Skin temperature (Ts) and pressure ulcer (PU) development in hospitalized neurological impaired patients

2.50
Hdl Handle:
http://hdl.handle.net/10755/160447
Type:
Presentation
Title:
Skin temperature (Ts) and pressure ulcer (PU) development in hospitalized neurological impaired patients
Abstract:
Skin temperature (Ts) and pressure ulcer (PU) development in hospitalized neurological impaired patients
Conference Sponsor:Midwest Nursing Research Society
Conference Year:2003
Author:Sae-Sia, Wipa
Contact Address:Sinclair School of Nursing, Columbia, MO, 65211, USA
Co-Authors:Deidre D. Wipke-Tevis; Donna A. Williams
PU development remains a significant health care problem. Neurologically impaired patients are at high risk for PU development because of impaired sensation and mobility. Thailand tends to have more neurologically impaired patients compared to other countries; however, no data about PU development in hospitalized neurologically impaired Thai patients are available. Based on conceptual schema of factors in the etiology of pressure ulcers, PU development is a multi-factorial problem including personal, environmental, and health concepts. This study focused on the personal factor of skin temperature regulation at the sacral area. This study was proposed to 1) determine PU incidence in hospitalized neurologically impaired Thai patients within 2 wks of admission and 2) measure sacral Ts during hospitalization. Data were analyzed using repeated measures ANOVA and are presented as mean ± SD. A sample of 17 adults (age 61.1 ± 15.6 yrs) was recruited from one hospital in southern Thailand. Ts and skin integrity were assessed within 24-96 hrs of admission and reassessed every 48-72 hrs for 2 wks. PU incidence within 2 wks of admission was 47% (9 of 17 subjects). A total of 14 new pressure ulcers developed in those 9 subjects (7 ankle, 7 sacrum) with 85.7% being Stage I and 14.3% advancing to Stage II. Mean sacral Ts in the supine position for those who developed a PU (37.4°C ± 0.6) was higher (p=0.001) at initial assessment than those who did not develop a PU (36.2°C ± 0.6). Similarly, 15 min after turning to the lateral position, sacral Ts remained higher (p=0.002) for those who developed a PU (37.1°C ± 0.9) compared to those who did not (35.8°C ± 0.6). These data suggest that sacral Ts may increase by at least 1°C 1-3 days prior to PU development. Skin temperature may be an objective predictor of PU development. AN: MN030044
Repository Posting Date:
26-Oct-2011
Date of Publication:
17-Oct-2011
Sponsors:
Midwest Nursing Research Society

Full metadata record

DC FieldValue Language
dc.typePresentationen_GB
dc.titleSkin temperature (Ts) and pressure ulcer (PU) development in hospitalized neurological impaired patientsen_GB
dc.identifier.urihttp://hdl.handle.net/10755/160447-
dc.description.abstract<table><tr><td colspan="2" class="item-title">Skin temperature (Ts) and pressure ulcer (PU) development in hospitalized neurological impaired patients</td></tr><tr class="item-sponsor"><td class="label">Conference Sponsor:</td><td class="value">Midwest Nursing Research Society</td></tr><tr class="item-year"><td class="label">Conference Year:</td><td class="value">2003</td></tr><tr class="item-author"><td class="label">Author:</td><td class="value">Sae-Sia, Wipa</td></tr><tr class="item-address"><td class="label">Contact Address:</td><td class="value">Sinclair School of Nursing, Columbia, MO, 65211, USA</td></tr><tr class="item-co-authors"><td class="label">Co-Authors:</td><td class="value">Deidre D. Wipke-Tevis; Donna A. Williams</td></tr><tr><td colspan="2" class="item-abstract">PU development remains a significant health care problem. Neurologically impaired patients are at high risk for PU development because of impaired sensation and mobility. Thailand tends to have more neurologically impaired patients compared to other countries; however, no data about PU development in hospitalized neurologically impaired Thai patients are available. Based on conceptual schema of factors in the etiology of pressure ulcers, PU development is a multi-factorial problem including personal, environmental, and health concepts. This study focused on the personal factor of skin temperature regulation at the sacral area. This study was proposed to 1) determine PU incidence in hospitalized neurologically impaired Thai patients within 2 wks of admission and 2) measure sacral Ts during hospitalization. Data were analyzed using repeated measures ANOVA and are presented as mean &plusmn; SD. A sample of 17 adults (age 61.1 &plusmn; 15.6 yrs) was recruited from one hospital in southern Thailand. Ts and skin integrity were assessed within 24-96 hrs of admission and reassessed every 48-72 hrs for 2 wks. PU incidence within 2 wks of admission was 47% (9 of 17 subjects). A total of 14 new pressure ulcers developed in those 9 subjects (7 ankle, 7 sacrum) with 85.7% being Stage I and 14.3% advancing to Stage II. Mean sacral Ts in the supine position for those who developed a PU (37.4&deg;C &plusmn; 0.6) was higher (p=0.001) at initial assessment than those who did not develop a PU (36.2&deg;C &plusmn; 0.6). Similarly, 15 min after turning to the lateral position, sacral Ts remained higher (p=0.002) for those who developed a PU (37.1&deg;C &plusmn; 0.9) compared to those who did not (35.8&deg;C &plusmn; 0.6). These data suggest that sacral Ts may increase by at least 1&deg;C 1-3 days prior to PU development. Skin temperature may be an objective predictor of PU development. AN: MN030044 </td></tr></table>en_GB
dc.date.available2011-10-26T22:57:08Z-
dc.date.issued2011-10-17en_GB
dc.date.accessioned2011-10-26T22:57:08Z-
dc.description.sponsorshipMidwest Nursing Research Societyen_GB
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