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Factors Influencing on Pressure Ulcer Incidence among Older Patients with Hip Fracture in a Hospital

고관절 골절로 입원한 노인 환자의 욕창 발생 위험요인

  • Lee, Sun Jin (Department of Nursing, Asan Medical Center) ;
  • Jeong, Jae Shim (Department of Clinical Nursing, Graduate School of Industry, University of Ulsan) ;
  • Lim, Kyung-Choon (Department of Nursing, College of Nursing, Sungshin Women's University) ;
  • Park, Eun Young (Institutional Review Board, Asan Medical Center) ;
  • Kim, Hye Youn (Department of Nursing, Asan Medical Center)
  • 이순진 (서울아산병원 간호부) ;
  • 정재심 (울산대학교 산업대학원 임상전문간호학) ;
  • 임경춘 (성신여자대학교 간호대학 간호학과) ;
  • 박은영 (서울아산병원 임상연구심의위원회) ;
  • 김혜연 (서울아산병원 간호부)
  • Received : 2018.10.16
  • Accepted : 2019.01.29
  • Published : 2019.02.28

Abstract

Purpose: This study aimed to identify the incidence and risks for pressure ulcer among older patients with hip fracture. Methods: The subject were 215 older patients suffering from hip fracture who were admitted for surgical operation from January 1, 2012 to April 30, 2016 in a university-affiliated hospital. The incidence of pressure ulcer was collected retrospectively through medical record review and the risk factors were analyzed using Cox's proportional hazard model. Results: Out of the total, 32 patients (14.9%) developed pressure ulcer with the average occurrence period being 4.72 (${\pm}3.81$) days. Stage II pressure ulcer was the most common at 72.0%. Risk factors included ambulation status before injury (p= .039), spinal anesthesia (p= .029), and stay at intensive care unit after operation (p= .009). Conclusion: Despite pressure ulcer prevention efforts, the incidence remained relatively high. Considering the identified risk factors, more efforts is needed for early detection and prevention of pressure ulcers in such patients.

Keywords

References

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