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Factors associated with pressure ulcer risk among spinal cord injury adults in Kuala Lumpur, Malaysia: a community-based study
Yee Xing You1, Jing Yi Foo2, Wani Aqilah Mustafa3, Rohana Hussain4, Zahara Abdul Manaf5, Suzana Shahar6, Amaramalar Selvi Naicker7, Ohnmar Htwe8.
Introduction: Pressure ulcers (PUs) are a leading health problem among spinal cord injury(SCI) patients. Therefore, this comprehensive study was aimed at determining the association between potential factors and the occurrence of PUs among SCI adults in community settings. Methods: A cross-sectional study was conducted among adults with SCI aged 18 years and above from five selected locations in Kuala Lumpur, Malaysia. The study was carried out through interviews based on validated questionnaires such as the Dietary History Questionnaire (DHQ), Spinal Nutrition Screening Tool (SNST), Physical Activity Scale for Individuals with Physical Disabilities (PASIPD), Barthel Index for Activities of Daily Living (ADL), and Instrumental Activities of Daily Living (IADL). Estimated weight and height were obtained using recumbent formula. The stages of their PUs were assessed based on National Pressure Ulcer Advisory Panel (NPUAP) grading system. Results: A total of 40 subjects participated in the study, 25% of whom were having PUs. Their nutritional inadequacies were identified, whereby 90%, 70% and 85.5% of them were receiving below their daily requirement of energy, carbohydrate and protein, respectively. The fat and sodium intakes of 55% of them were above the Malaysian Recommended Nutrient Intakes(RNI). It was successfully found that physical activity could decrease the risk of PUs(R2=0.654, OR=0.310, p<0.05). Conclusion: Overall, 25% of the subjects had PUs that were associated with physical inactivity. The majority of the subjects did not meet their nutrient requirements. Therefore, there is a need for increased physical activity and improved nutrient intake in order to reduce the risk of pressure ulcers among SCI adults in communities.
Affiliation:
- Universiti Kebangsaan Malaysia (UKM), Malaysia
- Universiti Kebangsaan Malaysia (UKM), Malaysia
- Universiti Kebangsaan Malaysia (UKM), Malaysia
- Universiti Kebangsaan Malaysia (UKM), Malaysia
- Universiti Kebangsaan Malaysia (UKM), Malaysia
- Universiti Kebangsaan Malaysia (UKM), Malaysia
- Pusat Perubatan Universiti Kebangsaan Malaysia, Malaysia
- Pusat Perubatan Universiti Kebangsaan Malaysia, Malaysia
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Indexation |
Indexed by |
MyJurnal (2021) |
H-Index
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3 |
Immediacy Index
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0.000 |
Rank |
0 |
Indexed by |
Scopus 2020 |
Impact Factor
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CiteScore (0.2) |
Rank |
Q4 (Medicine (all)) |
Additional Information |
SJR (0.144) |
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