Evaluating the effectiveness of silicone multilayer foam dressing in preventing heel pressure injury among critically ill patients in Singapore.

Background: The heel has become the second most common site for the development of pressure ulcers in recent years. Hospitals worldwide have been implementing preventive measures to tackle pressure ulcers in patients, such as the use of offloading devices and dressing. Aim: To evaluate the effective...

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Publicado en:Wound Practice & Research Vol. 26; no. 2; pp. 76 - 83
Autores principales: Teo Kai Yunn, Ang SY, Bian Luping, Cheah Engfeng Sharon, Aquino, Somera Melanie, Huda, Ahmad Nurul, Lim Shu Hui, Goh Hui Qi Ivy, Bakar, Aloweni Fazila Abu
Formato: research systematic review tables/charts Journal Article
Publicado: Cambridge Publishing Jun2018
Acceso en línea:Ver este registro en EBSCOhost
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        atl: Evaluating the effectiveness of silicone multilayer foam dressing in preventing heel pressure injury among critically ill patients in Singapore.
      aug:
        au:
          Teo Kai Yunn
          Ang SY
          Bian Luping
          Cheah Engfeng Sharon
          Aquino, Somera Melanie
          Huda, Ahmad Nurul
          Lim Shu Hui
          Goh Hui Qi Ivy
          Bakar, Aloweni Fazila Abu
        affil: BS (Bachelor of Nursing), Nurse Clinician, Singapore General Hospital, Singapore
      sug:
        subj:
          Foam Dressings Utilization
          Silicones Therapeutic Use
          Heel Ulcer Prevention and Control
          Human
          Critical Illness
          Singapore
          Intensive Care Units
          Quasi-Experimental Studies
          Systematic Review
          PubMed
          Time Factors
          CINAHL Database
          Chi Square Test
          Fisher's Exact Test
          Regression
          T-Tests
          APACHE (Acute Physiology and Chronic Health Evaluation) Classification
          APACHE (Acute Physiology and Chronic Health Evaluation)
          Clinical Assessment Tools
      ab: Background: The heel has become the second most common site for the development of pressure ulcers in recent years. Hospitals worldwide have been implementing preventive measures to tackle pressure ulcers in patients, such as the use of offloading devices and dressing. Aim: To evaluate the effectiveness of a soft silicone multilayer heel dressing (Mepilex® Heel) in reducing the incidence of heel pressure injuries (HPI) among critical ill patients in the intensive care unit (ICU). Method: This was a quasi-experimental, pre-, and postintervention study design conducted in three adult ICUs in an academic teaching hospital. A convenience sampling was used to recruit 326 patients (195 patients in pre-intervention, 131 patients in intervention group). Result: Statistical analysis was made using Fisher exact test to compare between the two groups. The results showed a reduction of 86% in the incidence of HPI between the two groups (pre-intervention: 10.8% versus post-intervention: 1.5%). Patients in the intervention group were less likely to develop HPIs (p=<0.007). Conclusion: A prophylactic multilayer foam heel dressing has shown to be effective at reducing the incidence of HPIs among critically ill patients in ICU, even with the tropical climate in Singapore.
      pubtype: Academic Journal
      doctype:
        research
        systematic review
        tables/charts
        Journal Article
      ougenre: Article
    language: English
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