Back to Search
Start Over
Evaluation of a fluidised positioner to reduce occipital pressure injuries in intensive care patients: A pilot study
- Source :
- Int Wound J
- Publication Year :
- 2018
- Publisher :
- Wiley, 2018.
-
Abstract
- This pilot study aimed to evaluate the clinical efficacy and feasibility of a fluidised positioning device to reduce occipital pressure injuries (PIs). A post-test design with a historical control group was used in a 54-bed intensive care unit between September 2017 and August 2018. Patients who were receiving either extracorporeal membrane oxygenation, were mechanically ventilated, or had raised intracranial pressure (≥20) were recruited. The intervention consisted of a fluidised positioning device under the patient's head, and a skin assessment every 8 h. Outcome measures included the occurrence of occipital PIs and registered nurses (RNs)' perspectives of the intervention. Data collected from patients in the intervention group were compared with data obtained from the historical control group between May 2016 and April 2017. Sixty-four patients were recruited in the intervention phase and 63 were in the historical control group. Results showed a statistically significant reduction in occipital PIs by 87.7% (16/63; 25.4% historical control vs 2/64; 3.13% interventional group). Bedside RNs provided positive evaluation of the fluidised positioning device. The findings demonstrate that the fluidised positioning device is a feasible and effective intervention in reducing the risk of occipital PIs in intensive care patients, which merits the continuation of use and further evaluation through a larger-scale study.
- Subjects :
- Adult
Male
medicine.medical_specialty
Critical Care
medicine.medical_treatment
Pilot Projects
Dermatology
Intervention group
Patient Positioning
law.invention
Raised intracranial pressure
030207 dermatology & venereal diseases
03 medical and health sciences
0302 clinical medicine
law
Intensive care
Extracorporeal membrane oxygenation
Humans
Medicine
030212 general & internal medicine
Clinical efficacy
Aged
Aged, 80 and over
Pressure Ulcer
business.industry
Australia
Outcome measures
Occiput
Original Articles
Equipment Design
Middle Aged
Intensive care unit
medicine.anatomical_structure
Physical therapy
Female
Surgery
Occipital Lobe
Stress, Mechanical
business
Head
Subjects
Details
- ISSN :
- 1742481X and 17424801
- Volume :
- 16
- Database :
- OpenAIRE
- Journal :
- International Wound Journal
- Accession number :
- edsair.doi.dedup.....79330d34806ba8af7ccd0bd1bf07440c