Pressure Ulcer And Associated Factors Among Adult Patients Admitted To The Surgical Wards In The Comprehensive Specialised Hospital Of The Northwest Amhara Regional State, Ethiopia

Abstract

Abstract Background A pressure ulcer is is a serious concern for prolonged bed patient and presents common complication following surgery. It is one of key performance indicators of nursing quality of care provided to the patient.Even though some studies reported the prevalence of pressure ulcer in Ethiopia. There is a lack of evidence in the current study area regarding its prevalence and the factors associated with it. The main objective of th is study was to assess pressure ulcer and associated factors among adult patients admitted to the surgical ward in Amhara Regional Comprehensive Specialized Hospital in Northwest Ethiopia,2023. Method An institution-based, cross-sectional study was conducted from Junary 15 to June 19 ,2023 at North West Ethiopia.A systematic random sampling technique was used to select 480 patients. Descriptive data was presented as absolute number with percentage, and multivariate analysis was used to assess the statistical association between a ssociated factors and pressure ulcer. A Pvalue of < 0.05 was considered as statistical significant. Results A total of 49 pressure ulcer cases were detected among 480 patients.With a prevalence rate of 10.2%, 95% CI (7.7, 12.9). Participants who had smoked (95% CI: AOR 7.46 (2.64,21.06), being bedridden (95% CI: AOR 3.92 (1.28, 11.66), had 21days the length of hospital stay (95% CI: AOR 3.01 (1.13, 8.02), had pain (95% CI: AOR 3.20 (1.06, 7.51), and had friction and shear (95% CI: AOR 5.71 (1.91, 17.08), were significant factors associated with pressure ulcer. Conclusion This study showed a high percentage of pressure ulcer among patients .Smoking status, patients with pain, the patient's bedridden condition, patients with problems of friction and shear, and length of hospital stay were significantly associated with pressure ulcer. Healthcare providers should educate patients on smoking risks, pain management, mattress installation, and linen care.