Comparing Pressure Injury Incidence Based on Repositioning Intervals and Support Surfaces in Acute Care Settings: A Quasi-Experimental Pragmatic Study.
Adv Skin Wound Care
; 34(8): 1-6, 2021 Aug 01.
Article
em En
| MEDLINE
| ID: mdl-34260424
ABSTRACT
OBJECTIVE:
To compare pressure injury (PI) incidence based on repositioning intervals and support surfaces in acute care settings.METHODS:
This pragmatic, quasi-experimental trial recruited a total of 251 critically ill patients who were at low or moderate risk for PI development. Participants were assigned to threeinterventions:
a 2-hour repositioning interval using an air mattress, a 2-hour repositioning interval using a foam mattress, or a 3-hour repositioning interval using a foam mattress. Data were collected by nurses every shift over the course of 14 days. Pressure injury incidence was analyzed using a χ2 test.RESULTS:
There were no statistically significant differences in PI incidence between the groups with a 2-hour repositioning interval. However, the PI incidence in the group using a foam mattress with a 3-hour repositioning interval was significantly lower than in the group using an air mattress with a 2-hour repositioning interval (odds ratio, 0.481; 95% confidence interval, 0.410-0.565).CONCLUSIONS:
The findings showed that PIs decreased when the repositioning interval was extended from every 2 hours to every 3 hours while using foam mattresses. This study suggests that a 3-hour repositioning interval using a foam mattress could be applied to reduce the risk of PI development for patients at low or moderate risk.
Texto completo:
1
Base de dados:
MEDLINE
Assunto principal:
Fatores de Tempo
/
Úlcera por Pressão
/
Movimentação e Reposicionamento de Pacientes
Idioma:
En
Ano de publicação:
2021
Tipo de documento:
Article