Tap chi Y Hoc Thanh Pho Ho Chi Minh

Objectives: To survey the press ulcer in all the patients who
had to monitor life signs less than every 6 hours in the critical care rooms of
Nguyen Tri Phuong hospital from July to October 2016.

Methods: Observing, descriptive study.

Results: The rate of press ulcer in critical care room
were 8.23% (Heamo – Dialysis Department 50%, Respiratory Dpt: 16.6%, Neurology
Dpt: 13.3%, Post-Surgical Care Unite: 20%, Neuro – Surgery Dpt: 21.4%, General
Surgery Dpt: 16.6%, Digestive Surgery Dpt: 16.6%, Toxic and Critical Care Dpt:
8%). 67% occurred in patients > 60 years old. 42.1% in very high risk of
press ulcer patients, 11.2% in high risk and 3.8% in medium risk. Time from
admitting to press ulcer occurring less than 5 days: 16.2%, 5 – 20 days: 4.9%,
and more than 20 days: 11.7%.

Conclusion: Press ulcer still occurred in critical care room
patients. In surgery departments had high rates of ulcer related to: digestive
surgery, head surgery, mal nutrition, debilitated, unconscious in long time and
artificial respiratory machine. The patient older than 60 had double rate of
ulcer compared to younger than 60. There was the relationship between the risk
factors (risk point scale) and the rate of press ulcer. There was no
relationship between the time of hospitalization and the rate of press ulcer.
It should be enforced the measures to prevent the press ulcer especially in
surgery departments. Training for nurses in “evaluation press ulcer risk
factors” to have plan of preventing press ulcer.

Key words: Press ulcer.