The objectives of this study were to investigate the prevalence and the characteristics of pressure ulcers (PU) in community‐dwelling older adults in Indonesia, including specific characteristics of the PU patients and their use of formal and informal care. A cross‐sectional design was used for the study, with 325 participants aged 60 years or older, randomly chosen from the general community. The overall PU prevalence and the PU prevalence excluding category 1 were 10.8% (95% confidence interval [CI], 5.8‐15.8) and 5.2% (95% CI 0.2‐10.2), respectively. Category 1 PUs were mostly (34.3%) located on knees and toes, while category 2 and higher PUs were mostly (70.4%) located on the shoulder, sacrum, and hip. The main factors that contributed strongly to PUs among older adults in the community were the degree of physical activity, problems with sensory perception, and having a history of stroke. None of the participants with a PU received wound care or information about PUs from formal caregivers and only 11.4% received wound care from family caregivers. This study shows that pressure ulcers in community‐dwelling older adults in Indonesia are a relevant and largely unaddressed problem. Developing an intervention program to manage the PU problem in the community is recommended.
The objectives of this study were to examine the knowledge and attitude of Indonesian community nurses regarding Pressure Injury (PI) prevention. A cross-sectional design was used and included the community nurses permanently working in the Public Health Center (Puskemas) in Bandung, West Java Indonesia. Knowledge was measured using the Pressure Ulcer Knowledge Assessment Tool (PUKAT 2.0). Attitudes were measured using a predesigned instrument which included 11 statements on a five point Likert scale. All data were collected using paper-based questionnaires. The response rate was 100%. Respondents (n = 235) consisted of 80 community nursing program coordinators (34.0%) and 155 community nurses (66.0%). Regarding knowledge, the percentage of correct answers in the total group of community nurses on the PUKAT 2.0 was 30.7%. The theme "Prevention" had the lowest percentage of correct answers (20.8%). Community nurses who had additional PI or wound care training had a higher knowledge score compared with community nurses who did not have additional PI training (33.7% vs 30.3%; Z = −1.995; P = 0.046). The median attitude score was 44 (maximum score 55; range
Kejadian luka tekan pada lansia di rumah merupakan masalah global yang terus diupayakan untuk diminimalisir risikonya. Luka tekan pada lansia di rumah telah diketahui memiliki karakteristik yang berbeda dengan luka tekan yang terjadi pada pasien lansia di rumah sakit atau rumah perawatan. Tujuan penelitian ini adalah untuk mengidentifikasi faktor risiko dominan berdasarkan pengukuran skala Braden serta kekuatan hubungan diantara faktor risiko tersebut yang mempengaruhi keparahan luka tekan pada lansia di masyarakat. Penelitian ini merupakan penelitian potong lintang (cross sectional) terhadap 35 orang lansia yang memenuhi kriteria inklusi dan eksklusi dari 325 orang lansia di masyarakat yang ditemui dan dipilih secara acak. Data dianalisis dengan rumus korelasi Pearson menggunakan software Matlab. Hasil penelitian menunjukkan faktor dominan yang mempengaruhi tingkat keparahan luka tekan pada lansia di masyarakat adalah faktor aktivitas (r=0.9437), mobilisasi (r=0.9200) dan gesekan (r=0.8603). Sebaliknya, faktor kelembaban dan nutrisi memiliki hubungan paling rendah. Interaksi faktor gesekan dengan faktor aktivitas dan mobilitas sangat kuat mempengaruhi kejadian luka tekan pada lansia di masyarakat dengan nilai r berturut turut adalah 0.8405 dan 0.8200. Hasil penelitian merekomendasikan adanya upaya untuk meminimalkan faktor gesekan pada bagian tubuh lansia di masyarakat.
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