성인 중환자실에서 인공기도를 가진 환자의 의료기기 관련 구강점막욕창 발생의 위험요인

• 영문명: Risk Factors for Medical Device-related Oral Mucosa Pressure Ulcer Development of Intubated Patients in Adult Intensive Care Unit
• 발행기관: 한국기초간호학회
• 저자명: 강민경(Kang Min Kyeong) 김명수(Kim Myoung Soo)
• 간행물 정보: 『Journal of Korean Biological Nursing Science』제22권 제4호, 271~278쪽, 전체 8쪽
• 주제분류: 의약학 > 의학일반
• 파일형태: PDF
• 발행일자: 2020.11.30

영문 초록

Purpose: This study was performed to identify the risk factors for oral mucosa pressure ulcer development in intubated patients in adult intensive care unit. Methods: Comparative descriptive study design using prospective observational design and medical record review was used. The inclusion criteria of case was that a) patients of 18 years in their age, b) patients with endotracheal tube. Data of 34 patients were analysed. Descriptive statistics, chi-square test, Fisher’s exact test, Mann-whitney test, Spearman’s rho correlation coefficients, and multiple logistic regression analysis were used. Resampling methods such as bootstrap was used in this study because of small number of patients. Results: Oral mucosa pressure ulcer developed in 44.1% of the intubated patients. The risk factors of oral mucosa pressure ulcer were steroid use, biteblock use and serum albumin level. Compared to the non-user of steroid, user of steroid had 32.59 times (95% CI: 1.47-722.44) higher risk of developing oral mucosa pressure ulcer. The user of biteblock had 18.78 times (95% CI: 1.00-354.40) and albumin level had 0.03 times (95% CI: 0.00-0.80) higher risk of oral mucosa pressure ulcer incidence. Conclusion: Based on the results of this study, tailored pressure relief strategies considering sex and therapeutic condition should be provided to decrease oral mucosa pressure ulcer.

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키워드

구강 점막 욕창 위험요인 Mouth Mucous membrane Pressure ulcer Risk factors