Factors Influencing the Development of Pressure Ulcers in Surgical Patients

Abstract

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.

Study on the Pressure Ulcer Care in Home Care Service

“…This result is opposite to the study result of Jin [21] that targeted nurses in a hospital, in which pressure ulcer nursing knowledge did not show a statistically significant correlation with nursing intervention performance, while the study result of Park [34] and Kim [35] were reported to have a negative correlation. However, it was consistent with the study result of Yang and Moon [23] that was reported to have a positive correlation.…”

Factors Affecting Attitudes and Preventive Practice of Pressure Ulcer among Nurses

“…지금까지 욕창간호에 대한 연구로는 욕창상태에 영향을 미 치는 요인에 관한 연구 (Kim et al, 2011), 특정부서인 수술 실이나 (Lee, 2008;Park, Park, & Yu, 2005;Whang, 2007) 노인 환자 중심 (Lee, M., 2010;Lee, S., 2010)으로 욕창 발생 률 및 위험요인 조사연구가 대부분이었다. 욕창과 관련된 지 식, 태도 수행도에 관한 연구는 중환자실 욕창의 지식수준과 간호중재의 상관관계 조사연구 (Park, 2005), 중소병원 간호 사 대상 욕창간호 지식과 간호수행연구 (Lee & Yang, 2011) 가 있으며, 노인요양시설 간호사대상 욕창간호 지식, 태도 및 수행에 관한 상관관계연구 (Seo, 2010) Use cushion or pillow to prevent the pressure ulcer 2.31±0.72…”

Risk Factors Associated With Pressure Injuries in Surgical Patients

“…While the epidemiology of PIs among hospitalized patients has been widely studied over the past few years, investigation into surgically related PIs has lagged behind 7–12. In 2002, Schoonhoven and colleagues13 reported that 21.2% of patients (44/208) in their study developed a PI within 48 hours after surgery, which was similar to a subsequent Korean study,14 which recorded a 26.1% incidence of perioperative PIs. In the United States, Connor and colleagues15 reported a far lower PI incidence of 5% among patients undergoing urologic surgery.…”

“…Data collectors were trained in data extraction requirements for this study. Previous publications were reviewed to identify patient-specific and surgery-associated variables that were likely to influence whether or not surgical patients were at an increased risk for PIs 14,23,24. The following documents were reviewed: nursing records, patient assessment, surgical, clinical laboratory, anesthesia, preanesthesia status evaluation, transfusion, extracorporeal circulation, and PI incident reports.…”

“…Multiple associated factors have been linked to an increased occurrence of PIs during surgery including older age, poor skin barrier function, low nutritional status, low preoperative blood albumin level, high preoperative blood lactate, type of anesthesia, operating time of more than 4 hours, use of equipment to raise body temperature during surgery (eg, hyperthermia, heated circuit, blanket), perioperative irrigation, comorbid conditions affecting tissue perfusion such as diabetes mellitus, type of surgery, and low Braden Scale for Pressure Sore Risk Scale (Braden Scale) scores 17–22. Research into independent risk factors for PI development among surgical patients in Korea is limited 14,22. The aim of this study was to identify risk factors predictive for PI development within 24 hours of a surgical procedure in Korean patients undergoing a variety of elective operative procedures.…”