Nursing Caries, Pressure Ulcer
Conditions
Keywords
Pressure ulcer, Care package, Intensive care unit, Evidence-based practice, Nursing
Brief summary
The aim of this study is to evaluate the effectiveness of the care package (CP) developed to prevent pressure injury (PI) in patients in intensive care and to evaluate the effect of the training given to nurses on their knowledge levels and attitudes.
Detailed description
This experimental study was carried out in the anesthesia and reanimation intensive care unit of Düzce Atatürk State Hospital. The part with patients was completed with a total of 72 patients, 36 in the control group and 36 in the application group. The occurrence rate of PI was compared between the control group and the application group. In the section about nurses, no sample was selected and all 50 nurses working in intensive care were included in the study. Nurses' knowledge and attitudes about PI before and after the training were compared. Data were analyzed using a statistical program.
Interventions
OTHERcare package
Before the patients in the application group started to be observed, the nurses working in the clinic were trained about the risk assessment, skin assessment, incontinence management, nutrition assessment, positioning, support surfaces and injuries caused by the devices in the BP content to be used in the prevention of IU. After the trainings given to the nurses were completed, care was given to the patients in the practice group in accordance with BP. In addition, patient information was collected from patient information files, nurse observation forms and hospital automation system. In the evaluation step, full compliance with the 7 compliance steps specified in the BP was sought. If any one of these parameters was incomplete, the others were considered as incomplete. The patients in the control group were followed up for 30 days until the determined number of patients was reached and their data were collected.
Sponsors
Abant Izzet Baysal University
Study design
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
PREVENTION
Masking
DOUBLE (Subject, Caregiver)
Masking description
The part with patients was completed with a total of 72 patients, 36 in the control group and 36 in the application group.
Intervention model description
experimental study randomised controlled
Eligibility
Sex/Gender
ALL
Age
18 Years to No maximum
Healthy volunteers
Yes
Inclusion criteria
* \- 18 years of age or older, * No development of pressure ulcers in any part of the body, * Patients expected to stay in the clinic for at least 72 hours or more * patients with a braden score below 15 points * Obtaining written consent from the first-degree relatives of patients whose written consent is obtained, patients who are unconscious and unable to give consent
Exclusion criteria
* \- 18 years of age or younger, * BY in any part of the body, * BBYRDS score more than 15 * Failure to give written consent by himself/herself or his/her 1st degree relative * Exitus, discharge, change of department and the patient's wish to leave the study before completing the number of days determined during the data collection phase
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Pressure Ulcer Formation | through study completion, an average of 1 year | Ulcer formation was monitored. Patients were followed up for at least 10 days in this respect. |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Knowledge levels of nurses | through study completion, an average of 1 year | Knowledge levels of nurses were tested before and after the training with the pressure sore assessment form prepared by the researchers. |
Countries
Turkey (Türkiye)
Outcome results
None listed