Keperawatan Kritis

Artikel
https://journals.rcni.com
Journal of Caring Sciences, September 2013:2(3),197-201
 Pressure Ulcer
• The incidence of pressure ulcers indicates the
number of patients in whom pressure ulcers develop
in a given health care setting.3 Multiple studies1,4-7
show that the incidence of pressure ulcers in the ICU
ranges from 10% to 41%.
 Dekubitus
• Survey dekubitus internasional melaporkan bahwa sebagian dari ICU yang
ada di rumah sakit Amerika Utara memliki prevalensi dekubitus yang tinggi
pada pasien dewasa, dengan perkiraan mulai dari 9.2% di ICCU sampai
12,1% di MICU (EPUAP-NPUAP, 2009; Siddiqui et al., 2013).
• Penelitian di tahun sebelumnya oleh Nijs et al.,(2008) insidensi dekubitus
di ICU rumah sakit Leuvan Belgia juga memiliki angka yang tinggi yaitu
20.1%.
• Insidensi dekubitus pada pasien ICU dengan ventilasi mekanik di Spanyol
sekitar 16% setelah 13 hari di IRI (Manzano et al., 2010).
• Perkembangan dekubitus pada pasien ICU di Indonesia yaitu sebesar 33%
dan persentasi ini lebih tinggi dibandingkan negara-negara Asia lainnya
(Suriadi et al., 2006) dan insidensi pasien IRI di RSUP Dr. Sardjito tahun
2013 sebesar 0.95% (PPI RSUP Dr. Sardjito, 2013).
 Pressure Ulcer
• If a patient is at risk for pressure ulcers or has an
existing pressure ulcer, appropriate referrals to
nutrition services and wound care specialists should
be initiated.
• Hospital protocols for prevention of pressure ulcer
development, which should include pressure relief,
moisture management, and nutrition support,
should be instituted.
• Skin inspection should occur on each shift or more
often in patients at risk of pressure ulcer
development.
 Assessment of Pressure Ulcer
• Evidence-Based Prevention of Pressure Ulcers
in the Intensive Care Unit (CriticalCareNurse
Vol 33, No. 6, Dec 2013)
• Risk Assessment Of Decubitus Ulcers Using
Four Scales Among Patients Admitted In
Medical And Surgical Intensive Care Units In A
Tertiary Care Set Up: A Crosssectional Study
(Int J Physiother Res 2015, Vol 3(2):971-77)
 Pressure Ulcer Prevention
• Evidence Review Effectiveness of Pressure Ulcer
Prevention Strategies for Adult Patients in Intensive
Care Units: A Systematic Review (Evidence-Based
Nursing, 2016; 13:6, 432–444)
• Pressure Ulcer Prevention In The Hospital Setting
Using Silicone Foam Dressings ( Truong Et Al. 2016.
Cureus 8(8): E730)
• Clinical Effectiveness Of A Silicone Foam Dressing For
The Prevention Of Heel Pressure Ulcers In Critically Ill
Patients: Border II Trial (The Journal Of Wound Care
Vol 24, No 8, August 2015)