• สุชาดา นิลบรรพต คณะพยาบาลศาสตร์ มหาวิทยาลัยขอนเเก่น


The purpose of this analytic observational study was to examine the incidence and predicting factors for pressure injury of critically ill patients. 288 critically ill patients were recruited for this study by a consecutive sampling technique. The three instruments were used to collect data consisted of 1) the pressure injury risk assessment tool and content validity index was 0.94 2) the skin risk assessment tool 3) The Braden risk assessment scale. Inter-rater reliability of this instrument showed 1.0. Data were analyzed using descriptive statistics, chi-square test and stepwise multiple logistic regression. Results of the study revealed that vascular disease (OR= 5.29, 95%CI=1.37-20.29, p=.01), albumin level (OR= 5.19, 95%CI=1.17-23.05, p=.03), mechanical ventilator (OR= 3.37, 95%CI=1.39-8.16, p=.007) and edema (OR= 2.74, 95%CI=1.21-6.20, p=.01) were statistically significant in predicting pressure injury.


Download data is not yet available.


1. Deng X, Yu T, Hu A. Predicting the risk for hospital-acquired pressure ulcers in critical care patients. Crit Care Nurse. 2017;37(4):e1–11.
2. Cox BJ, Roche S. Vasopressors and development of pressure ulcers in adult critical care patients. 2015;24(6).
3. Campanili TCGF, Santos VLCDG, Strazzieri-Pulido KC, Thomaz PDBM, Nogueira PC. Incidence of pressure ulcers in cardiopulmonary intensive care unit patients. Rev da Esc Enferm. 2015;49(SpecialIssue):7–13.
4. Ulker Efteli E, Yapucu Gunes U. A prospective, descriptive study of risk factors related to pressure ulcer development among patients in intensive care units. Ostomy Wound Manage. 2013;59(7):22–7.
5. Kayser SA, Vangilder CA, Ayello EA, Lachenbruch C. Prevalence and Analysis of Medical Device-Related Pressure Injuries: Results from the International Pressure Ulcer Prevalence Survey. Adv Ski Wound Care. 2018;31(6):276–85.
6. National Pressure Ulcer Advisory Panel, European Pressure Ulcer Advisory
Panel and Pan Pacific Pressure injury Alliance. Prevention and Treatment of
Pressure Ulcers: Quick Reference Guide [Internet]. 2014.
7 Suttipong C, Sindhu S. Factors predicting development of pressure ulcer in non-
diabetic elderly stroke patients. J Nurse Sci. 2011. 113-123 p. (in Thai)
8 University Hospital Nursing Director Consortium. Prevalence of pressure
9. Edsberg LE, Black JM, Goldberg M, McNichol L, Moore L, Sieggreen M, et al. Pressure Ulcers and Malnutrition: Results from a Snapshot Sampling in a University Hospital. J Wound, Ostomy Cont Nurs [Internet]. 2016;29(6):494–501.
10 Mishra, R., & Bhattacharya, S. Pressure ulcers: Current understanding and newer modalities of treatment. Indian Journal of Plastic Surgery [Internet]. 2015 ;48(1), 4. Available from: https://doi.org/10.4103/0970-0358.155260
11 Chobchuen R. Nursing care in pressure sore. Srinagarind Med J. 2013. 41-46 p. (in Thai)
12. Bauer, K., Rock, K., Nazzal, M., Jones, O., & Qu W. Pressure Ulcers in the United States’ Inpatient Population From 2008 to 2012: Results of a Retrospective Nationwide Study.
13. Agrawal K, Chauhan N. Pressure ulcers: Back to the basics. Indian J Plast Surg [Internet]. 2012;45(2):244.
14. Coleman S, Nixon J, Keen J, Wilson L, Mcginnis E, Dealey C, et al. A new
pressure ulcer conceptual framework. J Adv Nurs. 2014;70(10):2222–34.
15. Hsieh, F., Bloch, D., & Larsen, M. A simple method of sample size calculation for linear and logistic regression. Statistics in medicine. 1998 . 17: 1625-34
16. Khawanmuang R. Pressure ulcer risk assessment in patients with limited activity.(Thesis). Bangkok, Mahidol University; 2001
17. Pulido KCS, Padilha KG, González CVS, Nogueira PC, Santos VLCG. Pressure injuries in critical patients: Incidence , patient associated factors , and nursing workload. 2018;(February):1–10.
18. Yutthakasemsunt S, Auiwattanakul S, Buranapin S, Ungpinitpong W, Chittawatanarat K. Prevalence of Pressure Ulcer and Nutritional Factors Affecting Wound Closure Success in Thailand. Mater Socio Medica. 2017;29(3):196.
19. Nassaji M, Askari Z, Ghorbani R. Cigarette smoking and risk of pressure ulcer in adult intensive care unit patients. Int J Nurs Pract. 2014;20(4):418–23.
20. Moyse T, Bates J, Karafa M, Whitman A, Albert NM. Validation of a model for predicting pressure injury risk in patients with vascular diseases. J Wound, Ostomy Cont Nurs. 2017;44(2):118–22.
21. Serra R, Caroleo S, Buffone G, Lugarà M, Molinari V, Tropea F, et al. Low serum albumin level as an independent risk factor for the onset of pressure ulcers in intensive care unit patients. Int Wound J. 2014;11(5):550–3.
22. Apostolopoulou E, Tselebis A, Terzis K, Kamarinou E, Lambropoulos I, Kalliakmanis A. Pressure ulcer incidence and risk factors in ventilated intensive care patients. Heal Sci J [Internet]. 2014 Sep 1 [cited 2018 Jun 14];8(3):333–42.
23. Nijs N, Toppets A, Defloor T, Bernaerts K, Milisen K, Van Den Berghe G. Incidence and risk factors for pressure ulcers in the intensive care unit. J Clin Nurs. 2009 May;18(9):1258–66.
How to Cite
นิลบรรพตส. (2019). FACTORS PREDICTING DEVELOPMENT OF PRESSURE INJURY IN CRITICALLY ILL PATIENTS. Journal of Nursing Science and Health, 42(3), 1-10. Retrieved from https://he01.tci-thaijo.org/index.php/nah/article/view/190559