Positioning Duration and Pressure Injury Risk

NCT07355439 | Completed

• 1 other identifier: 2024-SBB-0140
• Study Type: interventional
• Target: 82
• Locations: 1 country
• Sites: 1

Brief Summary

This research aims to investigate the effect of positioning times on the risk of pressure injury in critically ill patients.

Conditions

Pressure Injury; Risk Assessment

Keywords

pressure ınjury; moisture; position duration; intensive care unit; temperature

Outcome Measures

Primary Outcomes (5)

• Skin Integrity Changes

  Evaluation of changes in body temperature as a risk factor for pressure injury.

  Recording body temperature by measuring it with a body temperature measurement device every 24 hours for 72 hours.

• Skin Integrity Changes

  Evaluation of changes in body moisture level as a risk factor for pressure injury

  Body moisture will be assessed and documented every 24 hours over a 72-hour period using a body moisture measurement device.

• Skin Integrity Changes

  Assessment of the occurrence of changes in skin appearance, such as bruising, considered as risk factors for pressure injury.

  Whether changes in skin appearance, such as bruising, occur will be assessed and recorded through observation every 24 hours over a 72-hour period.

• Skin Integrity Changes

  Assessment of the occurrence of changes in skin appearance, such as edema, considered as risk factors for pressure injury.

  The presence of changes in skin appearance, such as edema, will be assessed and recorded through observation at 24-hour intervals over a 72-hour period.

• Skin Integrity Changes

  Assessment of the occurrence of changes in skin appearance, such as redness, considered as risk factors for pressure injury.

  The presence of changes in skin appearance, such as redness, will be assessed and recorded through observation at 24-hour intervals over a 72-hour period.

Secondary Outcomes (1)

• Braden Risk Assessment Score

  Evaluations will be conducted and documented at 24-hour intervals over a 72-hour period using the scale.

Study Arms (2)

experimental group

EXPERIMENTAL

Position changes will be implemented at 1-hour intervals.

Behavioral: Position Change - 1 Hour

control group

ACTIVE COMPARATOR

Position changes will be implemented at 2-hour intervals.

Behavioral: Position Change - 2 Hours

Interventions

Position Change - 1 Hour BEHAVIORAL

Patient positions will be changed at 1-hour intervals.

experimental group

Position Change - 2 Hours BEHAVIORAL

Patient positions will be changed at 2-hour intervals.

control group

Eligibility Criteria

• Sex: all
• Healthy Volunteers: Yes
• Age Groups: Child (0-17), Adult (18-64), Older Adult (65+)

You may qualify if:

• \- If the patient is conscious, they must volunteer to participate in the study.
• For unconscious patients, a first-degree relative (mother, father, spouse, child) must agree to participate in the study.
• The patient's dependency level score on the Barthel Activities of Daily Living Index must be 90 or below (moderately dependent, severely dependent, completely dependent).
• The patient must not have developed a pressure injury.
• The patient must be meeting their daily calorie needs as determined by the nutrition team.
• There must be no contraindications to turning the patient to any side.
• Patients who are at low risk according to the pressure injury scale (15 points or above according to the Braden Risk Assessment Scale).
• The patient must not have an acute neurological problem.
• Patients with a GCS score above 7.

You may not qualify if:

• \- If the patient is conscious, they do not consent to participate in the study.
• For unconscious patients, their first-degree relative does not consent to participate in the study.
• Patients with a Barthel Activities of Daily Living Index score above 90 (mildly dependent, fully independent).
• The patient has an existing pressure injury.
• The patient is not meeting their daily calorie needs as determined by the nutrition team.
• There is a contraindication to turning the patient to any side.
• Patients with moderate to high risk according to the pressure injury scale (score below 15 according to the Braden Risk Assessment Scale).
• The patient has an acute neurological problem.
• Patients with a GCS score of 7 or below.

Sponsors & Collaborators

• SEMA ŞAHİNER: lead
• Bartin State Hospital: collaborator

Study Sites (1)

Bartin University

Bartın, 74100, Turkey (Türkiye)

Location

Related Publications (1)

• Esra ÖZKAN, Kemal TURHAN, The Effect of Position Time on the Formation of Pressure Ulcer in Bedridden Patients, Turkiye Klinikleri J Nurs Sci. 2019;11(3):246-54.

  BACKGROUND

Related Links

• NATIONAL PRESSURE ULCER ADVISORY PANEL

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: NONE
• Purpose: HEALTH SERVICES RESEARCH
• Intervention Model: PARALLEL
• Sponsor Type: OTHER
• Responsible Party: SPONSOR INVESTIGATOR
• PI Title: graduate student

Model Details: 82 patients will be divided into 2 groups. One group will have their position changed every hour, and the other group every two hours.

Study Record Dates

• First Submitted: December 16, 2025
• First Posted: January 21, 2026
• Study Start: June 1, 2024
• Primary Completion: June 1, 2025
• Study Completion: June 30, 2025
• Last Updated: February 9, 2026

Record last verified: 2026-02

Data Sharing

• IPD Sharing: Will not share

Locations

TU (1)