Pressure Ulcers in the Intensive Care Unit: An Analysis of Skin Barrier Risk Factors

He, Minjuan; Tang, Amao; Ge, Xuedi; Zheng, Jie

doi:10.1097/01.asw.0000494779.66288.c9

Cited by 45 publications

(61 citation statements)

References 33 publications

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“…In other studies conducted in non-specialized Brazilian ICUs (4)(5)(6)(7)(8) , the overall cumulative incidence of PI was lower, varying between 3.5% and 23.1%. However, a study conducted in a Chinese ICU (also not specialized in oncology) found an overall cumulative PI incidence of 31.4%, similar to this study's (10) .…”

Section: Discussionsupporting

confidence: 87%

“…This vulnerability is mainly due to advanced age, chronic diseases such as diabetes mellitus, mean arterial pressure < 60-70 mmHg, prolonged mechanical ventilation, continuous venovenous haemofiltration and/or intermittent dialysis, use of vasoactive drugs and/or sedatives, insufficient changes of patient position in bed, and length of stay in the ICU (2) . It is worth emphasizing that the incidence of PIs in ICUs is high, ranging from 11% to 37% (3)(4)(5)(6)(7)(8)(9)(10) . This indicates that PIs are a serious public health problem, which compromises patient safety and entails high health-system costs (11)(12) .…”

Section: Introductionmentioning

confidence: 99%

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Incidence of pressure injury in an oncological intensive care unit

Jomar

Jesus

et al. 2019

Rev. Bras. Enferm.

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Objective: to investigate the incidence of pressure injury in cancer patients of an intensive care unit. Method: A longitudinal study with 105 patients admitted to an oncological intensive care unit. The incidence rate was calculated as the number of events per 100 patient-days. Cumulative incidence was calculated both globally and according to selected characteristics, and submitted to hypothesis tests. Results: incidence rate per 100 patient-days was 1.32, and global cumulative incidence was 29.5%. A higher incidence was observed in patients with chronic diseases who had at least one episode of diarrhea, received enteral nutrition, and took vasoactive or sedative drugs for a prolonged period of time. Regarding type of tumour and antineoplastic treatments, no differences in incidence were observed. Conclusion: A high cumulative global incidence of pressure lesion was reported in cancer patients admitted to the intensive care unit, although tumour characteristics and antineoplastic treatments did not affect incidence.

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Section: Discussionsupporting

confidence: 87%

Section: Introductionmentioning

confidence: 99%

Incidence of pressure injury in an oncological intensive care unit

Jomar

Jesus

et al. 2019

Rev. Bras. Enferm.

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“…[5,24] ICU patients tend to be sedated, on mechanical ventilation and bed-bound for long periods. [25] Consequently, their physical activity is severely limited and their intake of nutrients is likely to be insufficient. [26] All of these factors could place ICU patients at greater risk of PU development.…”

Section: Discussionmentioning

confidence: 99%

Attitudes of intensive care nurses towards pressure ulcer prevention

Habiballah

2018

CNS

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Background: The development of pressure ulcer is a common problem across a full range of healthcare settings, including intensive care units. Nurses' attitudes towards pressure ulcer prevention have an important influence on their ability to deliver this practice. Aim: To assess nurses' attitude towards pressure ulcer prevention and to identify any factors that could affect these attitudes. Methods: A descriptive cross-sectional study was conducted in the ICUs of three conveniently selected hospitals in Jordan. Data were collected from 112 nurses working in intensive care units in three hospitals in Jordan by means of a self-administered questionnaire. An attitudes towards pressure ulcer prevention tool designed by Moore and Price was used to collect the data. Results: Intensive care nurses hold positive attitudes towards pressure ulcer prevention. Both nurses' experience and previous training on pressure ulcer prevention were the most significant predictors of these attitudes. Conclusions: Positive attitudes should be supported since nurses with a positive attitude will be more willing to implement pressure ulcer prevention measures. Any barriers which exist to prevent nurses who have a positive attitude from delivering the prevention strategies should be investigated.

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“…For instance, a study in China in 2016 showed that the prevalence of pressure injury development in the ICUs is 31%. 8 The development of pressure injury in hospitalized patients is considered as a negative point of healthcare providers and systems. Therefore, the prevention of pressure injury is highly important, especially for the nursing team.…”

Section: Introductionmentioning

confidence: 99%

Effect of Aloe vera Gel, Calendula officinalis Ointment and Simple Prophylactic Sacral Dressings for Pressure Injury Development

Baghdadi¹,

Rafiei²,

Rashvand³

et al. 2020

CWCMR

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Background and Purpose: Prophylactic dressings play a significant role in the prevention of pressure injury. However, no herbal products have been used in this regard, so far. Therefore, the present study was designed with the aim of comparing the effect of Aloe vera gel, Calendula officinalis ointment and simple sacral prophylactic dressings on pressure injury development in patients admitted to intensive care unit. Materials and Methods: The sample of this clinical trial study consisted of 90 critically ill patients. Randomization was performed by head nurse in intensive care unit. Patients in group "A" received Aloe vera gel prophylactic dressing twice a day; patients in group "B" received Calendula officinalis ointment prophylactic dressing twice a day; and patients in group "C" received simple prophylactic dressing twice a day. The development of pressure injury was compared between these three groups after the intervention. Results: Demographic variables were similar in all three groups (p> 0.05). The results showed that 3 patients (10%) who received the simple dressing, 2 patients (6.6%) who received the Calendula officinalis ointment dressing were wounded, while the development of pressure injury in patients who received the Aloe vera gel dressing was zero. The results of chi-square test showed that the frequency distribution of the pressure injury development in the two groups receiving Aloe vera gel and simple dressing was different. This difference was statistically significant (p < 0.05). However, there was no significant difference between the Aloe vera gel and Calendula officinalis ointment groups as well as the Calendula officinalis ointment group and the simple dressing. Conclusion: The results of the present study demonstrated that using Aloe vera gel and Calendula officinalis ointment prophylactic dressing twice a day can be effective in prevention of pressure injury in patients admitted to intensive care unit.

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Pressure Ulcers in the Intensive Care Unit: An Analysis of Skin Barrier Risk Factors

Abstract: Nursing strategies aimed at preventing PrUs should place added emphasis on the lower sacral and hip regions.

Cited by 45 publications

References 33 publications

Incidence of pressure injury in an oncological intensive care unit

Incidence of pressure injury in an oncological intensive care unit

Attitudes of intensive care nurses towards pressure ulcer prevention

<p>Effect of <em>Aloe vera</em> Gel, <em>Calendula officinalis</em> Ointment and Simple Prophylactic Sacral Dressings for Pressure Injury Development</p>

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