Prevalence, Factors and Behaviors Associated with Pressure Injuries in The Independent Wheelchair Using Patients with Spinal Cord Injury
Keywords:
Spinal cord injuries, wheelchairs, pressure ulcer, risk factorsAbstract
Background: Pressure injuries (PrIs) are a common complication following a spinal cord injury (SCI). Objective: This research aims to study the prevalence and factors associated with pressure injuries (PrIs) in spinal cord-injuredpatients with independent wheelchair use. Method: This study was cross-sectional descriptive conducted onseventy-five spinal cord-injured patients with independent wheelchair use. Patients who had PrIs before independentwheelchair used and still have PrIs were excluded. A questionnaire regarding patients’ demographics, history ofPrIs, and risk factors e.g., sitting duration, PrIs knowledge, and protective behaviors was conducted. Possible PrIsrisk factors were compared between patients with and without current PrIs. Result: Among 75 patients, 72 haveparaplegia (96%) and 3 have tetraplegia (4%). The Prevalence of PrIs is 29.3% (95% CI = 18.8, 39.9). 10.7% hadhealed PrIs and 60% never had PrIs. The most common areas of PrIs are ischial tuberosity (55%) and coccyx orsacrum (23%). The causes of the latest incidence of PrIs are friction and shear force while transferring (32%) andprolonged sitting (27%). The risk of PrIs in patients was 5 times greater in the patients who don’t have a regularconcern about friction and shearing force while transferring than those who do (OR5, 95% CI 1.28, 20). Conclusion: PrIs are a common complication found in SCI patients who can transfer independently with a wheelchair. Theprevalence of PrIs in this study was 29.3%. The friction and shear force from careless transferring is a significantfactor that increases the risk of PrIs.
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