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Journal of Korean Academy of Fundamentals of Nursing 2006;13(2): 190
신경계 중환자의 욕창발생에 관한 연구
임미자1, 박형숙2
1인산병원 간호과
2부산대학교 간호대학
A Study on the Pressure Ulcers in Neurological Patients in Intensive Care Units
Mi-Ja Im1, Hyoung-Sook Park2
1Nursing Department, In-San Hospital
2College of Nursing, Pusan National University
Purpose: To provide basic data and to identify the risk of pressure ulcers among neurological patients in ICU.
Method: The participants in the study were on 78 neurological patients in the ICU of 3 hospitals. Data were collected every other day from 24 hours after admission, for up to 40 days or until discharge. The total period of data collection was 3 months. The risk assessment scales used for pressure ulcer were the Cubbin & Jackson(1991) scale and the National Pressure Ulcer Advisory Panel(1989) skin assessment tool.
Results: There was a significant relationship between having a pressure ulcers and weight, skin condition, mental status, respiration, hygiene and hemodynamic status compared to not having a pressure ulcer. The incidence rate of the pressure ulcer was 28.2%(n=22). Of these patients the mean number of hospitalization days until pressure ulcer development was 5.2 days. The most common pressure ulcer site was the coccyx(39.3%). Based on a cut-off point of 24, 9 patients with risk scores <24 on admission also showed risk score for development of pressure ulcers, 10 patients with pressure ulcer scores ${geq}24$ were older, hospitalized for a longer time, had low serum albumin, low hemoglobin, diabetes mellitus and surgery.
Conclusion: In order to make the Cubbin & Jackson risk assessment scales more useful, there is a need to determine the reliability of the upper cut-off point 24. The result also showed a need to assess other risk factors and for early identification of at-risk patients in order to provide preventive care from admission to discharge.
Key words: Pressure ulcer | Neurology Intensive care units
주요어: 신경계 | 중환자 | 욕창