Incidence of pressure ulcers in intensive care unit patients at risk according to the Waterlow scale and factors influencing the development of pressure ulcers
Incidence of pressure ulcers in intensive care unit patients at risk according to the Waterlow scale and factors influencing the development of pressure ulcers
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DOI：
10.1111/j.1365-2702.2008.02598.x
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发表时间：
2009-03-01
影响因子：
4.2
通讯作者：
Tasdelen, Bahar
中科院分区：
文献类型：
--
作者：
Sayar, Serap;Turgut, Sibel;Tasdelen, Bahar
[目的]根据沃特洛评分确定重症监护病房高危患者压疮的发生率，并评估危险因素对危重患者的影响。压疮仍然是一个重要的健康问题，它增加了疾病和死亡的风险，延长了患者的住院时间，增加了医疗费用。使用数据采集表、皮肤评估仪和沃特洛评分收集数据，发现重症监护病房患者压疮的发生率为14.3%。大多数压疮(74%)为I级。压疮发展的平均时间为10.4(SD 1.85)天。不同意识程度、活动程度、合作程度、住院时间、Water low评分和C反应蛋白水平的压疮患者发生压疮的差异有统计学意义。在多元逐步Logistic回归分析中，住院时间和活动水平是影响压疮发生的最主要因素。对于住院时间较长、活动依赖、Watlow评分高、昏迷和不合作的重症监护病房患者，需要采取额外护理来预防压疮的发生。本研究确定了重症监护病房患者发生压疮的发生率和影响压疮发生的因素，并提出了土耳其护士针对这些因素实施干预的重要性。
To determine incidence of pressure ulcers in patients at risk according to the Waterlow scale in intensive care units and to evaluate the effects of risk factors in critically ill patients.Pressure ulcers continue to be an important health problem that increases the risk of illness and death, extends patients' length of hospital stay and increases healthcare expenses.The study was conducted as a descriptive and prospective study.The sample consisted of 140 patients. Data were collected using a data collection form, the skin assessment instrument and the Waterlow scale.The incidence of pressure ulcers in intensive care unit patients was found to be 14.3%. The majority of pressure ulcers (74%) were grade I. The mean length of time for pressure ulcer development was found to be 10.4 (SD 1.85) days. A statistically significant difference was found in the patients for pressure ulcer development according to their level of consciousness, activity, cooperation, length of stay, Waterlow scale score and C-reactive protein level. In the multiple stepwise logistic regression analysis, the most influential factors for pressure ulcer development were determined to be length of stay and activity level.Extra care needs to be taken to prevent pressure ulcer development in intensive care unit patients who have an extended length of stay, are dependent for activities, have high Waterlow scores, are unconscious and are not cooperative.This study determined the incidence of and factors that can affect the development of pressure ulcers in intensive care unit patients who are in a high risk group for the development of pressure ulcers and presented the importance of having Turkish nurses implement interventions directed at these factors.