Document Detail


Factors affecting the healing of pressure ulcers in a Korean acute care hospital.
MedLine Citation:
PMID:  21178788     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
PURPOSE: We sought to determine the factors affecting pressure ulcer (PU) healing in an acute care facility in Korea.
METHODS: Data were collected between October 1, 2006, and September 30, 2007, regarding PU status and factors hypothesized to influence wound healing.
INSTRUMENTS: We developed a form that queried factors thought to affect PU healing based on literature review. We also administered the Pressure Ulcer Scale for Healing (PUSH) tool to assess healing of PUs and calculated change in PUSH scale as the outcome variable reflecting the magnitude of the healing of PU.
RESULTS: One hundred fifty eight patients with a total of 326 PUs in an acute care hospital located in Seoul, Korea, comprised the sample. The variables found to significantly affect PU healing included mean arterial pressure (MAP), serum albumin level, urinary incontinence, consultation with nutritionist, Braden Scale scale, wound size, and exudate amount. Pressure ulcer healing was improved when the MAP was higher (B = 0.034) and the serum albumin level was more than 2.8 g/dL (20.8 grams/liter) (B = 1.107).
CONCLUSION: When managing patients in an acute care setting, PU healing may be improved by maintaining MAP and providing protein supplements to keep serum albumin level greater than 2.8 g/dL (20.8 grams/liter).
Authors:
Young Hee Sung; Kyung Hee Park
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  Journal of wound, ostomy, and continence nursing : official publication of The Wound, Ostomy and Continence Nurses Society / WOCN     Volume:  38     ISSN:  1528-3976     ISO Abbreviation:  J Wound Ostomy Continence Nurs     Publication Date:    2011 Jan-Feb
Date Detail:
Created Date:  2011-01-14     Completed Date:  2011-05-06     Revised Date:  2011-08-29    
Medline Journal Info:
Nlm Unique ID:  9435679     Medline TA:  J Wound Ostomy Continence Nurs     Country:  United States    
Other Details:
Languages:  eng     Pagination:  38-45     Citation Subset:  N    
Affiliation:
Graduate School of Clinical Nursing Science, Sung Kyun Kwan University, Seoul, South Korea.
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MeSH Terms
Descriptor/Qualifier:
Adolescent
Adult
Aged
Aged, 80 and over
Analysis of Variance
Blood Pressure / physiology
Child
Child, Preschool
Exudates and Transudates
Female
Hospitalization*
Humans
Linear Models
Male
Malnutrition / complications,  diagnosis,  prevention & control
Middle Aged
Nursing Assessment / methods*
Nursing Evaluation Research
Nutrition Assessment
Nutritional Support
Patient Positioning / nursing
Pressure Ulcer / epidemiology,  etiology,  prevention & control*
Republic of Korea / epidemiology
Retrospective Studies
Risk Assessment
Urinary Incontinence / complications
Wound Healing* / physiology
Comments/Corrections
Erratum In:
J Wound Ostomy Continence Nurs. 2011 Jul-Aug;38(4):337

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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