지원사업
학술연구/단체지원/교육 등 연구자 활동을 지속하도록 DBpia가 지원하고 있어요.
커뮤니티
연구자들이 자신의 연구와 전문성을 널리 알리고, 새로운 협력의 기회를 만들 수 있는 네트워킹 공간이에요.
논문 기본 정보
- 자료유형
- 학술저널
- 저자정보
- 발행연도
- 2013.1
- 수록면
- 261 - 270 (10page)
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초록· 키워드
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Objectives: The purposes of this study were to examine the predictive validity of the Cubbin and Jackson pressure ulcer risk assessment scale for the development of pressure ulcers in intensive care unit (ICU) patients retrospectively and to evaluate the reusability of Electronic Medical Records (EMR) data. Methods: A retrospective design was used to examine 829 cases admitted to four ICUs in a tertiary care hospital from May 2010 to April 2011. Patients who were without pressure ulcers at admission to ICU, 18 years or older, and had stayed in ICU for 24 hours or longer were included. Sensitivity, specificity, positive predictive value, negative predictive value, and area under the curve (AUC) were calculated. Results: The reported incidence rate of pressure ulcers among the study subjects was 14.2%. At the cut-off score of 24 of the Cubbin and Jackson scale, the sensitivity, specificity, positive predictive value, negative predictive value, and AUC were 72.0%, 68.8%, 27.7%, 93.7%, and 0.76, respectively. Eight items out 10 of the Cubbin and Jackson scale were readily available in the EMR data. Conclusions: The Cubbin and Jackson scale performed slightly better than the Braden scale to predict pressure ulcer development. Eight items of the Cubbin and Jackson scale except mobility and hygiene can be extracted from the EMR, which initially demonstrated the reusability of EMR data for pressure ulcer risk assessment. If the Cubbin and Jackson scale is a part of the EMR assessment form, it would help nurses perform tasks to effectively prevent pressure ulcers with an EMR alert for high-risk patients.
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참고문헌 (25)
참고문헌 신청
Agency for Healthcare Research and Quality / / Preventing pressure ulcers in hospitals: a toolkit for improving quality of care
Alderden J / 2011 / Risk profile characteristics associated with outcomes of hospital-acquired pressure ulcers: a retrospective review / Crit Care Nurse 31 (4) : 30 ~ 43
Bennett G / 2004 / The cost of pressure ulcers in the UK / Age Ageing 33 (3) : 230 ~ 235
Bergquist-Beringer S / 2011 / The reliability of the National Database of Nursing Quality Indicators pressure ulcer indicator: a triangulation approach / J Nurs Care Qual 26
Bergstrom N / 1987 / The Braden Scale for Predicting Pressure Sore Risk / Nurs Res 36 (4) : 205 ~ 210
Alderden J / 2011 / Risk profile characteristics associated with outcomes of hospital-acquired pressure ulcers: a retrospective review / Crit Care Nurse 31 (4) : 30 ~ 43
Bennett G / 2004 / The cost of pressure ulcers in the UK / Age Ageing 33 (3) : 230 ~ 235
Bergquist-Beringer S / 2011 / The reliability of the National Database of Nursing Quality Indicators pressure ulcer indicator: a triangulation approach / J Nurs Care Qual 26
Bergstrom N / 1987 / The Braden Scale for Predicting Pressure Sore Risk / Nurs Res 36 (4) : 205 ~ 210
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