A pre-post study evaluating the effectiveness of a new initiative, the “PRESSURE Bundle,” Compared with standard care in reducing the incidence and prevalence of sacral pressure ulcers in Critically Ill Patients in an intensive care unit in Riyadh, Saudi Arabia

Yousef, Amin; Amirah, Mohammad F; Alkurdi, Mahmoud H

doi:10.4103/sccj.sccj_29_17

Cited by 6 publications

(22 citation statements)

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“…(Zuo & Meng, 2015) Skala Braden terdiri dari enam variabel yang secara konseptual menggambarkan derajat persepsi sensori, kelembaban, aktivitas, mobilitas, nutrisi, pergesekan, dan pergeseran. Skala ini dinilai efektif digunakan pada ruang ICU, diberikan pada awal pasien masuk dan diulang setiap delapan jam secara rutin hingga pasien keluar dari ICU (Amr et al, 2017).…”

Section: Pembahasan Pengkajian Risikounclassified

“…Pengkajian penilaian kondisi kulit secara menyeluruh harus dilakukan minimal satu kali saat pasien berada di ICU atau ketika terdapat perubahan status kesehatan, pasien stroke merupakan yang mempunyai risiko luka tekan harus sering dilakukan pengkajian fisik kulit. Jika seorang pasien dianggap mempunyai risiko luka tekan yang akan bertambah parah, maka tindakan segera adalah rujukan yang tepat ke layanan gizi dan perawatan luka spesialis (Amr et al, 2017).…”

Section: Pengkajian Kulitunclassified

“…Selain penggunaan matras, pasien juga dapat diberikan polyurethane multilayered, self-adhesive, silikon lembut berbusa (Mepilex: Molnlycke) dibalutkan pada area sakrum untuk mencegah regangan geser pada jaringan, balutan ini juga memiliki daya serap yang baik, menjaga kelembaban, dan mengelola iklim mikro. Pembalut Mepilex diganti setiap minggu atau saat dibutuhkan (sesuai dengan rekomendasi pabrik) (Amr et al, 2017).…”

Section: Permukaan Pendukungunclassified

“…Peran perawat sangat dibutuhkan dalam pemantauan nutrisi pada pasien, kadar albumin sebagai indikator malnutrisi. Perawat harus mengidentifikasi status gizi pasien pada saat masuk dan menganjurkan untuk sedini mungkin suplementasi nutrisi bila perlu (Amr et al, 2017). Memastikan nutrisi yang cukup sangat sulit pada pasien yang menerima vasopresor karena cara kerja vasopressors mengerutkan mukosa lambung, mencegah penyerapan nutrisi.…”

Section: Nutrisiunclassified

“…Reposisi pasien merupakan komponen penting dari pencegahan luka tekan, direkomendasikan untuk membalikkan pasien setidaknya sekali setiap 2 jam pada alas kasur dan setiap 4 jam sekali pada matras namun, rekomendasi ini tidak didukung sebagai standar perawatan dan disarankan agar posisi pasien diputar setiap 2 jam, bergantian dari posisi lateral ke posisi terlentang. Saat memposisikan ulang, tubuh pasien harus diputar lateral 30 dan kepala tempat tidur terangkat tidak lebih tinggi dari 30 untuk mencegah tekanan pada tulang ekor (Amr et al, 2017;Zuo & Meng, 2015). Ada beberapa kondisi pasien yang tidak dapat diberikan alih baring secara rutin, seperti pasien yang dikhawatirkan mengganggu kualitas tidur, pasien yang memiliki ketidakstabilan hemodinamik dan lainnya (Coyer et al, 2015).…”

Section: Reposisi / Alih Baringunclassified

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Prevention and Treatment of Pressure Ulcers in Stroke Patients at ICU

Primalia¹,

Hudiyawati

2020

Jurnal Berita Ilmu Keperawatan

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Pressure ulcers are local tissue necrosis of the skin tissue and between bone protrusions, patients with stroke have a weakness in one or all limbs that causes patients to undergo treatment with bed rest so that a high risk of pressure ulcers. Treatment and recovery of pressure ulcers with bundle care are given as nursing actions to protect skin integrity. The aims of this study to identify and analyze scientific evidence for the use of bundle care with five key elements. The research method used in the review literature in international articles published in 2015-2019, obtained the results of 5 articles that fit the inclusion criteria. A series of five key bundle care elements should be given from the beginning of the patient being treated.

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Section: Pembahasan Pengkajian Risikounclassified

Section: Pengkajian Kulitunclassified

Section: Permukaan Pendukungunclassified

Section: Nutrisiunclassified

Section: Reposisi / Alih Baringunclassified

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Prevention and Treatment of Pressure Ulcers in Stroke Patients at ICU

Primalia¹,

Hudiyawati

2020

Jurnal Berita Ilmu Keperawatan

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Effects and Interventions of Pressure Injury Prevention Bundles of Care in Critically Ill Patients: A Systematic Review

Trisnaningtyas

Retnaningsih

Rochana

2021

Nurs. Med. J. Nursing

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Background: Many studies on pressure injury prevention bundles have been conducted outside the Intensive Care Unit (ICU). The bundles, which include multi interventions, have proven effective in reducing pressure ulcer incidents compared to a single intervention. However, the existing review studies on pressure injury prevention in ICUs still only investigate a single intervention rather than multi interventions. Only few reviews, to our knowledge, involves prevention bundle strategies in the ICU.Purpose: This study aims to review the effects of the pressure injury prevention bundles of care on the incidents of pressure injury in critically ill patients and the intervention measures of the care bundles.Methods: This review searched published articles from several databases, namely EBSCO, ScienceDirect, PubMed, ProQuest, Google Scholar, and Scopus from 2009 up to 2020. PRISMA flowchart was used to select relevant articles using several inclusion and exclusion criteria, resulting in 17 article from 50 eligible full-text articles for assessment. The included studies were assessed for their quality using Joanna Briggs Institute (JBI) critical appraisal tools. The synthesis was then conducted narratively.Results: As many as 17 studies, which mostly had good quality yet evidence level of II, were included in the analysis. The findings showed that the pressure injury prevention bundles of care decreased pressure injury incidents as many as 4.3%-36.2% in developed countries and 4.16%-21% in developing countries. Moreover, the bundles of care which significantly reduced the incidents of pressure injury consisted of 7 intervention measures, which were pressure injury risk assessment using Cubbin Jackson scale, skin assessment and care, repositioning, nutrition, education, support surface, and medical device care.Conclusion:The review concluded that the pressure injury prevention bundles of care in critically ill patients significantly reduced the incidents of pressure injury. The study recommends more studies with stronger evidence levels to carry out and utilize 7 intervention measures as a preventive standard of care in critically ill patients.

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