The Relationship Between Nutritional Status and Pressure Ulcer Incidence in ICU Patients
DOI:
https://doi.org/10.62872/o.v3i2.558Keywords:
decubitus ulcers, ICU patients, nutritional statusAbstract
Decubitus ulcers are tissue damage to the skin and/or subcutaneous tissue that generally occurs due to prolonged pressure on bony prominences, particularly in hospitalized patients with limited mobility. Nutritional status is suspected to play a role in the development of decubitus ulcers, as suboptimal nutritional status can affect tissue integrity and the wound healing process. However, previous studies on the relationship between nutritional status and the incidence of decubitus ulcers have shown inconsistent results. This study aims to determine the relationship between nutritional status and the incidence of decubitus ulcers in ICU patients. This study was an observational cross-sectional design conducted at Budhi Asih Regional General Hospital, East Jakarta, from January to November 2025, involving 94 subjects. Data on nutritional status and pressure ulcer incidence were obtained from medical records. Statistical analysis was performed using the Chi square test with a statistical significance threshold of p<0.05. Of the 94 subjects, the majority (57 patients) were overweight. Pressure ulcers were found in 22 patients (23.4%), while 72 patients (76.6%) did not experience pressure ulcers. Analysis using the Chi-square test showed no significant association between nutritional status and the incidence of pressure ulcers in ICU patients (p=0.248).
References
Alderden, J., Brooks, K. R., Kennerly, S. M., Yap, T. L., Dworak, E., & Cox, J. (2025). Risk factors for pressure injuries in critical care patients: An updated systematic review. International Journal of Nursing Studies, 169, 30. DOI: 10.1016/j.ijnurstu.2025.105127
Artaria, M. D. (2016). Dasar biologis variasi jenis kelamin, gender, dan orientasi seksual. BioKultur, 5(2), 157–165.
Chen, F., Wang, X., Pan, Y., Ni, B., & Wu, J. (2023). The paradox of obesity in pressure ulcers of critically ill patients. International wound journal, 20(7), 2753–2763. https://doi.org/10.1111/iwj.14152
Ciríaco, G. V., Menezes-Júnior, L. A. A., Oliveira, W. W., Talvani, A., & Turbino Ribeiro, S. M. L. (2023). Pressure ulcer incidence in critically ill patients: Role of body mass index, nutrition therapy, and other non-nutritional factors. Clinical nutrition ESPEN, 55, 285–291. https://doi.org/10.1016/j.clnesp.2023.03.024
Cremasco, M. F., Wenzel, F., Zanei, S. S. V., & Whitaker, I. Y. (2013). Pressure ulcers in the intensive care unit: The relationship between nursing workload, illness severity and pressure ulcer risk. Journal of Clinical Nursing, 22(15–16), 2183–2191. https://doi.org/10.1111/j.1365-2702.2012.04216.x
Hyun, S., Li, X., Vermillion, B., Newton, C., Fall, M., Kaewprag, P., Moffatt-Bruce, S., & Lenz, E. R. (2014). Body mass index and pressure ulcers: improved predictability of pressure ulcers in intensive care patients. American journal of critical care : an official publication, American Association of Critical-Care Nurses, 23(6), 494–501. https://doi.org/10.4037/ajcc2014535
Krisnawati, D., Faidah, N., Purwandari, N. P. (2022). Pengaruh perubahan posisi terhadap kejadian decubitus pada pasien tirah baring di Ruang Irin Rumah Sakit Mardi Rahayu Kudus. TSCD3Kep Journal, 7(1),15-26. https://doi.org/10.35720/tscd3kep.v7i01.332
Kumar, M. M., Mutreja, J., Singh, G. N., Vyas, K. C., Niranjan, A., & Kale, R. (2019). Prevalence, risk factors, and management of pressure sores in the teaching hospital-medical and surgical treatment. International Journal of Contemporary Surgery, 7(2),132-140. https://doi.org/10.37506/ijocs.v7i2.3218
Langer, G., Wan, C. S., Fink, A., Schwingshackl, L., & Schoberer, D. (2024). Nutritional interventions for preventing and treating pressure ulcers. The Cochrane database of systematic reviews, 2(2), CD003216. https://doi.org/10.1002/14651858.CD003216.pub3
Lichterfeld-Kottner, A., Lahmann, N., & Kottner, J. (2020). Sex-specific differences in prevention and treatment of institutional-acquired pressure ulcers in hospitals and nursing homes. Journal of Tissue Viability, 29(3), 204–210. DOI: 10.1016/j.jtv.2020.05.001
Safitri, I., Amir, Y., Dewi, W. N. (2021). Gambaran pengetahuan mahasiswa keperawatan tentang ulkus dekubitus. Scientific Journal of Nursing, 7(1), 1-126. https://doi.org/10.33023/jikep.v7i1.671
Serpa, L. F., Oliveira, A. S., Nogueira, P. C., & de Gouveia Santos, V. L. C. (2020). Risk for undernutrition and development of pressure injury in hospitalised patients in Brazil: Multicentre prospective cohort study. International wound journal, 17(4), 916–924. https://doi.org/10.1111/iwj.13352
Yustina, A., Setiawan S., Putra I S. (2021). Pengembangan panduan pencegahan ulkus dekubitus di Ruangan Intensive Care Unit (ICU). Journal of Telenursing (JOTING), 3(1). doi:10.31539/joting.v3i1.2184.
Zahra, A. A., Supriyadi, S., & Dwiningsih, S. U. (2023). Pengaruh massage effleurage dengan Virgin Coconut Oil (VCO) terhadap pencegahan risiko dekubitus pada pasien stroke non hemoragik. Jurnal Ilmiah Permas: Jurnal Ilmiah STIKES Kendal, 13(2):665-672. DOI:10.32583/pskm.v13i2.785
Zulaikah, Kristiyawati, S. P., & Purnomo, S. E. C. (2017). Pengaruh alih baring 2 jam terhadap risiko dekubitus dengan varian berat badan pada pasien bedrest total di SMC RS Telogorejo. Jurnal Ilmu Keperawatan dan Kebidanan, 3.
Downloads
Published
How to Cite
Issue
Section
License
Copyright (c) 2026 Niar Tri Mahardhini, Ida E Effendi

This work is licensed under a Creative Commons Attribution-ShareAlike 4.0 International License.







