수술환자의 욕창발생 예측요인에 관한 연구

Factors Influencing the Development of Pressure Ulcers in Surgical Patients

  • 박형숙 (부산대학교 의과대학 간호학과) ;
  • 박경연 (부산대학교 의과대학 간호학과) ;
  • 류성미 (부산백병원 간호사)
  • Park, Hyoung-Sook (Department of Nursing, College of Medicine, Pusan National University) ;
  • Park, Kyung-Yeon (Department of Nursing, College of Medicine, Pusan National University) ;
  • Yu, Sung-Mi (Nurse, Busan Paik Hospital)
  • 발행 : 2005.01.01

초록

Purpose: The purpose of this study was to identify the influencing factors on the development of pressure ulcers in patients undergoing surgery which lasted more than two hours. Method: One hundred nineteen surgical adult patients were included in the study. Data was measured on each participant from December 2003 to February 2004. It was collected using a structured researcher-administered sheet and analyzed by descriptive statistics, t-test, chi-square test and logistic regression analysis. Result: The prevalence of a perioperative pressure ulcer was 26.1%. The level of moisture, friction and shear, length of surgery, and perioperative irrigation were significantly higher in the pressure ulcer group than those in the non-pressure ulcer group. The level of activity and level of consciousness were significantly lower in the pressure ulcer group than those in the non-pressure ulcer group. Significant influencing factors on the development of pressure ulcer were 'moisture' and 'irrigation' and those variables explained 23.1% of varience in the development of a pressure ulcer during surgery. Conclusion: It is necessary to develop a strategy to prevent pressure ulcer by taking 'moisture' and 'irrigation' into account during the preoperative, perioperative and postoperative period.

키워드

참고문헌

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