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KMID : 0388320220290020141
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Journal of Korean Academy of Fundamental Nursing
2022 Volume.29 No. 2 p.141 ~ p.149
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Factors Affecting Pressure Ulcer among Inpatients in Long Term Care Facilities: Adults with Cognitive Impairment
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Do Eun-Hi
Park Min-A
Kim Se-Hee
Moon Kyoung-Ja
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Abstract
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Purpose: The aim of this study was to identify factors affecting pressure ulcers among cognitive impairmentinpatients with long term care facilities.
Methods: In this secondary data analysis of the two long-term care facilities,162 patients with mild or more cognitive impairment were analyzed. Patients with a pressure ulcer of stage 2 orhigher that developed after the first day of hospitalization were defined as the pressure ulcer group, while the otherpatients comprised the non-pressure ulcer group. Demographic characteristics were compared between the twogroups. Initially, a univariate analysis was conducted. Subsequently, risk factors were identified through logisticregression analysis using the variables that exhibited statistically significant differences in the univariate analysis.
Results: Thirty-three patients had hospital-acquired pressure ulcers. Age (odds ratio [OR]=0.92, 95% confidenceinterval [CI]=0.87~0.98), albumin levels (OR=0.25, 95% CI=0.08~0.77), Charlson comorbidity index (OR=1.57,95% CI=1.14~2.18), and Mini-Mental State Examination for Koreans score (OR=0.90, 95% CI=0.81~0.99) wereidentified as risk factors for pressure ulcer occurrence.
Conclusion: Our data analysis supports independentassociations between certain clinical characteristics and pressure ulcer occurrence in long-term care facilitypatients with cognitive impairment. To reduce the risk of pressure ulcers in long-term care facilities, healthprofessionals should implement appropriate prevention measures.
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KEYWORD
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Cognitive impairment, Long term care, Pressure ulcer, Risk factors
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