Pressure ulcer prevalence in intensive care patients: a cross‐sectional study
- 9 July 2008
- journal article
- research article
- Published by Wiley in Journal of Evaluation in Clinical Practice
- Vol. 14 (4) , 563-568
- https://doi.org/10.1111/j.1365-2753.2007.00918.x
Abstract
Pressure ulcers are a potential complication for intensive care patients and their prevention is a major issue in nursing care. Therefore, this study aims to assess pressure ulcer prevalence in intensive care patients, patients' characteristics and preventive measures related to pressure ulcer prevalence in intensive care patients and to determine the most common body sites of pressure ulcers. The research design was a cross-sectional study. The sample consisted of 1760 patients (298 in 2002, 408 in 2003, 453 in 2004, 368 in 2005 and 233 participants in 2006) from surgical, medical and interdisciplinary intensive care. The results revealed a mean prevalence rate of +/-30% from 2002 to 2005 while it considerably decreased down to 16.2% in 2006. Half of the pressure ulcers were of grade 1. Furthermore, a significant relation was found between the presence of pressure ulcers and age (P <or= 0.022), Braden score (P <or= 0.01) and bowel incontinence (P <or= 0.01). It is crucial to select appropriate and applicable preventive material/devices and nursing care measures. Moreover, factors related to the presence of pressure ulcers should be taken into consideration in order to prevent development of further pressure ulcers.Keywords
This publication has 19 references indexed in Scilit:
- Risk assessment scales for pressure ulcer prevention: a systematic reviewJournal of Advanced Nursing, 2006
- Pressure ulcer prevention in intensive care – a randomised control trial of two pressure‐relieving devicesAnaesthesia, 2005
- The relationship between dermal pressure ulcers, oxygenation and perfusion in mechanically ventilated patientsIntensive and Critical Care Nursing, 2005
- Inter‐rater reliability of the EPUAP pressure ulcer classification system using photographsJournal of Clinical Nursing, 2004
- Immobility – a major risk factor for development of pressure ulcers among adult hospitalized patients: a prospective studyScandinavian Journal of Caring Sciences, 2004
- Skin Care Intervention for Patients Having Cardiac SurgeryAmerican Journal of Critical Care, 2003
- Comparison of pressure ulcer grading scales: a study of clinical utility and inter-rater reliabilityInternational Journal of Nursing Studies, 2003
- Prevalence, risk factors and prevention of pressure ulcers in Dutch intensive care unitsIntensive Care Medicine, 2001
- Predicting Pressure Ulcer RiskNursing Research, 1998
- Application of a pressure area risk calculator in an intensive care unitIntensive and Critical Care Nursing, 1993