Bed-sore and Associated Factors Among Patients Admitted at Surgical Wards of Wolaita Sodo University Teaching and Referral Hospital, Southern Ethiopia
American Journal of Clinical and Experimental Medicine
Volume 8, Issue 4, July 2020, Pages: 62-68
Received: Jun. 9, 2020;
Accepted: Jun. 19, 2020;
Published: Jul. 23, 2020
Views 183 Downloads 61
Aseb Arba, School of Nursing, College of Medicine and Health Sciences, Wolaita Sodo University, Wolaita Sodo, Ethiopia
Melese Meleku, School of Nursing, College of Medicine and Health Sciences, Wolaita Sodo University, Wolaita Sodo, Ethiopia
Atinafu Nega, School of Nursing, College of Medicine and Health Sciences, Wolaita Sodo University, Wolaita Sodo, Ethiopia
Esayas Aydiko, School of Nursing, College of Medicine and Health Sciences, Wolaita Sodo University, Wolaita Sodo, Ethiopia
Background: Bed sore has long been recognized as major cause of morbidity, mortality and health care burden globally and worst in developing countries like Ethiopia. It is one of key performance indicators of quality of care provided to patient. Therefore, this study was aimed to assess magnitude of bed sore and associated factors among patients admitted to surgical ward of Wolaita Sodo University Teaching and Referral Hospital, South Ethiopia. Method: We conducted institution-based cross-sectional study from February- June, 2019. A systematic random sampling technique was applied to select 237 patients who were admitted to surgical ward of Hospital. We collected data through face to face interview using a structured and pretested questionnaire, prepared check lists and physical examination. After collection, we entered data into Statistical Package for Social Sciences Version 23. We conducted descriptive analysis and logistic regressions to identify factors associated with dependent variable. We declared presence of statistically significant association at p-value less than 0.05 at 95% confidence interval. Results: Eight patients or 3.4% among 237 admitted patients developed bedsore. Patients older than fifty three years (AOR=11.84, 95%CI (1.05, 133.259), living in rural area (AOR=6.64, 95%CI (1.09, 40.58) and being bedridden patient (AOR=7.82, 95%CI (1.27, 48.38) possessed factors associated with bedsore development. Conclusion and recommendation: The magnitude of bed sore was medium; but it needs improvement because it is one of criteria that indicate quality of service rendered in hospital. Bedsore occurrence was associated with increasing age, rural residence and being bedridden patient. Therefore, frequent positioning of the patient and health education for patients from rural areas and special and frequent care for those unable to care for themselves were needed to minimize occurrence of bed sore.
Bed-sore and Associated Factors Among Patients Admitted at Surgical Wards of Wolaita Sodo University Teaching and Referral Hospital, Southern Ethiopia, American Journal of Clinical and Experimental Medicine.
Vol. 8, No. 4,
2020, pp. 62-68.
Bates-Jensen BM., McCreath HE., Harputlu D., Patlan A. Reliability of the Bates-Jensenn Wound Assessment Tool (BWAT) for Pressure Injury Assessment: The Pressure Ulcer Detection Study. Wound repair and regeneration: official publication of the Wound Healing Society [and] the European Tissue Repair Society. 2019.
Kandha Vadivu P. Design and Development of Portable Support Surface and Multilayered Fabric Cover for Bed Sore Prevention. The Indian journal of surgery. 2015; 77 (Suppl 2): 576-82.
Nakanishi T. A report on a clinical experience of which has successfully made several antibiotics-resistant bacteria (MRSA etc.) negative on a bedsore. 1993 Sep; 63 (3): 95-100.
Wang Q., Qian Z., Liu B., Liu J., Zhang L. In vitro and in vivo evaluation of new PRP antibacterial moisturizing dressings for infectious wound repair. Journal of biomaterials science Polymer edition. 2019: 1-20.
Kimura T. Physiopathology, prevention and therapy of decubitus ulcer. Cases of refractory decubitus ulcer giant before and multiple bedsore]. Kangogaku zasshi. 2005; 39 (10): 1029-32.
Li Y, Zhu C, Fan D, Fu R, Ma P, et al. A Bi-Layer PVA/CMC/PEG Hydrogel with Gradually Changing Pore Sizes for Wound Dressing. Macromolecular bioscience. 2019: e1800424.
Piotrowski S., Wilson L., Dharmaraj N., Hamze A., Clark A., et al. Development and Characterization of a Rabbit Model of Compromised Maxillofacial Wound Healing. Tissue engineering Part C, Methods. 2019.
Jahne-Raden N., Kulau U., Marschollek M., Wolf K H. INBED: A Highly Specialized System for Bed-Exit-Detection and Fall Prevention on a Geriatric Ward. Sensors. 2019; 19 (5).
Jimenez-Garcia JF., Arboledas-Bellon J., Ruiz-Fernandez C., Gutierrez-Garcia M., Lafuente-Robles N., et al. The advanced practice nurse in the adequacy of chronic, complex wound care. Enfermeria clinica. 2019.
Sedmak D., Vrhovec M., Huljev D. Prevention of pressure ulcer (bedsore). Acta medica Croatica: casopis Hravatske akademije medicinskih znanosti. 2013; 67 Suppl 1: 29-34.
Leyva-Moral J M. How to treat a bed sore with a tendon exposed. Revista de enfermeria. 2009; 32 (1): 25-8.
Preece J. Total bed management: the way forward in pressure sore prevention. British journal of nursing. 2009; 8 (22): 1524-6, 8-9.
Komakech R, Matsabisa M G, Kang Y. The Wound Healing Potential of Aspilia africana (Pers.) C. D. Adams (Asteraceae). Evidence-based complementary and alternative medicine: eCAM. 2019; 2019: 7957860.
Bakaeen FG., Haddad O., Ibrahim M., Pasadyn SR., Germano E., et al. Advances in managing the noninfected open chest after cardiac surgery: Negative-pressure wound therapy. The Journal of thoracic and cardiovascular surgery. 2018.
Haileyesus G., Mignote H., Abdella A. Prevalence and Associated Factors of Pressure Ulcer among Hospitalized Patients at Felegehiwot Referral Hospital, Bahir Dar, Ethiopia. Hindawi Publishing Corporation, Advances in Nursing. 2014; 14 (1): 8.
Li J., Guo XP., Wang KH., Zhao DH., Han T., et al. Closure of cystic cavity-type bedsore by subcutaneous undermining dissection with continuous negative pressure drainage. Zhonghua zheng xing wai ke za zhi Zhonghua zhengxing waike zazhi Chinese journal of plastic surgery. 2012; 28 (2): 113-5.
Acker G., Schlinkmann N., Fekonja L., Grunwald L., Hardt J., et al. Wound healing complications after revascularization for moyamoya vasculopathy with reference to different skin incisions. Neurosurgical focus. 2019; 46 (2): E12.
Adegoke BOA., Odole AC., Akindele LO., Akinpelu AO. Pressure ulcer prevalence among hospitalised adults in university hospitals in South-west Nigeria. wound Pract Pesearch. 2013; 21 (2): 128–34.
Gu A., Malahias MA., Strigelli V., Nocon AA., Sculco TP., et al. Preoperative Malnutrition Negatively Correlates With Postoperative Wound Complications and Infection After Total Joint Arthroplasty: A Systematic Review and Meta-Analysis. The Journal of arthroplasty. 2019.
Zhao Z., Zhang B., Liu Y., Zhang R., Liang Q., et al. Repair of bedsore over greater trochanter in paraplegic patients with rectus femoris island myocutaneous flap. Zhonghua shao shang za zhi Zhonghua shaoshang zazhi Chinese journal of burns. 2014; 30 (3): 227-30.
Pasichniy D A. a Sacral Bedsore Plasty, Using Rotational Cutaneo-Fascial Gluteal Flaps. Klinichna khirurhiia. 2015 (10): 57-60.
Hampton S. Bedsore neglect is a result of reduced education and resources. British journal of nursing. 2011; 20 (15): S27.
Albishi W., Albeshri MA., Mortada HH., Alzahrani K., Alharbi R., et al. Awareness and Level of Knowledge About Surgical Site Infections and Risks of Wound Infection Among Medical Physicians in King Abdulaziz University Hospital: Cross-Sectional Study. Interactive journal of medical research. 2019; 8 (1): e12769.
Sveen LR., Timmerhaus G., Krasnov A., Takle H., Handeland S., et al. Wound healing in post-smolt Atlantic salmon. Scientific reports. 2019; 9 (1): 3565.
Varela P., Sartori S., Viebahn R., Salber J., Ciardelli G. Macrophage immunomodulation: An indispensable tool to evaluate the performance of wound dressing biomaterials. Journal of applied biomaterials & functional materials. 2019; 17 (1).
Kielo E., Salminen L., Suhonen R., Puukka P., Stolt M. Graduating student nurses' and student podiatrists' wound care competence: a cross-sectional study. Journal of wound care. 2019; 28 (3): 136-45.
Ji QY., Wang M., Li W. Nutrition Support is a Potential Confounding Factor for the Relationship Between Body Weight Variation and the Risk of Bedsore. Critical care medicine. 2019; 47 (1): 64.
Mariam AL., El-Sehsah EM., Ramadan MA. Risk factors and distribution of MDROs among patients with healthcare associated burn wound infection. Germs. 2018; 8 (4): 199-206.
Wallen TJ., Habertheuer A., Gottret JP., Kramer M., Abbas Z, et al. Sternal wound complications in patients undergoing orthotopic heart transplantation. Journal of cardiac surgery. 2019.
Svensson-Bjork R., Zarrouk M., Asciutto G., Hasselmann J., Acosta S.. Meta-analysis of negative pressure wound therapy of closed groin incisions in arterial surgery. The British journal of surgery. 2019; 106 (4): 310-8.
Juleita MF., Leila B., Bernando H., Lydia MF. “Prevalence of pressure ulcers among the elderly living in longstay institutions in Sao Paulo,” Sao Paulo Medical Journal, vol. 2009; 127 (4): 211–5.
Oztunc G., Inan DG. “Pressure ulcer prevalence in Turkey: a sample from a university hospital,” Journal of Wound, Ostomy and Continence Nursing. 2012; 39 (4): 409–13.
Lahmann NA., Halfens RJ., Dassen T. “Prevalence of pressure ulcers in Germany,” Journal of clinical nursing. 2005; 14 (2): 165–72.
Gunningberg L., Stotts NA. “Tracking quality over time: what do pressure ulcer data show?” International Journal for Quality in Health Care. 2008.; 20 (4): 246–53.
Capon A., Pavoni N., Mastromattei A., Di Lallo D. “Pressure ulcer risk in long-term units: prevalence and associated factors,”. Journal of Advanced Nursing. 2007; 58 (3): 263–72.
Suttipong C., and Sindhu S. “Predicting factors of pressure ulcers in older Thai stroke patients living in urban communities,” Journal of clinical nursing. 2012; 21 (4): 372–9.
Benalfew L., Balcha B., Desalegn H., Bekele T. Prevalence and Associated Factors of Pressure Ulcer among Hospitalized Adults at Debre Markos Referral Hospital, East Gojjam Zone, Ethiopia. Addis Ababa University College of Health Sciences 2016.
Assefa T, Mamo F, Shiferaw D. Prevalence of Bed Sore and its associated Factors among Patients admitted at Jimma University Medical Center, Jimma Zone, Southwestern Ethiopia, 2017 Cross-sectional study. Ortho & Rheum Open Access. 2017; 8 (4).
Probst S., Holloway S., Rowan S., Pokorna A. Wound Curriculum for Nurses: Post-registration qualification wound management-European qualification framework level 6. Journal of wound care. 2019; 28: S1-S33.
Barbara Braden, Nancy Bergstrom. Braden Scale for Predicting Pressure Ulcer Risk. 2004; 1992 (3).