title: Microclimate and development of pressure ulcers and superficial skin changes.
abstract: This study aims to evaluate the microclimate and development of pressure ulcers and superficial skin changes. A prospective cohort study was conducted in an acute care ward in Indonesia. Risk factors for pressure ulcers and superficial skin changes were identified based on the Bergstrom Braden conceptual model. Microclimate data were collected every 3 days for 15 days while the development of pressure ulcers and superficial skin changes was observed every day. Pressure ulcers and superficial skin changes were developed in 20 of the 71 participants. Total mean difference in skin temperature was higher for patients with pressure ulcers and superficial skin changes (0·9 ± 0·6°C) compared with controls (0·6 ± 0·8°C) (P = 0·071). Binary logistic regression predictor values for pressure ulcers and superficial skin changes were 0·111 for type of sheet and 0·347 for Braden Scale results. In conclusion, difference in skin temperature seems to be a predictor for pressure ulcer development and superficial skin changes, while synthetic fibre sheets are able to maintain a beneficial microclimate.
authors.affiliation: Clinical Nursing Department, Kanazawa University, Ishikawa, Japan; Wound Care Clinic, Griya Afiat, Makassar, Indonesia.
authors.forename: Saldy
authors.initials: S
authors.lastname: Yusuf
authors.forename: Mayumi
authors.initials: M
authors.lastname: Okuwa
authors.forename: Yoshie
authors.initials: Y
authors.lastname: Shigeta
authors.forename: Misako
authors.initials: M
authors.lastname: Dai
authors.forename: Terumi
authors.initials: T
authors.lastname: Iuchi
authors.forename: Sulaiman
authors.initials: S
authors.lastname: Rahman
authors.forename: Awaluddin
authors.initials: A
authors.lastname: Usman
authors.forename: Sukmawati
authors.initials: S
authors.lastname: Kasim
authors.forename: Junko
authors.initials: J
authors.lastname: Sugama
authors.forename: Toshio
authors.initials: T
authors.lastname: Nakatani
authors.forename: Hiromi
authors.initials: H
authors.lastname: Sanada
mesh_terms: D000328:Adult; D000368:Aged; D001512:Bedding and Linens; D001513:Beds; D015331:Cohort Studies; D005260:Female; D006801:Humans; D007214:Indonesia; D016015:Logistic Models; D008297:Male; D008834:Microclimate; D008875:Middle Aged; D003668:Pressure Ulcer / Q000209:etiology*; D012307:Risk Factors; D012881:Skin Temperature; D013997:Time Factors
keywords: microclimate; pressure ulcer; skin moisture; skin temperature; superficial skin changes