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Factors Affecting the Healing of Pressure Ulcers in a Korean Acute Care Hospital

Sung, Young Hee; Park, Kyung Hee

Journal of Wound, Ostomy and Continence Nursing: January/February 2011 - Volume 38 - Issue 1 - p 38–45
doi: 10.1097/WON.0b013e318202a67e
WOUND CARE
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PURPOSE: We sought to determine the factors affecting pressure ulcer (PU) healing in an acute care facility in Korea.

METHODS: Data were collected between October 1, 2006, and September 30, 2007, regarding PU status and factors hypothesized to influence wound healing.

INSTRUMENTS: We developed a form that queried factors thought to affect PU healing based on literature review. We also administered the Pressure Ulcer Scale for Healing (PUSH) tool to assess healing of PUs and calculated change in PUSH scale as the outcome variable reflecting the magnitude of the healing of PU.

RESULTS: One hundred fifty eight patients with a total of 326 PUs in an acute care hospital located in Seoul, Korea, comprised the sample. The variables found to significantly affect PU healing included mean arterial pressure (MAP), serum albumin level, urinary incontinence, consultation with nutritionist, Braden Scale scale, wound size, and exudate amount. Pressure ulcer healing was improved when the MAP was higher (B = 0.034) and the serum albumin level was more than 2.8 g/dL (20.8 grams/liter) (B = 1.107).

CONCLUSION: When managing patients in an acute care setting, PU healing may be improved by maintaining MAP and providing protein supplements to keep serum albumin level greater than 2.8 g/dL (20.8 grams/liter).

Young Hee Sung, PhD, RN, Professor, Graduate School of Clinical Nursing Science, Sung Kyun Kwan University, Seoul, South Korea.

Kyung Hee Park, MSN, RN, CWOCN, KGNP, Director, Samsung Medical Center International Wound Ostomy Continence Nursing Educational Program, Department of Nursing, Seoul, South Korea.

Correspondence: Kyung Hee Park, MSN, RN, CWOCN, Samsung Medical Center International Wound Ostomy Continence Nursing Educational Program, Department of Nursing, Samsung Medical Center, 50, Ilwon-dong, Gangnam-gu, Seoul 135-710, South Korea (khparksmc@skku.edu)

Copyright © 2011 by the Wound, Ostomy and Continence Nurses Society