title: Incidence of pressure ulcers in intensive care unit patients at risk according to the Waterlow scale and factors influencing the development of pressure ulcers.
abstract: OBJECTIVE
  To determine incidence of pressure ulcers in patients at risk according to the Waterlow scale in intensive care units and to evaluate the effects of risk factors in critically ill patients.
  
  
  BACKGROUND
  Pressure ulcers continue to be an important health problem that increases the risk of illness and death, extends patients' length of hospital stay and increases healthcare expenses.
  
  
  METHODS
  The study was conducted as a descriptive and prospective study.
  
  
  METHODS
  The sample consisted of 140 patients. Data were collected using a data collection form, the skin assessment instrument and the Waterlow scale.
  
  
  RESULTS
  The incidence of pressure ulcers in intensive care unit patients was found to be 14.3%. The majority of pressure ulcers (74%) were grade I. The mean length of time for pressure ulcer development was found to be 10.4 (SD 1.85) days. A statistically significant difference was found in the patients for pressure ulcer development according to their level of consciousness, activity, cooperation, length of stay, Waterlow scale score and C-reactive protein level. In the multiple stepwise logistic regression analysis, the most influential factors for pressure ulcer development were determined to be length of stay and activity level.
  
  
  CONCLUSIONS
  Extra care needs to be taken to prevent pressure ulcer development in intensive care unit patients who have an extended length of stay, are dependent for activities, have high Waterlow scores, are unconscious and are not cooperative.
  
  
  CONCLUSIONS
  This study determined the incidence of and factors that can affect the development of pressure ulcers in intensive care unit patients who are in a high risk group for the development of pressure ulcers and presented the importance of having Turkish nurses implement interventions directed at these factors.
authors.affiliation: Mersin Universitesi Tip Fakültesi Araştirma Hastanesi, Yara Bakim Unitesi, Zeytinlibahçe Sk Eski Otogar Yani, Mersin, Turkey.
authors.forename: Serap
authors.initials: S
authors.lastname: Sayar
authors.forename: Sibel
authors.initials: S
authors.lastname: Turgut
authors.forename: Havva
authors.initials: H
authors.lastname: Doğan
authors.forename: Aynur
authors.initials: A
authors.lastname: Ekici
authors.forename: Sabire
authors.initials: S
authors.lastname: Yurtsever
authors.forename: Ferit
authors.initials: F
authors.lastname: Demirkan
authors.forename: Nurcan
authors.initials: N
authors.lastname: Doruk
authors.forename: Bahar
authors.initials: B
authors.lastname: Taşdelen
mesh_terms: D016638:Critical Illness; D005260:Female; D006305:Health Status Indicators; D006801:Humans; D015994:Incidence; D007362:Intensive Care Units / Q000706:statistics & numerical data*; D008297:Male; D008875:Middle Aged; D003668:Pressure Ulcer / Q000453:epidemiology* / Q000209:etiology / Q000451:nursing; D011446:Prospective Studies; D018570:Risk Assessment; D012307:Risk Factors; D013997:Time Factors; D014421:Turkey / Q000453:epidemiology