| 2단계 욕창 치유에 영향을 주는 요인 분석 |
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박경희, 김금순 |
1삼성서울병원, 국제상처장루실금전문간호교육
2서울대학교 간호대학 |
| Factors affecting Healing of Stage 2 Pressure Ulcer |
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Kyung-Hee Park, Keum-Soon Kim |
1International WOC Nursing Educational Program, Samsung Medical Center
2College of Nursing, Seoul National University |
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| Abstract |
Purpose
This study was designed to identify the factors affecting healing of Stage 2 pressure ulcer in an acute care facility in Korea.
Methods
286 Stage 2 pressure ulcers of 145 patients were examined. Data were collected in the period between October $1^{st}$, 2006 and September $30^{th}$, 2007. Data were analyzed with Kaplan-Meier survival analysis for cumulative recovery rate of Stage 2 pressure ulcers. Cox proportional hazard model was used to examine effects of multiple variables simultaneously.
Results
Out of 286 initial Stage 2 pressure ulcers, 204 (71.3%) pressure ulcers healed completely. The median time to heal was 15 days according to Kaplan-Meier survival analysis. Cox proportional hazard model showed that the Stage 2 pressure ulcers healed more quickly when pressure redistribution surfaces were used (p<.001, HR=2.184), patients were administered with vitamins (p= .038, HR=1.451), and the size of the pressure ulcers were small (${leq}3.0cm^2$, p= .006, HR=1.765).
Conclusion
The factors contributing to the healing of Stage 2 pressure ulcer in an acute care setting were the application of pressure redistribution surface, small ulcer size (${leq}3.0cm^2$), and the administration of vitamins. |
| Key Words:
Pressure ulcer, Wound healing, Survival analysis |
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