Article type
Abstract
"Background: Pressure injury are a frequently occurring health problem throughout the world. They are painful, costly, and often a preventable complication for which many individuals are at risk.
Objective: The purpose of this study was to establish an evidence-based bundled pressure injury care for bed-ridden hospitalized patients and to explore the effects of the bundled pressure injury care for patients to decrease the incidence of pressure injury, infection, sepsis and promote the process of wound healing.
Methods: An 8-week two-group quasi-experimental design was used and to investigate the effectiveness of this bundled pressure injury care model to bed-ridden hospitalized patients. Totally 6 medical or surgical wards including the bed-ridden hospitalized patients were assessed from a medical center. The bundled pressure injury care model named as ADPNC bundles was provided risk Assessment, choices of Dressings, Positioning & early mobilization, Nutrition assessment & treatment and skin Care. Research instruments as the pressure injury care checklist and 36-item short form health survey were used. The GEE of the numbers of pressure injury and health-related outcomes from two groups was computed and analyzed.
Results: The findings were the following:(1) Of 66 patients, there were 35 patients in the control group and 31 patients in the experimental group; (2) The pressure injuries occur most frequently in the coccyx (31.8%), followed by heels (16.8%) and ears (14.4%); (3) The numbers of pressure injury were decreased week by week in both 2 groups, there was a significant difference in the control, but no difference between the slope in 2 groups in the 8-week study period; (4) There was no significant difference in the SF-36 health-related outcomes between the 2 groups in the 8-week study period.
Conclusions: The result of this study is to develop an evidence-based bundled pressure injury care model for general bed-ridden hospitalized patients and to provide the implementation of this ADPNC bundles care. It could prevent or decrease the incidence and duration of pressure injury, infection, sepsis, length of stay, medical cost, and promote the degree of wound healing. Furthermore, it would be recommended expanding this bundled pressure injury care guideline to other institution."
Objective: The purpose of this study was to establish an evidence-based bundled pressure injury care for bed-ridden hospitalized patients and to explore the effects of the bundled pressure injury care for patients to decrease the incidence of pressure injury, infection, sepsis and promote the process of wound healing.
Methods: An 8-week two-group quasi-experimental design was used and to investigate the effectiveness of this bundled pressure injury care model to bed-ridden hospitalized patients. Totally 6 medical or surgical wards including the bed-ridden hospitalized patients were assessed from a medical center. The bundled pressure injury care model named as ADPNC bundles was provided risk Assessment, choices of Dressings, Positioning & early mobilization, Nutrition assessment & treatment and skin Care. Research instruments as the pressure injury care checklist and 36-item short form health survey were used. The GEE of the numbers of pressure injury and health-related outcomes from two groups was computed and analyzed.
Results: The findings were the following:(1) Of 66 patients, there were 35 patients in the control group and 31 patients in the experimental group; (2) The pressure injuries occur most frequently in the coccyx (31.8%), followed by heels (16.8%) and ears (14.4%); (3) The numbers of pressure injury were decreased week by week in both 2 groups, there was a significant difference in the control, but no difference between the slope in 2 groups in the 8-week study period; (4) There was no significant difference in the SF-36 health-related outcomes between the 2 groups in the 8-week study period.
Conclusions: The result of this study is to develop an evidence-based bundled pressure injury care model for general bed-ridden hospitalized patients and to provide the implementation of this ADPNC bundles care. It could prevent or decrease the incidence and duration of pressure injury, infection, sepsis, length of stay, medical cost, and promote the degree of wound healing. Furthermore, it would be recommended expanding this bundled pressure injury care guideline to other institution."