, 1,021 elders who were at risk for pressure ulcer and 274 nurses from 14 long-term care hospitals were recruited. Data collection was conducted from September 24, 2009 to July 23, 2010. Survey data were analyzed using descriptive statistics and hierarchical multiple regression. Results: About one out of ten patients had a pressure ulcer (11.2%). Nursing personnel, use of pressure ulcer assessment tools and nurses' attitude toward pressure ulcer prevention were predictors of pressure ulcer occurrence. The most powerful predictor was number of nursing personnel (ß=-1.53, p<.001). Conclusion:Prevention strategies to decrease the occurrence of pressure ulcers should include the use of optimal nursing personnel, use of pressure ulcer assessment tools, and nurses' proactive attitudes towards pressure ulcer prevention.
Abstract
Purpose: The purpose of this study was to examine pressure ulcer occurrence, facility and nursing factors that are associated with occurrence of pressure ulcers among patients at risk for pressure ulcer in long-term care hospitals. Methods: For this cross-sectional descriptive study, 1,021 elders who were at risk for pressure ulcer and 274 nurses from 14 long-term care hospitals were recruited. Data collection was conducted from September 24, 2009 to July 23, 2010. Survey data were analyzed using descriptive statistics and hierarchical multiple regression. Results: About one out of ten patients had a pressure ulcer (11.2%). Nursing personnel, use of pressure ulcer assessment tools and nurses' attitude toward pressure ulcer prevention were predictors of pressure ulcer occurrence. The most powerful predictor was number of nursing personnel (ß=-1.53, p<.001). Conclusion:Prevention strategies to decrease the occurrence of pressure ulcers should include the use of optimal nursing personnel, use of pressure ulcer assessment tools, and nurses' proactive attitudes towards pressure ulcer prevention.
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