Microclimate and development of pressure ulcers and superficial skin changes

Saldy Yusuf; Mayumi Okuwa; Yoshie Shigeta; Misako Dai; Terumi Iuchi; Sulaiman Rahman; Awaluddin Usman; Sukmawati Kasim; Junko Sugama; Toshio Nakatani; Hiromi Sanada

doi:10.1111/iwj.12048

Microclimate and development of pressure ulcers and superficial skin changes

Saldy Yusuf, Mayumi Okuwa, Yoshie Shigeta, Misako Dai, Terumi Iuchi, Sulaiman Rahman, Awaluddin Usman, Sukmawati Kasim, Junko Sugama, Toshio Nakatani, Hiromi Sanada

Research output: Contribution to journal › Article › peer-review

90 Citations (Scopus)

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.

Original language	English
Pages (from-to)	40-46
Number of pages	7
Journal	International Wound Journal
Volume	12
Issue number	1
DOIs	https://doi.org/10.1111/iwj.12048
Publication status	Published - 01-02-2015
Externally published	Yes

All Science Journal Classification (ASJC) codes

Surgery
Dermatology

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10.1111/iwj.12048

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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.",

author = "Saldy Yusuf and Mayumi Okuwa and Yoshie Shigeta and Misako Dai and Terumi Iuchi and Sulaiman Rahman and Awaluddin Usman and Sukmawati Kasim and Junko Sugama and Toshio Nakatani and Hiromi Sanada",

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AU - Yusuf, Saldy

AU - Okuwa, Mayumi

AU - Shigeta, Yoshie

AU - Dai, Misako

AU - Iuchi, Terumi

AU - Rahman, Sulaiman

AU - Usman, Awaluddin

AU - Kasim, Sukmawati

AU - Sugama, Junko

AU - Nakatani, Toshio

AU - Sanada, Hiromi

PY - 2015/2/1

Y1 - 2015/2/1

N2 - 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.

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Microclimate and development of pressure ulcers and superficial skin changes

Abstract

All Science Journal Classification (ASJC) codes

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