Survey related factors in wound healing in patients

سال انتشار: 1398
نوع سند: مقاله کنفرانسی
زبان: انگلیسی
مشاهده: 346

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شناسه ملی سند علمی:

WTRMED06_156

تاریخ نمایه سازی: 5 بهمن 1398

چکیده مقاله:

Background: Maintaining skin integrity is vital in humans to protect the organisms against dehydration, bleeding, and ingress of microorganisms. So, the present study was done to identify the factors that has an impact on infected pressure ulcers healing among the elder outpatients.Material and Methods: This is a retrospective study of from elder outpatients with an infected pressure ulcer was conducted to identify factors that may affect their healing. Data from the elder outpatients between January 1, 2019, and December 31, 2019, in a general hospital in Rasht, Iran who had a pressure ulcer that was assessed using the Pressure Ulcer Scale for Healing (PUSH), were abstracted. The following variables were examined: demographic characteristics (gender, age, culture background, marriage status, medical insurance), health status and disease data (chronic diseases, vital signs, mobility, nutrition, diagnosis, medication), laboratory values (albumin, hemoglobin, blood glucose), and pressure ulcer characteristics (stage, location, healing status, duration(Results: One hundred and eleven (158) patient records were identified. Patient mean age was 81.29 ± 9.62 years, the maximum age is 105, and the minimum age is 60. Most ulcers (64; 40.5%) were Stage III and located in the sacral area (87; 16.4%). The incidence of wound infection in elder outpatients with pressure injury was 27.3%. The average score of PUSH was 10.41 ± 3.137. Logistic regression revealed that diabetes, edema and wound duration were risk factors of the delay in wound healing in patients with pressure injury (P<0.05), and regular treatment was a protective factor P<0.05 Conclusion: Delay in wound healing is a common complication of patients with pressure injury. The elder outpatients with diabetes, edema and long lasting wounds (≥1 month) are at a high risk of wound healing retard.

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نویسندگان

Somaye Pouy

PHD, instructor of Prevention of Wound, Guilan University of Medical Sciences, Rasht, Iran