Evaluation of an Evidence-Based Care Bundle for Preventing Hospital-Acquired Pressure Injuries in High-Risk Surgical Patients.
alternating air mattress
care bundle
hospital-acquired pressure injury (HAPI)
risk assessment
silicone foam dressing
Journal
AORN journal
ISSN: 1878-0369
Titre abrégé: AORN J
Pays: United States
ID NLM: 0372403
Informations de publication
Date de publication:
11 2023
11 2023
Historique:
revised:
07
06
2022
received:
17
06
2021
accepted:
08
11
2022
medline:
27
10
2023
pubmed:
26
10
2023
entrez:
26
10
2023
Statut:
ppublish
Résumé
The aim of this study was to evaluate the effectiveness of an evidence-based care bundle to prevent perioperative pressure injuries. In a single facility, using a preintervention and postintervention quasi-experimental design, we compared the pressure injury incidence rate for two patient groups (ie, before and after care bundle implementation). The bundle included a variety of elements, such as educating patients, applying protection, controlling skin moisture, and using pressure-relieving devices according to the patient's risk. Before the intervention, patients received standard care before procedures that did not address risk for pressure injury development. The study involved a total of 944 patients, and the incidence of pressure injury was lower in the postintervention group than in the preintervention group (1.6% versus 4.8%; P < .001). However, the odds ratio was nonsignificant and therefore the clinical relevance of the bundle is unclear. Additional research with a control group and multiple sites is needed.
Types de publication
Journal Article
Langues
eng
Sous-ensembles de citation
IM
Pagination
306-320Informations de copyright
© AORN, Inc, 2023.
Références
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