Decubitus Ulcer Development: An Investigation on Its Effect and Evidence in Home Care Patients
Autor: | Sevgi Balli Seyhan |
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Jazyk: | angličtina |
Rok vydání: | 2018 |
Předmět: |
medicine.medical_specialty
Daily life activities depression scale Affect (psychology) Logistic regression 03 medical and health sciences Health problems 0302 clinical medicine Extensive data Medicine 030212 general & internal medicine State hospital lcsh:R5-920 030214 geriatrics business.industry Health Policy logistic regression Public Health Environmental and Occupational Health medicine.disease decubitus ulcer Malnutrition nutrition Emergency medicine Geriatric Depression Scale Original Article lcsh:Medicine (General) business |
Zdroj: | Indian Journal of Palliative Care Indian Journal of Palliative Care, Vol 24, Iss 4, Pp 505-511 (2018) |
ISSN: | 1998-3735 0973-1075 |
Popis: | Background and Aims: Decubitus ulcer (DU) is one of the commonly observed health problems among home care patients. As well as deteriorating social, physical, and psychological conditions of the patients, it is a cause of severe economic loss due to long-term bed occupancy and high care costs. This study aimed to examine the factors which affect the development of decubitus ulcer among home care patients and provide extensive data to the literature. Patients and Methods: This study was conducted with on home care patients aged over 40 years old who were registered at Etimesgut Ankara Sehit Sait Erturk State Hospital. Following the face-to-face interviews with the patients at home, the scores of Subjective Global Assessment (SGA), Mini Nutritional Assessment (MNA), Daily Life Activities (DLA), and Geriatric Depression Scale (GDS) were recorded. Development of DU was monitored through routine examinations in the home care patients. It was encountered how SGA, MNA, DLA and GDS functioned in predicting the development of DU using logistic regression during effort and also how status of equipment and presence of comorbid diseases affected its development. Results: It was determined that malnutrition affected development of DU by decreasing mobility while the presence of psychological problems increased the risk for development. Furthermore, number of comorbid diseases and status of health equipment used by the patients were found effective in the development of DU. Conclusion: It is obvious that decreased inability of independent mobility in DLA increase the risk for malnutrition and consequently two assessments show a negative impact on psychology of the patient. |
Databáze: | OpenAIRE |
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