Nutrition-Related Factors Predicted Pressure Ulcers in Intensive Care Unit Patients.
10.7739/jkafn.2014.21.4.413
- Author:
Ha Nee LEE
1
;
Jeong Sook PARK
Author Information
1. Dongsan Medical Center, Keimyung University, Korea.
- Publication Type:Original Article
- Keywords:
Intensive care unit;
Nutrition;
Pressure ulcer
- MeSH:
Humans;
Intensive Care Units*;
Logistic Models;
Malnutrition;
Multivariate Analysis;
Nutritional Status;
Pressure Ulcer*;
Prevalence;
Surveys and Questionnaires;
Serum Albumin
- From:Journal of Korean Academy of Fundamental Nursing
2014;21(4):413-422
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
PURPOSE: The purpose of this study was to identify the nutrition-related factors influencing the prevalence of pressure ulcers among patients admitted to an intensive care unit. METHODS: Research participants were 112 patients who were admitted to the ICU of a university hospital. Data were collected through questionnaires which included general characteristics, diet-related characteristics, nutritional status, and pressure ulcer status. Multivariate logistic regression was used to identify independent factors association with prevalence of pressure ulcer. RESULTS: The prevalence of pressure ulcers was 58 patients (51.8%) at 10th day after ICU admission. In multivariate analysis, prevalence of pressure ulcers at 10th day in ICU was significantly higher in the nutritional risk group (OR=6.43), malnutrition group (OR=88.02), and deceased serum albumin group (OR=28.83). CONCLUSION: The results of this research indicate that scores on MNA (Mini Nutritional Assessment) and serum albumin were significant predictors of pressure ulcer prevalence in ICU patients. Therefore, regular MNA-SF and albumin checkups are needed to identify risk for pressure ulcer for ICU patients. In the case of decreased MNA-SF scores and serum albumin levels, more intensive pressure ulcer care is needed for ICU patients.
