Risk Factors for Pressure Ulcer Development in Medical Intensive Care Units: an Observational Study | ||
| Mansoura Nursing Journal | ||
| Volume 10, Issue 1, January 2023, Pages 309-317 PDF (513.35 K) | ||
| Document Type: Original Article | ||
| DOI: 10.21608/mnj.2023.321870 | ||
| Authors | ||
| Fatma shafeqe Beder* 1; Hend Elsayed Mansour2; Tarek Goada3; Nahed Attia Kandeel4 | ||
| 1head of nursing department, medical specialist hospital, Mansoura university | ||
| 2Lecturer of Critical Care and Emergency Nursing, Faculty of Nursing, Mansoura University, Egypt | ||
| 3Professor of Internal Medicine and Critical Care Medicine, Mansoura University | ||
| 4Critical Care and Emergency Nursing, Faculty of Nursing, Mansoura University, Egypt | ||
| Abstract | ||
| Background: Intensive care units have the highest prevalence and incidence of pressure ulcers (PUs) in the hospital setting. Identifying risk factors of PUs is very important for effective prevention. Aim: This study aimed to assess risk factors for PUs among critically ill patients in medical intensive care units. Study design: The study has an observational descriptive design. Setting: The study was conducted at medical intensive care units located in Medical Specialized Hospital in Egypt. Subjects: A convenience sample of 86 patients who were admitted to the previous predetermined setting were enrolled in this investigation. Tool: Pressure ulcer assessment tool was used to collect data for this investigation. Results: Anemia and hypoalbuminemia were the most common risk factors among the studied patients. A statistically significant correlation was found between the development of PUs, and gender, diabetes, and current smoking status. The non use of preventive care, hypoalbuminemia, altered level of consciousness, diagnosis of chronic liver disease, and high/very high risk score by the initial Braden Scale were statistically significant predictors of PUs. Statistically significant differences were noted between the group who developed PUs and the group who did develop PUs regarding hypoalbuminemia (P=0.029) and altered level of consciousness (P=0.012). Conclusion: Identifying PUs risk factors by critical care nurses is fundamental for implementing successful preventive protocols. Recommendations: Critical care nurses should identify high risk groups for PUs and implement preventive measures as a part of daily care for patients in intensive care units. | ||
| Keywords | ||
| Pressure ulcers; Risk factors; Braden Risk Assessment Scale | ||
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