Comparison of the Prone Position-related Characteristics of Intubated COVID-19 Patients with and without Facial Pressure Injuries.
Background: In Coronavirus 2019 (COVID-19) patients, the risk of a facial pressure injury increases due to the prolonged prone position. Aim: To compare the prone position-related characteristics of intubated COVID-19 patients with and without facial pressure injuries. Methods: This cross-sectional,...
| Publicado en: | Journal of Education & Research in Nursing / Hemşirelikte Eğitim ve Araştırma Dergisi Vol. 20; no. 4; pp. 329 - 336 |
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| Autores principales: | , |
| Formato: | research tables/charts Journal Article |
| Publicado: |
Hemsirelikte Egitim ve Arastirma Dergisi
Dec2023
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| Acceso en línea: | Ver este registro en EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=173598645&site=ehost-live header: @attributes: shortDbName: ccm uiTerm: 173598645 longDbName: CINAHL Complete uiTag: AN controlInfo: bkinfo: dissinfo: jinfo: jid: 13050397 EUDO jtl: Journal of Education & Research in Nursing / Hemşirelikte Eğitim ve Araştırma Dergisi issn: 13050397 maglogo: N pubinfo: dt: Dec2023 vid: 20 iid: 4 pid: 13719 pub: Hemsirelikte Egitim ve Arastirma Dergisi artinfo: ui: 173598645 173598645 173598645 10.14744/jern.2022.22273 173598645 ppf: 329 ppct: 7 formats: fmt: @attributes: type: P tig: atl: Comparison of the Prone Position-related Characteristics of Intubated COVID-19 Patients with and without Facial Pressure Injuries. aug: au: Kebapçı, Ayda Çepni, Berrin Bulut affil: Department of Nursing, Koç University School of Nursing, Istanbul, Türkiye sug: subj: Intubation, Intratracheal Adverse Effects Prone Position Evaluation Facial Injuries Risk Factors Pressure Ulcer COVID-19 Therapy Human Male Female Middle Age Aged Cross Sectional Studies Retrospective Design Case Control Studies Intensive Care Units Mann-Whitney U Test Comparative Studies Descriptive Statistics Data Analysis Software Middle Aged: 45-64 years Aged: 65+ years Male Female ab: Background: In Coronavirus 2019 (COVID-19) patients, the risk of a facial pressure injury increases due to the prolonged prone position. Aim: To compare the prone position-related characteristics of intubated COVID-19 patients with and without facial pressure injuries. Methods: This cross-sectional, retrospective, and case--control study included 49 COVID-19 patients who were intubated and in the prone position in the adult intensive care unit of Koç University Hospital between March 01, 2020, and March 15, 2021. Retrospective data of the patients were obtained using the Patient Information Form. While evaluating the demographic and clinical data, descriptive statistical methods (frequency, percentage, mean, and standard deviation) were used. Furthermore, for the comparison of the prone positionrelated features (day of onset, frequency, and total duration) between patients with and without facial pressure injuries, the Mann--Whitney U test was used. Results: It was determined that 52.1% of the intubated patients required a prone position, and 73.4% developed facial pressure injuries after prone positioning. Pressure injury developed on the 7th day of the prone position and on the chin (29%), left cheek (20.5%), nose (17.9%), and right cheek (16.7%), respectively. The prone duration was statistically significantly higher in patients with facial pressure injuries than those without (P < .01). Conclusions: Pressure injuries occur with a high incidence in intubated COVID-19 patients in the prone position. Importance should be given to maintaining the treatment and care approaches with the multidisciplinary team for patients who still require prolonged prone positioning despite the development of pressure injuries in the facial area. Focusing primarily on preventing pressure injuries in the face area with frequent skin preparations and more frequent head position changes in the early period may contribute to prevention. In addition, there is a need for different and more preventive-oriented measures and specific protocols specific to COVID-19 patients in prolonged prone positions. pubtype: Academic Journal doctype: research tables/charts Journal Article ougenre: Article language: English refInfo: holdings: @attributes: islocal: N |
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