The relationship of subepidermal moisture and early stage pressure injury by visual skin assessment |
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| Institution: | 1. Department of Nursing, Chungbuk National University, Cheongju, South Korea;2. Department of Nursing, Hoseo University, Asan, South Korea;3. Department of Nursing, Sunmoon University, Asan, South Korea;4. Department of Surgery, College of Medicine, Dankook University, Cheoan, South Korea;1. Skin Integrity Research Group (SKINT), University Centre for Nursing and Midwifery, Department of Public Health and Primary Care, Ghent University, Ghent, Belgium;2. University Centre for Nursing and Midwifery, Department of Public Health and Primary Care, Ghent University, Ghent, Belgium;3. Department Health Care, VIVES University College, Roeselare, Belgium;4. School of Nursing, Faculty of Health Sciences, Queen''s University, Kingston, Ontario, Canada;5. KDS Professional Consulting, Ottawa, Ontario, Canada;6. School of Physical Therapy, Faculty of Health Sciences, Western University, London, Ontario, Canada;7. Nursing Department, Ghent University Hospital, Ghent, Belgium;8. School of Nursing & Midwifery, Royal College of Surgeons in Ireland (RCSI), Dublin, Ireland;9. School of Health Sciences, Örebro University, Sweden;1. Critical Care Research Group, The Prince Charles Hospital, Brisbane, Australia;2. Quality Effectiveness Support Team, The Prince Charles Hospital, Brisbane, Australia;3. Podiatry Department, The Prince Charles Hospital, Brisbane, Australia;4. Professor of Nursing, School of Nursing, Midwifery and Paramedicine, Australian Catholic University, Brisbane, Australia;5. Nursing Director Research and Practice Development, The Prince Charles Hospital, Brisbane, Australia |
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| Abstract: | AimThe purpose of this study was to examine the relationship of subepidermal moisture and early stage pressure injury by visual skin assessment in elderly Korean.MethodsTwenty-nine elderly participated at a particular nursing home. Data were collected for 12 weeks by one wound care nurse. Visual skin assessment and subepidermal moisture value were measured at both buttocks, both ischia, both trochanters, sacrum, and coccyx of each subject once a week.ResultsSubepidermal moisture value of stage 1 pressure injury was significantly higher than that of no injury and blanching erythema. After adjustment with covariates, odds ratios of blanching erythema to normal skin and stage 1 pressure injury to blanching erythema/normal skin were statistically significant (p < 0.05). Odds ratio of blanching erythema to normal skin was 1.003 (p = .047) by 1-week prior subepidermal moisture value, and that of concurrent subepidermal moisture value was 1.004 (p = .011). Odds ratio of stage 1 pressure injury to normal skin/blanching erythema was 1.003 (p = .005) by 1-week prior subepidermal moisture value, and that for concurrent subepidermal moisture value was 1.007 (p = .030). Subepidermal moisture was associated with concurrent and future (1 week later) skin damage at both trochanters.ConclusionSubepidermal moisture would be used to predict early skin damage in clinical nursing field for the effective pressure injury prevention. |
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| Keywords: | Elderly Pressure injury Subepidermal moisture Visual skin assessment |
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