Koo MiJee, Sim YoungA, Kang InSoon
Surgical Intensive Care Unit, Pusan National University Yangsan Hospital, Yangsan, Korea.
College of Nursing, Pusan National University, Yangsan, Korea.
J Korean Acad Nurs. 2019 Feb;49(1):36-45. doi: 10.4040/jkan.2019.49.1.36.
The purpose of this study was to identify the characteristics of and risk factors for medical-device-related pressure ulcer (MDRPU) development in intensive care units.
A prospective cohort study design was used, and the participants were 253 adult patients who had stayed in medical and surgical intensive care units. Data were collected regarding the application of medical devices and MDRPU-related characteristics over a period of six months from June to November, 2017. Data were analyzed using independent t-test, χ²-test, Fisher's exact test, and binary logistic regression analysis with the SPSS 21.0 program.
Among the 253 participants, MDRPUs occurred in 51 (19.8%) participants. The results of the logistic regression analysis showed that the risk factors for MDRPUs were the use of endotracheal tubes (OR=5.79, 95% CI: 1.6620.20), having had surgery (OR=2.95, 95% CI: 1.117.77), being in a semi-coma/coma (OR=5.79, 95% CI: 1.0432.05), and sedation (OR=5.54, 95% CI: 1.3922.19).
On the basis of the study results, it is effectively facilitated by nurses when they care for patients with MDRPUs in intensive care units and the results are expected to be of help in preventive education for MDRPU development as well as preparing the base data for intervention studies.
本研究旨在确定重症监护病房中与医疗设备相关的压疮（MDRPU）发生的特征和危险因素。
采用前瞻性队列研究设计，参与者为253名入住内科和外科重症监护病房的成年患者。收集了2017年6月至11月六个月期间有关医疗设备应用及与MDRPU相关特征的数据。使用SPSS 21.0程序进行独立t检验、χ²检验、Fisher精确检验和二元逻辑回归分析。
在253名参与者中，51名（19.8%）发生了MDRPU。逻辑回归分析结果显示，MDRPU的危险因素包括使用气管内插管（OR=5.79，95%CI：1.6620.20）、接受过手术（OR=2.95，95%CI：1.117.77）、处于半昏迷/昏迷状态（OR=5.79，95%CI：1.0432.05）和使用镇静剂（OR=5.54，95%CI：1.3922.19）。
根据研究结果，护士在重症监护病房护理MDRPU患者时能有效提供帮助，预期这些结果有助于开展MDRPU发生的预防教育，并为干预研究准备基础数据。
