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KMID : 1033220150050010019
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Journal of Acute Care Surgery
2015 Volume.5 No. 1 p.19 ~ p.27
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Risk Factors for Pressure Ulcer in Severe Trauma Patients
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Jung Yooun-Joong
Chung Yeon-Hwa
Oh Su-Jin
Lee Soon-Haeng
Kim Young-Hwan
Kim Tae-Hyun
Keum Min-Ae
Kyoung Kyu-Hyouck
Kim Jung-Jae
Hong Suk-Kyung
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Abstract
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Purpose: This study identifies risks for pressure ulcer in patients admitted to surgical intensive care units because of severe traumatic injuries with injury severity scores of 15 or higher.
Methods: Data was collected from records of patients admitted from January 1, 2011, to December 31, 2013. The analysis addressed general characteristics, trauma-related charac-teristics, and treatment-related characteristics of pressure ulcers. Descriptive statistics include the raw numbers, percentages, and the standard deviations. Hypothesis tests including t-tests, chi-square tests, and multi-regression analyses were performed using SPSS ver.dow 12.0.
Results: Two hundred and fifty-nine patients were admitted to surgical intensive care units with severe trauma injuries. Of those, 44 patients (17.0%) had a pressure ulcer. The mean pressure ulcer duration was 8.4 days. The most common pressure ulcer was the second phase ulcer at 51.9%. Risk factors were found to be age (p＜0.001), shock (p＜0.021), and the fixture device (p＜0.020).
Conclusion: Early nursing interventions are necessary to prevent a pressure ulcer in patients with severe trauma injuries admitted to surgical intensive care units.
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KEYWORD
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Intensive care units, Pressure ulcer, Trauma
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