Care Package for Preventing Pressure Ulcers in ICU Patients

The aim of this study is to evaluate the effectiveness of the care package (CP) developed to prevent pressure injury (PI) in patients in intensive care and to evaluate the effect of the training given to nurses on their knowledge levels and attitudes.

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Key information

Conditions

Pressure Ulcer Nursing Caries Skin Diseases Skin Ulcer Skin and Connective Tissue Diseases

Age range

18 year and older

Sex eligibility

All sexes

Study type

Interventional

Phase

Not applicable

Primary location

Abant Izzet Baysal University Faculty of Health Science, Bolu, Merkez, Turkey (Türkiye)

About this study

This experimental study was carried out in the anesthesia and reanimation intensive care unit of Düzce Atatürk State Hospital. The part with patients was completed with a total of 72 patients, 36 in the control group and 36 in the application group. The occurrence rate of PI was compared between the control group and the application group. In the section about nurses, no sample was selected and all 50 nurses working in intensive care were included in the study. Nurses' knowledge and attitudes about PI before and after the training were compared. Data were analyzed using a statistical program.

Who can participate

Healthy volunteers accepted: Yes

Only the study team can determine whether someone qualifies for participation.

Inclusion criteria

- 18 years of age or older,
No development of pressure ulcers in any part of the body,
Patients expected to stay in the clinic for at least 72 hours or more
patients with a braden score below 15 points
Obtaining written consent from the first-degree relatives of patients whose written consent is obtained, patients who are unconscious and unable to give consent

Exclusion criteria

- 18 years of age or younger,
BY in any part of the body,
BBYRDS score more than 15
Failure to give written consent by himself/herself or his/her 1st degree relative
Exitus, discharge, change of department and the patient's wish to leave the study before completing the number of days determined during the data collection phase

Treatment and study plan

care package

Other

Before the patients in the application group started to be observed, the nurses working in the clinic were trained about the risk assessment, skin assessment, incontinence management, nutrition assessment, positioning, support surfaces and injuries caused by the devices in the BP content to be used in the prevention of IU. After the trainings given to the nurses were completed, care was given to the patients in the practice group in accordance with BP. In addition, patient information was collected from patient information files, nurse observation forms and hospital automation system. In the evaluation step, full compliance with the 7 compliance steps specified in the BP was sought. If any one of these parameters was incomplete, the others were considered as incomplete.

The patients in the control group were followed up for 30 days until the determined number of patients was reached and their data were collected.

Primary outcomes

Pressure Ulcer Formation

Time frame: through study completion, an average of 1 year

Ulcer formation was monitored. Patients were followed up for at least 10 days in this respect.

Secondary outcomes

Knowledge levels of nurses

Time frame: through study completion, an average of 1 year

Knowledge levels of nurses were tested before and after the training with the pressure sore assessment form prepared by the researchers.

Sponsors and collaborators

Lead sponsor

Abant Izzet Baysal University

Other

Registry information

Official study title

Evaluation of the Effectiveness of a Pressure Ulcers Prevention Care Package in the Intensive Care Unit

Important dates

Study start: 2023
Primary completion: 2023
Study completion: 2023
First posted: Jul 19, 2024
Registry last updated: Jul 19, 2024

OpenTrials presents study information sourced from ClinicalTrials.gov. The official registry record should be consulted for the latest information.

View the official ClinicalTrials.gov record (opens in a new tab)

This listing is for discovery and informational purposes only. It is not medical advice, does not guarantee that a study is recruiting, and does not determine eligibility. Contact the study team and a qualified healthcare professional when considering participation.

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Completed