The prevalence of pressure ulcers in community‐dwelling older adults: A study in an Indonesian city

Abstract

The objectives of this study were to investigate the prevalence and the characteristics of pressure ulcers (PU) in community‐dwelling older adults in Indonesia, including specific characteristics of the PU patients and their use of formal and informal care. A cross‐sectional design was used for the study, with 325 participants aged 60 years or older, randomly chosen from the general community. The overall PU prevalence and the PU prevalence excluding category 1 were 10.8% (95% confidence interval [CI], 5.8‐15.8) and 5.2% (95% CI 0.2‐10.2), respectively. Category 1 PUs were mostly (34.3%) located on knees and toes, while category 2 and higher PUs were mostly (70.4%) located on the shoulder, sacrum, and hip. The main factors that contributed strongly to PUs among older adults in the community were the degree of physical activity, problems with sensory perception, and having a history of stroke. None of the participants with a PU received wound care or information about PUs from formal caregivers and only 11.4% received wound care from family caregivers. This study shows that pressure ulcers in community‐dwelling older adults in Indonesia are a relevant and largely unaddressed problem. Developing an intervention program to manage the PU problem in the community is recommended.

Profil Pasien Geriatri dengan Ulkus Dekubitus di RSUP Dr. M. Djamil

“…Lokasi ulkus yang paling dominan pada stadiumb1 terdapat pada lutut (21,4%) dan kaki (12,9%), sedangkan lokasibtersering selain dari stadium 1 terdapat pada sakrum (25,9%), bahu (25,9%), dan panggul (22.2%). 10 Pasien geriatri adalah pasien usia lanjut atau usila (usia lebih dari 60 tahun) dengan multipenyakit dan/atau gangguan akibat penurunan fungsi organ, psikologi, sosial, ekonomi, dan lingkungan yang membutuhkan pelayanan kesehatan terpadu dengan pendekatan multidisiplin yang bekerja secara interdisiplin. 11 Padabgeriatribdengan imobilisasi yang lama akan menyebabkan aliran darah kapiler ke jaringanbmudah terhambat karena adanya tekanan luar yang lebih besar daripada tekananbdarah kapilerbkhusunya padabbagianbagian tubuh yang menonjol.…”

“…8 Begitu juga hasil penelitian yang dilakukan di Kota Bandung yang mendapatkan stadium 1 sebagai stadium terbanyak bahkan mencapai 51,4% dan semakin tinggi stadium semakin sedikit jumlah penderitanya. 10 Berdasarkan penelitian International Health Care Publications (IHCP) mendapatkan stadium 1 sebagai stadium terbanyak. 26…”

Compositions and antimicrobial properties of binary ZnO–CuO nanocomposites encapsulated calcium and carbon from Calotropis gigantea targeted for skin pathogens

“…Ulcerative skin infections arising from the colonisation and development of Gram-positive bacteria, Gram-negative bacteria, and multidrug-resistant bacteria are significant health-care problems that seriously affect human skin. A prospective quantitative study reported that the prevalence rates of skin pressure ulcers (PUs) are 15.5% in Kuala Lumpur, Malaysia (2013) 1 , 33% in Palestine (2017) 2 , and 16% in Bandung, Indonesia (2017) 3 . Skin infection has been found in 60 (74.0%) of the collected samples from PUs of hospitalised patients, and these PUs primarily comprise Enterobacteriaceae strains (49.0%), such as Escherichia coli ( E .…”

Development and validation of the Pressure Injury Prevention Barriers questionnaire in hospital nurses in Spain

“… 4 A recent study reported a prevalence of 3.38% from hospitals in China. 5 In countries with weak health systems, the PIs prevalence is higher, such as Indonesia (10.8%), 6 Ethiopia (14.9%) 7 or Brazil (40% in an emergency hospital unit). 8 In other settings, such as palliative care, high prevalence figures have been reported: 18.8% for cancer patients at home in Brazil, 9 16.7% in Spain 3 or 13.1% in home palliative care in Italy.…”