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Inter‐device agreement of sacral subepidermal oedema measurement in healthy adults during prolonged 60° head of bed elevation.
- Source :
- Nursing Open; Feb2024, Vol. 11 Issue 2, p1-8, 8p
- Publication Year :
- 2024
-
Abstract
- Aim: To investigate the level of agreement between the SEM 200 and Provisio® subepidermal moisture sacral delta measurements, which may indicate increased pressure injury risk, in healthy adults during 120 min of prolonged 60° head of bed elevation. This position, which requires the elevation of the patient's upper body at a 60° angle above the horizontal plane for an extended period, is used by clinicians to prevent or manage a patient's medical or surgical conditions. Design: This prospective exploratory study recruited 20 healthy adults during October 2021 and collected sacral subepidermal moisture delta measurements using the SEM 200 and Provisio® devices. Methods: Delta measurements were taken at 20‐min intervals over 120 min resulting in seven data collection timepoints. Descriptive statistics and a Bland Altman plot analysis were conducted. Results: A total of 280 sacral subepidermal moisture delta measurements were gathered or 140 per device. There were good levels of agreement between the two devices at baseline (T0) [mean 0.025; SD 0.137] and following 60‐ (T3) [mean 0.025; SD 0.111], 80‐ (T4) [mean −0.01; SD 0.177] and 100 min (T5) [mean 0.01; SD 0.129] of prolonged 60° head of bed elevation. Head of bed elevations can increase a patient's risk of sacral pressure injuries. In some countries, nurses have access to the SEM 200 and/or the Provisio® device, so our findings may increase nurses' confidence in the interchangeability of the device measurements, although further research is needed to confirm this. The SEM 200 and Provisio® subepidermal moisture scanners show promise in gathering similar objective pressure injury risk data which could prompt clinicians to implement prevention strategies. Impact: Current pressure injury risk assessment is largely subjective in nature. This quantitative study on healthy human sacral tissue found a good level of agreement in the SEM 200 and Provisio® subepidermal moisture scanners, which may increase nurses' confidence in the interchangeability of the devices in clinical practice. [ABSTRACT FROM AUTHOR]
- Subjects :
- EDEMA prevention
SACRUM injuries
SCANNING electron microscopy equipment
SCIENTIFIC observation
CONFIDENCE intervals
PRESSURE ulcers
SCANNING electron microscopy
REGRESSION analysis
PATIENTS' attitudes
RISK assessment
T-test (Statistics)
DESCRIPTIVE statistics
STATISTICAL sampling
DATA analysis software
PATIENT positioning
LONGITUDINAL method
DISEASE risk factors
ADULTS
Subjects
Details
- Language :
- English
- ISSN :
- 20541058
- Volume :
- 11
- Issue :
- 2
- Database :
- Complementary Index
- Journal :
- Nursing Open
- Publication Type :
- Academic Journal
- Accession number :
- 175643141
- Full Text :
- https://doi.org/10.1002/nop2.2103