| Summary: | 碩士 === 慈濟大學 === 護理研究所 === 97 === The purposes of this study were to explore skin tears prevalence, risk factors, and prognosis among inpatients. A cross-sectional study with convenience sample was used to conduct this study at one medical center in eastern Taiwan. There were 724 participants enrolled in the study. Data were collected by using structured questionnaires that included demographic data, skin tears risk factors assessment components, and skin tears status assessment tool. The results of the study showed that the prevalence of skin tears was 11.05% . The majority of skin tears (31.88%) occurred on the face, head and neck. The causes of 73.91% of skin tears were related to tape and wound dressing removals. Most (65.95%) of the skin tears involved the entire loss of tissue (Payne-Martin categories III). The mean number of days needed for wound healing was 10.29 (SD=4.54). The significant variables (p< .05) assocaiated with the prevalence of skin tears were age, classification of ward, previous skin tears, number of associated chronic diseases/co-morbidities, types of chronic disease, number of medications, and types of medications. The significant variables (p< .05)of physical status assocaiated with the prevalence of skin tears were sensory perception, activity level, range of mobility, oral intake status, activities of daily living, platelet level, hemoglobin level, albumin level, dehydration, and skin appearances (presence of edema, ecchymosis, purpura, xerosis, fragilility, thinning, etc). According to the result of logistic regression, the important clinical predictors of skin tears were cardiovascular disease, pulmonary disease, liver disease, diabetes, presence of pre-existing skin abnormalities, mobility level, and dementia. The important medication-related predictors of skin tears were corticosteroids, diuretics, cardiovascular, and sedative agents. These results may provide nursing staffs recognition of skin tears related risk factors that can be applied in developing prevention strategies for skin tears. Moreover, the findings can be used as reference for skin tears care cirriculum in continuing nursing education.
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