Care Package for Preventing Pressure Ulcers in ICU Patients

NCT06509399 | Completed

• 1 other identifier: SBF-HMS-GES-04
• Study Type: interventional
• Target: 72
• Locations: 1 country
• Sites: 2

Brief Summary

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.

Conditions

Pressure Ulcer; Nursing Caries

Keywords

Pressure ulcer; Care package; Intensive care unit; Evidence-based practice; Nursing

Outcome Measures

Primary Outcomes (1)

• Pressure Ulcer Formation

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

  through study completion, an average of 1 year

Secondary Outcomes (1)

• Knowledge levels of nurses

  through study completion, an average of 1 year

Study Arms (2)

PRESSURE ULCERS PREVENTION CARE PACKAGE IN INTENSİVE CARE UNIT

EXPERIMENTAL

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.

Other: care package

NURSES' LEVEL OF KNOWLEDGE ABOUT THE CARE PACKAGE

NO INTERVENTION

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.

Interventions

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.

PRESSURE ULCERS PREVENTION CARE PACKAGE IN INTENSİVE CARE UNIT

Eligibility Criteria

• Age: 18 Years+
• Sex: all
• Healthy Volunteers: Yes
• Age Groups: Adult (18-64), Older Adult (65+)

You may qualify if:

• \- 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

You may not qualify if:

• \- 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

Sponsors & Collaborators

• Abant Izzet Baysal University: lead

Study Sites (2)

Abant Izzet Baysal University Faculty of Health Science

Bolu, Merkez, 14100, Turkey (Türkiye)

Location

Bolu Abant İzzet Baysal Üniversitesi/Sağlık Bilimleri Fakültesi

Bolu, 14100, Turkey (Türkiye)

Location

MeSH Terms

Conditions

Pressure Ulcer

Condition Hierarchy (Ancestors)

Skin Ulcer; Skin Diseases; Skin and Connective Tissue Diseases

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: RANDOMIZED
• Masking: DOUBLE
• Who Masked: PARTICIPANT, CARE PROVIDER
• Masking Details: The part with patients was completed with a total of 72 patients, 36 in the control group and 36 in the application group.
• Purpose: PREVENTION
• Intervention Model: PARALLEL
• Sponsor Type: OTHER
• Responsible Party: PRINCIPAL INVESTIGATOR
• PI Title: Assistant Professor of Surgical Nursing

Model Details: experimental study randomised controlled

Study Record Dates

• First Submitted: June 27, 2024
• First Posted: July 19, 2024
• Study Start: May 15, 2023
• Primary Completion: September 15, 2023
• Study Completion: September 15, 2023
• Last Updated: July 19, 2024

Record last verified: 2024-07

Data Sharing

• IPD Sharing: Will not share

Locations

TU (2)