Publication: Yoğun bakım ünitelerinde bası yarası prevalansı ve bası azaltıcı araç kullanımına ilişkin mevcut durum
Abstract
YOĞUN BAKIM ÜNİTELERİNDE BASI YARASI PREVALANSI VE BASI AZALTICI ARAÇ KULLANIMINA İLİŞKİN MEVCUT DURUM Çalışma erişkin yoğun bakım ünitelerinde bası yarası prevalansı ve bası azaltıcı destek yüzey kullanımına ilişkin mevcut durumu saptamak amacıyla yapıldı. Araştırmaya İstanbul ilinde 50 yoğun bakım ünitesinde, 422 erişkin hasta dahil edildi. Veriler Yoğun Bakım Ünitesi Değerlendirme Formu, Kullanıcı Memnuniyeti Formu, Hasta Değerlendirme Formu, Braden Ölçeği, Hasta Memnuniyeti Formu ile elde edildi. İstatistiksel değerlendirmede SPSS 11.5 versiyonu kullanıldı. Çalışmada Braden Ölçeği’nin sensitivite puanları yüksek olmasına rağmen, spesifite puanları düşük bulundu. Erişkin yoğun bakım ünitelerinde bası yarası prevalansı evre 1 dahil edildiğinde %39,5 iken, evre 1 hariç tutulduğunda %26,3 olarak saptandı. Bası yarası oranları, bası azaltıcı destek yüzey türlerine göre farklılık göstermedi. Havalı yatak örtüsünde sakral bölgede, viskoelastik destek yüzeyde topuk bölgesinde bası yarası oluşumunun daha fazla olduğu saptandı. Sonuç olarak ülkemizde yoğun bakım ünitelerinde bası yarası prevalansının uluslarası literatüre göre oldukça yüksek olduğu ve destek yüzeyler başta olmak üzere önleyici girişimlere odaklanılması gerektiği görülmüştür. Bası azaltıcı destek yüzey, bası yarası, prevalans, yoğun bakım ünitesi 2.
Pressure Ulcer Prevalence and The Current Sıtuatıon Regardıng The Use Of Pressure Relıevıng Equıpment in Intensıve Care Unıts This study was performed to determine pressure ulcer prevalence and the current situation regarding the use of pressure relieving support surfaces in adult intensive care units. In İstanbul province, four hundred twenty-two adult patients in the fifty intensive care units were included in the study. The data were obtained by Intensive Care Unit Assessment Form, User Satisfaction Survey, Patient Assessment Form, Braden Scale and Patient Satisfaction Survey. SPSS, version 11.5 was used for statistical analysis. In this study, sensitivity scores of Braden Scale were higher, although the specifity scores were found to be less. In adult intensive care units, pressure ulcer prevalence was 39.5 % in the presence of phase 1, on the other hand, it was 26.3 % in the absence of phase 1. Pressure ulcer rates did not differ according to types of pressure relieving support surface. The formation of pressure ulcer was found to be more in the sacral region with alternating pressure overlay and in the heel region with viscoelastic support surface. As a result, in our country, pressure ulcer prevalence in intensive care units is quite high compared to international literature and focus on preventive interventions, particularly on support surfaces, is needed. Key words: Intensive care unit, pressure ulcer, prevalence, pressure relieving support surface
Pressure Ulcer Prevalence and The Current Sıtuatıon Regardıng The Use Of Pressure Relıevıng Equıpment in Intensıve Care Unıts This study was performed to determine pressure ulcer prevalence and the current situation regarding the use of pressure relieving support surfaces in adult intensive care units. In İstanbul province, four hundred twenty-two adult patients in the fifty intensive care units were included in the study. The data were obtained by Intensive Care Unit Assessment Form, User Satisfaction Survey, Patient Assessment Form, Braden Scale and Patient Satisfaction Survey. SPSS, version 11.5 was used for statistical analysis. In this study, sensitivity scores of Braden Scale were higher, although the specifity scores were found to be less. In adult intensive care units, pressure ulcer prevalence was 39.5 % in the presence of phase 1, on the other hand, it was 26.3 % in the absence of phase 1. Pressure ulcer rates did not differ according to types of pressure relieving support surface. The formation of pressure ulcer was found to be more in the sacral region with alternating pressure overlay and in the heel region with viscoelastic support surface. As a result, in our country, pressure ulcer prevalence in intensive care units is quite high compared to international literature and focus on preventive interventions, particularly on support surfaces, is needed. Key words: Intensive care unit, pressure ulcer, prevalence, pressure relieving support surface