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KMID : 0869120190210010054
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기초간호자연과학회지
2019 Volume.21 No. 1 p.54 ~ p.61
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Factors Influencing on Pressure Ulcer Incidence among Older Patients with Hip Fracture in a Hospital
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Lee Sun-Jin
Jeong Jae-Sim
Lim Kyung-Choon
Park Eun-Young
Kim Hye-Youn
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Abstract
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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(±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.
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KEYWORD
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Aged, Pressure Ulcer, Fracture, Bone, Hip joint
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