Use of a Hydrocolloid Dressing in the Prevention of Device-related Pressure Ulcers During Noninvasive Ventilation: A Meta-analysis of Randomized Controlled Trials

Cai, Ji‐Yu; Zha, Man‐Li; Chen, Hong‐Lin

doi:10.25270/wmp.2019.2.3038

Cited by 37 publications

(48 citation statements)

References 19 publications

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“…Although hydrocolloid dressing is often used to prevent and cure pressure injuries [ 34 ], some researchers have found some of its flaws in its use [ 23 ]. Due to the strong stickiness of hydrocolloid, it may aggravate an existing pressure injury when one is removing a mask as it rips away the dressing [ 7 ].…”

Section: Discussionmentioning

confidence: 99%

COVID-19 related pressure injuries in patients and personnel: A systematic review

Feng

et al. 2021

Journal of Tissue Viability

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Background Coronavirus disease 2019 (COVID-19) is causing a rapid and tragic health emergency worldwide. Because of the particularity of COVID-19, people are at a high risk of pressure injuries during the prevention and treatment process of COVID-19. Objectives This systematic review aimed to summarize the pressure injuries caused by COVID-19 and the corresponding preventive measures and treatments. Methods This systematic review was according to the Preferred Reporting Items for Systematic Reviews and Meta-analyses guidelines. PubMed, Web of science and CNKI (Chinese) were searched for studies on pressure injuries caused by COVID-19 published up to August 4, 2020. The quality of included studies was assessed by the Newcastle-Ottawa Quality Assessment Scale (NOS) and the CARE guidelines. Results The data were extracted from 16 studies involving 7,696 participants in 7 countries. All studies were published in 2020. There are two main types of pressure injuries caused by the COVID-19: 1) Pressure injuries that caused by protective equipment (masks, goggles and face shield, etc.) in the prevention process; 2) pressure injuries caused by prolonged prone position in the therapy process. Conclusions In this systematic review, the included studies showed that wearing protective equipment for a long time and long-term prone positioning with mechanical ventilation will cause pressure injuries in the oppressed area. Foam dressing may need to be prioritized in the prevention of medical device related pressure injuries. The prevention of pressure injuries should be our particular attention in the course of clinical treatment and nursing.

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Section: Discussionmentioning

confidence: 99%

COVID-19 related pressure injuries in patients and personnel: A systematic review

Feng

et al. 2021

Journal of Tissue Viability

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“…However, where evidence is available, it should be evaluated and integrated into procedures and protocols. For example, a recent meta-analysis suggested that hydrocolloid dressings can help prevent DRPU during non-invasive ventilation, 149 probably because they provide cushioning at the skindevice contact interface. 150 However, it should be noted that no commercial dressing has been designed speci cally to prevent DRPUs.…”

Section: Evidence Basementioning

confidence: 99%

Device-related pressure ulcers: SECURE prevention

et al. 2020

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“…Nearly a third of serious pressure injuries were device‐related (Apold & Rydrych, 2012). Black and Kalowes (2016) collated MDRPI incidences and found that nasal cannulas (12.9%–47%) (Weng, 2008) and noninvasive continuous positive airway pressure masks (17%–97%) are the most frequent causes of MDRPI (Cai, Zha, & Chen, 2019).…”

Section: Introductionmentioning

confidence: 99%

Nurses' perception and experiences towards medical device‐related pressure injuries: A qualitative study

Tan

Cheng

Hassan

et al. 2020

Journal of Clinical Nursing

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Aims and objectives This study aims to explore nurses' perceptions and experiences regarding pressure injuries caused by medical devices and to understand the perceived challenges and barriers nurses face in preventing medical device‐related pressure injuries. Background Nurses have a responsibility to prevent pressure injuries and play a major role in their prevention. As there has been a lack of research on medical device‐related pressure injuries, not much is known about nurses’ perceptions and experiences. This therefore hinders the establishment of effective and efficient interventions in nurses’ education and in the practical environment. Design A descriptive qualitative design was adopted, and the COREQ checklist was employed to report on the current study. Methods The study was conducted at an acute care hospital in Singapore. Purposive sampling was used, and a total of 21 enrolled and registered nurses who had recent experiences with medical device‐related pressure injuries were recruited between August and December 2018. Face‐to‐face interviews were conducted using a semi‐structured interview guide. A thematic analysis was performed to analyse the qualitative data. Results Five themes emerged regarding pressure injuries: (1) preventable yet unavoidable, (2) everyone's responsibility, (3) harmonising theory with practice reality, (4) pre‐existing conditions may limit injury prevention and management; and (5) nurses expressed a need for experiential training. Conclusions The study's findings could be used to develop improvements in nursing practice and policy at acute care hospitals, as well as to improve awareness of medical device‐related pressure injuries among healthcare professionals. Moreover, the findings can also inform future research studies to develop effective evidence‐based practices and improve patient outcomes. Relevance to the clinical practice This study reveals the unique challenges and dilemmas that nurses face and will help to inform healthcare institutions and management in developing programmes and improving protocols to reduce the incidence rate of pressure injuries caused by medical device.

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Use of a Hydrocolloid Dressing in the Prevention of Device-related Pressure Ulcers During Noninvasive Ventilation: A Meta-analysis of Randomized Controlled Trials

Cited by 37 publications

References 19 publications

COVID-19 related pressure injuries in patients and personnel: A systematic review

COVID-19 related pressure injuries in patients and personnel: A systematic review

Device-related pressure ulcers: SECURE prevention

Nurses' perception and experiences towards medical device‐related pressure injuries: A qualitative study

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