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NTIS 바로가기기본간호학회지 = Journal of Korean Academy of Fundamentals of Nursing, v.23 no.3, 2016년, pp.256 - 263
김희정 (서울성모병원) , 이선미 (가톨릭대학교 간호대학) , 최희영 (서울성모병원) , 민유경 (서울성모병원) , 정유진 (서울성모병원)
Purpose: This study was done to examine the prophylactic effect of transparent film dressing on the sacrum and coccyx sites to reduce pressure ulcers. Methods: The participants were 317 patients admitted to an SICU in Seoul, Korea. Of the patients, 175 were assigned to the experimental group and 142...
핵심어 | 질문 | 논문에서 추출한 답변 |
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욕창 발생의 주요 위험인자에는 어떤 것들이 있는가? | 욕창 발생의 주요 위험인자로는 마찰과 응전력, 기동성의 문제, 발생부위의 습한 정도와 온도, 마비유무, 감각의 존재유무, 영양상태, 당뇨, 전신감염, 의식의 유무, 비창백성 홍반 등이 관련되어 있으며 혈관질환 과거력, 심혈관계 약제, 투석여부, 인공호흡기 치료, 수술 전 알부민, 입원 후 체중감소, 수술 중 최소 이완기압이 영향을 미친다고 보고되었다[5,17,18,]. | |
욕창이란 무엇인가? | 욕창이란 압력, 또는 압력과 마찰력이 혼합되어 뼈 돌출부 위의 피부와 그 밑의 조직에 국소적인 손상이 발생하는 것으로[1] 입원환자에게 발생하는 대표적인 위해사건 중 하나이다 [2]. 최근 국외연구에서는 욕창의 발병률을 9~20. | |
욕창으로 인해 의료기관에 어떤 문제가 발생하는가? | 욕창은 일단 발생하게 되면 재원기간의 연장[5,9], 삶의 질 저하 뿐 아니라[10,11] 사망에 이를 수 있을 만큼 치명적이며12[] 영국에서는 욕창으로 인해 연간 수십억 파운드, 최근 캐나다 연구에서는 척추손상이 있는 욕창환자 1인당 한 달에 4745달러가 욕창치료에 소모된다고 보고하였다[13,14]. 이는 의료기관의 의도치 않은 사건(adverse event)으로 여겨지며 의료기관 평가 시 환자 간호의 성과지표 대상이 되고 [15,16] 환자가 지불해야 하는 치료비용[5] 뿐 아니라 의료기 관에 부과되는 비용, 즉 간호사의 업무 등이 증가할 수 있다[7]. |
European Pressure Ulcer Advisory Panel and National Pressure Ulcer Advisory Panel. Treatment of pressure ulcers:Quick Reference Guide. Washington DC: National Pressure Ulcer Advisory Panel; 2009.
Van Gaal BG, Schoonhoven L, Mintjes-de Groot JA, Defloor T, Habets H, Voss A, et al. Concurrent incidence of adverse events in hospitals and nursing homes. Journal of Nursing Scholarship. 2014;46(3):187-198. http://dx.doi.org/10.1111/jnu.12063
Barrois B, Labalette C, Rousseau P, Corbin A, Colin D, Allaert F, et al. A national prevalence study of pressure ulcers in French hospital inpatients. Journal of Wound Care. 2008;17(9): 373-376, 378-379. http://dx.doi.org/10.12968/jowc.2008.17.9.30934
Tannen A, Dassen T, Halfens R. Differences in prevalence of pressure ulcers between the Netherlands and Germany-Associations between risk, prevention and occurrence of pressure ulcers in hospitals and nursing homes. Journal of Clinical Nursing. 2008;17(9):1237-1244. http://dx.doi.org/10.1111/j.1365-2702.2007.02225.x
Gage W. Preventing pressure ulcers in patients in intensive care. Nursing Standard. 2015;29(26):53-61. http://dx.doi.org/10.7748/ns.29.26.53.e9657
Shahin ES, Dassen T, Halfens RJ. Incidence, prevention and treatment of pressure ulcers in intensive care patients: A longitudinal study. International Journal of Nursing Studies. 2009;46(4):413-421. http://dx.doi.org/10.1016/j.ijnurstu.2008.02.011
Cremasco MF, Wenzel F, Zanei SS, Whitaker IY. Pressure ulcers in the intensive care unit: The relationship between nursing workload, illness severity and pressure ulcer risk. Journal of Clinical Nursing. 2013;22(15-16):2183-2191. http://dx.doi.org/10.1111/j.1365-2702.2012.04216.x
Manzano F, Navarro MJ, Roldan D, Moral MA, Leyva I, Guerrero C, et al. Pressure ulcer incidence and risk factors in ventilated intensive care patients. Journal of Critical Care. 2010;25(3):469-476. http://dx.doi.org/10.1016/j.jcrc.2009.09.002
Nam MH, Lim JH. Analysis on the situation of inpatients with pressure ulcer by patient safety indicators. Journal of Digital Convergence. 2012;10(3):197-205.
Gorecki C, Brown JM, Nelson EA, Briggs M, Schoonhoven L, Dealey C, et al. Impact of pressure ulcers on quality of life in older patients: A systematic review. Journal of the American Geriatrics Society. 2009;57(7):1175-1183. http://dx.doi.org/10.1111/j.1532-5415.2009.02307.x
Benbow M. Assessing the risk of pressure ulcer development. British Journal of Nursing. 2009;18(15):S26-S29. http://dx.doi.org/10.12968/bjon.2009.18.Sup5.43570
Manzano F, Perez-Perez AM, Martinez-Ruiz S, Garrido-Colmenero C, Roldan D, Jimenez-Quintana Mdel M, et al. Hospital-acquired pressure ulcers and risk of hospital mortality in intensive care patients on mechanical ventilation. Journal of Evaluation in Clinical Practice. 2014;20(4):362-368. http://dx.doi.org/10.1111/jep.12137
National Patient Safety Agency. NHS to adopt zero tolerance approach to pressure ulcers [Internet]. London:National Patient Safety Agency; 2010 [cited 2016 August 11]. Available from: http://www.npsa.nhs.uk/corporate/news/nhs-to-adopt-zero-tolerance-approach-to-pressure-ulcers/?localeen.
Chan BC, Nanwa N, Mittmann N, Bryant D, Coyte PC, Houghton PE. The average cost of pressure ulcer management in a community dwelling spinal cord injury population. International Wound Journal. 2013;10(4):431-440. http://dx.doi.org/10.1111/j.1742-481X.2012.01002.x
Sving E, Idvall E, Hogberg H, Gunningberg L. Factors contributing to evidence-based pressure ulcer prevention. A cross-sectional study. International Journal of Nursing Studies. 2014;51(5):717-725. http://dx.doi.org/10.1016/j.ijnurstu.2013.09.007
Kim JM, Park JS. Development of an algorithm for the prevention and management of pressure ulcers. Journal of Korean Academy of Adult Nursing. 2010;22(4):353-364.
Nixon J, Cranny G, Bond S. Skin alterations of intact skin and risk factors associated with pressure ulcer development in surgical patients: A cohort study. International Journal of Nursing Studies. 2007;44(5):655-663. http://dx.doi.org/10.1016/j.ijnurstu.2006.02.010
Nijs N, Toppets A, Defloor T, Bernaerts K, Milisen K, Van Den Berghe G. Incidence and risk factors for pressure ulcers in the intensive care unit. Journal of Clinical Nursing. 2009;18(9):1258-1266. http://dx.doi.org/10.1111/j.1365-2702.2008.02554.x
Mallah Z, Nassar N, Kurdahi Badr L. The effectiveness of a pressure ulcer intervention program on the prevalence of hospital acquired pressure ulcers: Controlled before and after study. Applied Nursing Research. 2015;28(2):106-113. http://dx.doi.org/10.1016/j.apnr.2014.07.001
Moore ZE, Webster J. Dressings and topical agents for preventing pressure ulcers. Cochrane Database of Systematic Reviews. 2013;(8):CD009362. http://dx.doi.org/10.1002/14651858.CD009362.pub2
Velez-Diaz-Pallares M, Lozano-Montoya I, Abraha I, Cherubini A, Soiza RL, O'Mahony D, et al. Nonpharmacologic Interventions to Heal Pressure Ulcers in Older Patients: An Overview of Systematic Reviews (The SENATOR-ONTOP Series). Journal of the American Medical Directors Association. 2015;16(6):448-469. http://dx.doi.org/10.1016/j.jamda.2015.01.083
Imanishi K, Morita K, Matsuoka M, Hayashi H, Furukawa S, Terashita F, et al. Prevention of postoperative pressure ulcers by a polyurethane film patch. Journal of Dermatology. 2006;33(3):236-237. http://dx.doi.org/10.1111/j.1346-8138.2006.00057.x
Dutra RA, Salome GM, Alves JR, Pereira VO, Miranda FD, Vallim VB, et al. Using transparent polyurethane film and hydrocolloid dressings to prevent pressure ulcers. Journal of Wound Care. 2015;24(6):268, 270-261, 273-265. http://dx.doi.org/10.12968/jowc.2015.24.6.268
Brindle CT, Wegelin JA. Prophylactic dressing application to reduce pressure ulcer formation in cardiac surgery patients. Journal of Wound, Ostomy and Continence Nursing. 2012; 39(2):133-142. http://dx.doi.org/10.1097/WON.0b013e318247cb82
Walker R, Aitken LM, Huxley L, Juttner M. Prophylactic dressing to minimize sacral pressure injuries in high-risk hospitalized patients: A pilot study. Journal of Advanced Nursing. 2015;71(3):688-696. http://dx.doi.org/10.1111/jan.12543
Clark M, Black J, Alves P, Brindle C, Call E, Dealey C, et al. Systematic review of the use of prophylactic dressings in the prevention of pressure ulcers. International Wound Journal. 2014;11(5):460-471. http://dx.doi.org/10.1111/iwj.12212
Byrne J, Nichols P, Sroczynski M, Stelmaski L, Stetzer M, Line C, et al. Prophylactic Sacral Dressing for Pressure Ulcer Prevention in High-Risk Patients. American Journal of Critical Care. 2016;25(3):228-234. http://dx.doi.org/10.4037/ajcc2016979
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