학회지

Korean Academic Society of Home Health Care Nursing

학회지보기

  • 학회지
  • 학회지보기

중환자실 환경에서 의료기기 사용과 욕창발생 관련성

Pressure Ulcers caused by Equipment and Supplies in Intensive Care Unit

전성숙 (부산대학교 간호대학), 김현정 (양산부산대학교병원), 장윤정 (부산대학교 간호대학)

언어 :

권호 : v.24, no.3, 255-263,

발행일자 : 2017년 12월

PDF 원문보기

초록

Purpose: This study was conducted to assess the incidence and characteristics of pressure ulcer in relation to the type of equipment and supplies(EnS) in intensive care unit(ICU). Method: By using secondary data analysis and descriptive investigation, 29 patients of pressure ulcers caused by EnS were examined from January 2013 to December 2015, at the advanced general hospital located in Gyeongsangnam-do. The subjects were aged 19 years and above and had been in the ICU for more than 3 days. The data were analyzed using the SPSS WIN 23.0 with frequency, percentage, and mean and standard deviation. Result: The incidence of EnS-related pressure ulcers was 3.71%. The EnS-related causes for pressure ulcers were endotracheal tube(31.03%), restraint(20.69%), and neck brace(10.34%). The longest use of EnS was oxygen tube(29 days). EnS that were possibly causing pressure ulcer for one day were restraint(upper extremities), endotracheal tube(oral and face), and oxygen mask(ear and nose). Conclusion: This study has been limited to secondary data analysis that may result in missing records of pressure ulcers related to EnS in ICU. However, the analysis of this research is expected to contribute to the development of nursing interventions to clarify the guidelines for the prevention of pressure ulcers related to EnS in ICUs.

키워드

참고문헌 (21)

  • Apold, J., & Rydrych, D. (2012). Preventing device related pressure ulcers: Using data to guide statewide change. Journal of Nursing Care Quality. 27(1), 28-34.

    http://dx.doi.org/10.1097/NCQ.0b013e31822b1fd9

    원문상세

  • Black, J. M., Cuddigan, J. E., Walko, M. A., Didier, L. A., Lander, M. J., & Kelpe, M. R. (2010). Medical device related pressure ulcers in hospitalized patients. International Wound Journal, 7(5), 358-365.

    http://dx.doi.org/10.1111/j.1742-481X.2010.00699.x

    원문상세

  • Cox, J., & Roche, S. (2015). Vasopressors and development of pressure ulcers in adult critical care patients. American Journal of Critical Care, 24(6), 501-511.

    http://dx.doi.org/10.4037/ajcc2015123

    원문상세

  • Coyer, F. M., Stotts, N. A., & Blackman, V. S. (2014). A prospective window into medical device-related pressure ulcers in intensive care. International Wound Journal, 11(6), 656-664.

    http://dx.doi.org/10.1111/iwj.12026

    원문상세

  • Dealey, C., Posnett, J., & Walker, A. (2012). The cost of pressure ulcers in the United Kingdom. Journal of Wound Care, 21(6), 261-2, 264, 266.

    http://dx.doi.org/10.12968/jowc.2012.21.6.261

    원문상세

  • Eleni, A., Athanasios, T., Konstantinos, T., Efstathia, K., Ioannis, L., & Andreas, K. (2014). Pressure ulcer incidence and risk factors in ventilated intensive care patients. Health Science Journal, 8(3), 333-342.

  • Fumihiro, M., Katsunori, K., & Zenzo, I. (2014). Necrotizing soft tissue infections developing from pressure ulcers. Journal of Tissue Viability, 23(1), 1-6.

    http://dx.doi.org/10.1016/j.jtv.2013.11.001

    원문상세

  • Glasgow, D., Millen, I. S., Nzewi, O. C., & Varadarajaran, B. (2014). Device-related atypical pressure ulcer after cardiac surgery. Journal of Wound Care, 23(8), 383-386.

    http://dx.doi.org/10.12968/jowc.2014.23.8.383

    원문상세

  • Gorecki, C., Closs, S. J., Nixon, J., & Briggs, M. (2011). Patient-reported pressure ulcer pain: a mixed-methods systematic review. Journal of Pain and Symptom Management. 42(3), 443-459.

    http://dx.doi.org/10.1016/j.jpainsymman.2010.11.016

    원문상세

  • Jaul, E. (2010). A prospective pilot study of atypical pressure ulcer presentation in a skilled geriatric nursing unit. Ostomy Wound Management, 57(2). 49-54.

  • Jeong, I. S., Kim, S. M., Jeong, J. S., Hong, E. Y., Im, E. Y., Seo, H. J., Park, K. H., Hong, Y. E., & Hwang, J. H. (2013). Pressure Ulcer Care of Evidence Based Clinical Nursing Practice Guidelines: Hospital Nurse Association.

  • Kim, Y. H., Jang, J. N., Song, M. J., Oh, M. K., & Lee, Y. M. (2015). Effect of integrative pressure ulcers nursing program for the prevention and management of pressure ulcers. Journal of The Korean Data Analysis Society, 17(2), 1015-1029

  • Korea ministry of government legislation. (2016, December). Second Amendment of Medical device: Low No.14330. Retrieved Nobember 11, 2017, from the National Law Information Center Web site: http://www.law.go.kr/main.html

  • Kwak, H. R., & Kang, J. Y. (2015). Pressure ulcer prevalence and risk factors at the time of intensive care unit admission. The Korean Academic Society Of Adult Nursing, 27(3), 347-357,

    http://dx.doi.org/10.7475/kjan.2015.27.3.347

    원문상세

  • Linder-Ganz, E., Engelberg S., Scheinowitz, M., & Gefen, A. (2006). Pressure-time cell death threshold for albino rat skeletal muscles as related to pressure sore biomechanics. Journal of Biomechanics, 39(14), 2725-2732.

    http://dx.doi.org/10.1016/j.jbiomech.2005.08.010

    원문상세

  • Mallah, Z., Nassar, N., & Kurdahi Badr, L. (2015). The effectiveness of a pressure ulcer intervention program on the prevalence of hospital acquired pressure ulcers: controlled before and after study. Applied Nursing Research, 28(2), 106-113.

    http://dx.doi.org/10.1016/j.apnr.2014.07.001

    원문상세

  • Mehta, C., George, J. V., Mehta, Y., & Wangmo, N. (2015). Pressure ulcer and patient characteristics-A point prevalence study in a tertiary hospital of India based on the european pressure ulcer advisory panel minimum data set. Journal of Tissue Viability, 24(3), 123-130.

    http://dx.doi.org/10.1016/j.jtv.2015.04.001

    원문상세

  • Moreiras-Plaza, M. (2010). Abdominal wall skin pressure ulcer due to a peritoneal catheter. Peritoneal Dialysis International. 30(2), 257-258.

    http://dx.doi.org/10.3747/pdi.2009.00128

    원문상세

  • National Pressure Ulcer Advisory Panel, European Pressure Ulcer Advisory Panel and Pan Pacific Pressure Injury Alliance. (2014). Pevention and Treatment of Pressure Ulcers: Quick Reference Guide. Emily Haesler (Ed.). Perth, Australia: Cambridge Media. 12-13.

  • Whittington, K., Patrick M., & Roberts, J. L. (2000). A national study of pressure ulcer prevalence and incidence in acute care hospitals. Journal of Wound, Ostomy and Continence Nursing, 27(4), 209-215.

    http://dx.doi.org/10.1097/00152192-200007000-00004

    원문상세

  • Wille, J., Braams, R., van Harren, W., & van der Werken, C. (2000). Pulse oximeter -induced digital injury: frequency rate and possible causative factors. Critical Care Medicine, 28(10), 3555-3557.

    http://dx.doi.org/10.1097/00003246-200010000-00036

    원문상세
유관기관