중환자실 입원 환자의 입원기간에 따른 욕창발생위험 정도에 대한 탐색

Risk Degree of Pressure Sore According to Hospital Days in ICU Patients

Purpose: This study was aimed to identify the critical period and factors of pressure sore by comparing the risk degrees for patients in the intensive care unit (ICU). Method: After teaching the standards for the assessment tool, Fifty nurses who working at both ICUs of the medical and surgical departments checked the list of pressure sores once a day at the same time from August 15, 2005 to November 28, 2005, The assessment tool was modified by integrating previous tools, Cronbach s alpha of this tool was, 92. The data were analyzed by repeated measure ANOVA and ANOV A. Result: The scores of the assessment tool for the risk developing pressure sores ranged from 17 to 36. The risk score of pressure sores was higher on the 6th day than any other day(F=19.87, p<.OO1). Among the scores of 12 factors, activity was the lowest, on the other hand, incontinence was the highest. Conclusion: This study suggested that the critical period was from admission to the 5th day and the strongest risk factor was the disturbance of activity. Further study needs to develop a cost-effective protocol that could apply interventions to reduce risk factors during the critical period in the ICU.