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중환자실 환자의 욕창 발생 시기에 따른 관련요인의 차이
이미정,서은정,김미옥,박정옥,이선미,신현경,윤일심,조미나,조영자,강보미,서현미,이미순,이시라,장혜주,정현숙,안정아,Lee, Mijung,Seo, Eunjeoung,Kim, Miok,Park, Jeongok,Lee, Seonmi,Shin, Hyunkyung,Yun, Ilsim,Cho, Mina,Cho, Youngcha,Kang, Bomi,Seo, Hyunmi 한국중환자간호학회 2021 중환자간호학회지 Vol.14 No.3
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 𝑥<sup>2</sup>-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.