J Korean Crit Care Nurs.  2021 Oct;14(3):26-36. 10.34250/jkccn.2021.14.3.26.

Differences in Associated Factors according to the Time of Occurrence of Pressure Ulcers in Intensive Care Unit Patients

• Lee M
• Seo E
• Kim M
• Park J
• Lee S
• Shin H
• Yun I
• Cho M
• Cho Y
• Kang B
• Seo H
• Lee M
• Lee S
• Jang H
• Jung H
• Ahn JA

• KMID: 2521667
• DOI: http://doi.org/10.34250/jkccn.2021.14.3.26

Abstract

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.

Keyword

Pressure ulcer, Incidence, Risk factors, Intensive care units, Nurses; 욕창, 유병률, 위험요인, 중환자실, 간호사