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KMID : 0806120050350010125
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대한간호학회지
2005 Volume.35 No. 1 p.125 ~ p.134
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Factors Influencing the Development of Pressure Ulcers in Surgical Patients
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박경연/Park KY
박형숙/류성미/Park HS/Yu SM
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Abstract
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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.
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