Volume 4, Issue 2 (Spring 2018 -- 2018)                   JCCNC 2018, 4(2): 69-79 | Back to browse issues page


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Mohammadi S, Rafii F, Salehi T, Haghani H. The Relationship of Basic and Instrumental Activities of Daily Living With the Risk of Developing Pressure Ulcer. JCCNC 2018; 4 (2) :69-79
URL: http://jccnc.iums.ac.ir/article-1-167-en.html
1- Department of Nursing, School of Nursing and Midwifery, Iran University of Medical Sciences, Tehran, Iran.
2- Nursing Care Research Center, School of Nursing and Midwifery, Iran University of Medical Sciences, Tehran, Iran.
3- Department of Biostatics, School of Health, Iran University of Medical Sciences, Tehran, Iran.
Abstract:   (3107 Views)
Background: The basic and instrumental activities of daily living are prerequisites for living with a good quality of life. On the contrary, lack of movement and physical inactivity are considered as the main cause of pressure injuries. Accordingly, this study aimed to determine the relationship between the basic and instrumental activities of daily living with the risk of pressure ulcers in patients referred to educational health care centers affiliated to Iran University of Medical Sciences in 2017. 
Methods: This descriptive, cross-sectional study was conducted on 200 patients referred to internal and surgical clinics of hospitals affiliated to Iran University of Medical Sciences. The sample was recruited by cluster sampling method. The study questionnaires included four sections: a demographic from, Katz Scale of Basic Activities of Daily Living (BADL), Lawton Scale of Instrumental Activities of Daily Living (IADL), and Braden pressure ulcer risk assessment scale. Data was analyzed by Independent t test, ANOVA, Pearson correlation coefficient, and Spearman correlation test using SPSS-PC V. 24.
Results: With higher dependence in performing BADL and IADL, the risk of pressure ulcer development increased (P<0.001). The relationship was even higher with regard to IADL. Dependence in all subscales of BADL and IADL was directly related to the risk of developing pressure ulcer (P<0.001).
Conclusion: The degree of dependence in BADL and IADL can be considered as one of the predictors of pressure ulcer development. It is necessary to plan appropriately to increase the independency of patients in performing such activities.
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● Higher dependence in performing basic and instrumental activities of daily living increases the risk of pressure ulcer.
● Basic activities of daily living is more important than instrumental activities in the development of pressure ulcer.
● All subscales of basic and instrumental activities of daily living are associated with the development of pressure ulcer.
●The degree of dependence in basic and instrumental activities of daily living can be one of the predictors of pressure ulcer development.
Plain Language Summary
Daily living activities like bathing, dressing, and instrumental daily activities like shopping or housekeeping decrease the risk of bed sore. It is particularly important in patients aged above 45 years with chronic diseases. The degree of dependence in daily activities can be one of the predictors of bed sore development. Therefore, in the field of education, it is necessary to hold training classes and methods for nursing staff in order that they teach empowerment techniques to their patients. Also training programs for patients, public community, especially older people should be held with respect to strategies for increasing their independence. Family members of at-risk patients should plan appropriately to increase the independency of the patients in performing such activities. Most importantly, patients who are at risk must try to manage their activities independently as far as they can.

Type of Study: Research | Subject: General
Received: 2017/12/14 | Accepted: 2018/03/26 | Published: 2018/05/1

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