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Comparing Pressure Injury Incidence Based on Repositioning Intervals and Support Surfaces in Acute Care Settings: A Quasi-Experimental Pragmatic Study.
- Source :
-
Advances in skin & wound care [Adv Skin Wound Care] 2021 Aug 01; Vol. 34 (8), pp. 1-6. - Publication Year :
- 2021
-
Abstract
- Objective: To compare pressure injury (PI) incidence based on repositioning intervals and support surfaces in acute care settings.<br />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 three interventions: 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.<br />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).<br />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.<br /> (Copyright © 2021 Wolters Kluwer Health, Inc. All rights reserved.)
- Subjects :
- Aged
Bedding and Linens standards
Bedding and Linens statistics & numerical data
Beds standards
Beds statistics & numerical data
Chi-Square Distribution
Female
Humans
Incidence
Intensive Care Units organization & administration
Intensive Care Units statistics & numerical data
Male
Middle Aged
Moving and Lifting Patients methods
Moving and Lifting Patients statistics & numerical data
Pressure Ulcer epidemiology
Surveys and Questionnaires
Moving and Lifting Patients standards
Pressure Ulcer diagnosis
Time Factors
Subjects
Details
- Language :
- English
- ISSN :
- 1538-8654
- Volume :
- 34
- Issue :
- 8
- Database :
- MEDLINE
- Journal :
- Advances in skin & wound care
- Publication Type :
- Academic Journal
- Accession number :
- 34260424
- Full Text :
- https://doi.org/10.1097/01.ASW.0000755912.27170.9a