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Microclimate and development of pressure ulcers and superficial skin changes |
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| Authors: | Saldy Yusuf Mayumi Okuwa Yoshie Shigeta Misako Dai Terumi Iuchi Sulaiman Rahman Awaluddin Usman Sukmawati Kasim Junko Sugama Toshio Nakatani Hiromi Sanada |
| Institution: | 1. Clinical Nursing Department, Kanazawa University, Ishikawa, Japan;2. Wound Care Clinic, Griya Afiat, Makassar, Indonesia;3. Wound Care Clinic, ETN Centre, Makassar, Indonesia;4. Department of Gerontological Nursing/Wound Care Management, Graduate School of Medicine, The University of Tokyo, Tokyo, Japan |
| Abstract: | This study aims to evaluate the microclimate and development of pressure ulcers and superficial skin changes. A prospective cohort study was conducted in an acute care ward in Indonesia. Risk factors for pressure ulcers and superficial skin changes were identified based on the Bergstrom Braden conceptual model. Microclimate data were collected every 3 days for 15 days while the development of pressure ulcers and superficial skin changes was observed every day. Pressure ulcers and superficial skin changes were developed in 20 of the 71 participants. Total mean difference in skin temperature was higher for patients with pressure ulcers and superficial skin changes (0·9 ± 0·6°C) compared with controls (0·6 ± 0·8°C) (P = 0·071). Binary logistic regression predictor values for pressure ulcers and superficial skin changes were 0·111 for type of sheet and 0·347 for Braden Scale results. In conclusion, difference in skin temperature seems to be a predictor for pressure ulcer development and superficial skin changes, while synthetic fibre sheets are able to maintain a beneficial microclimate. |
| Keywords: | microclimate pressure ulcer superficial skin changes skin temperature skin moisture |