Pressure Ulcer Prevention
Conditions
Keywords
Immobile patient, Stroke, Pressure ulcers, Incidence, Nursing Intervention
Brief summary
this study is aimed to assess the effectiveness of nursing interventions on the prevention of pressure ulcers among immobile stroke patients
Detailed description
Research question: Question 1: What is the effect of nursing educational interventional program on the prevention of pressure ulcers among immobile stroke patients. The interventional program will be provided for the patients over a period of two days in the hospital, then the pressure ulcer prevention program will demonstrated by the researcher. The education and demonstration will consist of proper positioning, frequent change of patients' posture to limit or decrease pressure over the skin, skincare, such as maintaining adequate hydration, keep skin clean, prevent excessive dryness of skin, prevent message over bony prominence, and control moisture. A manual in the form of booklet will be given to the patients and their family caregiver.
Interventions
OTHERPressure ulcer prevention program
Interventions will consist of proper positioning, frequent change of patients' posture to limit or decrease pressure over the skin, skincare, such as maintaining adequate hydration, keep skin clean, prevent excessive dryness of skin, prevent message over bony prominence, and control moisture.
Sponsors
Hawler Medical University
Study design
Allocation
RANDOMIZED
Intervention model
SINGLE_GROUP
Primary purpose
PREVENTION
Masking
NONE
Intervention model description
When the program is delivered, two group of high risk patients for pressure ulcer ( Braden scale score ≤12) will be compared for the development of pressure ulcer. The group that receive the program (64 patients) will compare with group that do not receive program (64 Patients).
Eligibility
Sex/Gender
ALL
Age
18 Years to 73 Years
Healthy volunteers
No
Inclusion criteria
1. Both gender 2. Patients' age ≥ 18 years old. 3. Patients who 1. are at highly risk for pressure ulcer development. 2. Braden scale score ≤ 12 3. Are able to communicate clearly 4. Provide written informed consent 5. Do not participate in another study and do not receive any information regarding pressure ulcer prevention.
Exclusion criteria
1. Patients who have different types of mental problems 2. Braden scale score \> 12 3. Have history of previous pressure ulcer and are unable to respond to verbal commands. 4. Patients who work as a health care provider. 5. Patients with different stages of pressure ulcer. \-
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Change the incidence of pressure ulcer | 3 weeks follow up after patients discharge | Patients' skin will be assessed for the development of pressure ulcer. A patient who move from high and very high-risk Braden scale score (≤12) to stage one pressure ulcer and above is considered as the occurrence of pressure ulcer event. Braden scale is a pressure ulcer risk assessment tool which evaluates ulcer formation areas such as elbow, occipital, sacrum, back, and heel and areas of bony prominences. 6 is the lowest total subscale score and 23 is the highest total subscale score. The lower total subscale scores, the higher risk for the development of pressure ulcer' |
Countries
Iraq
Outcome results
None listed