A two-arm cluster randomized control trial to determine the effectiveness of a pressure ulcer prevention bundle for critically ill patients

Journal of Nursing Scholarship : an Official Publication of Sigma Theta Tau International Honor Society of Nursing
Nahla TayyibPeter Lewis

Abstract

This study tested the effectiveness of a pressure ulcer (PU) prevention bundle in reducing the incidence of PUs in critically ill patients in two Saudi intensive care units (ICUs). A two-arm cluster randomized experimental control trial. Participants in the intervention group received the PU prevention bundle, while the control group received standard skin care as per the local ICU policies. Data collected included demographic variables (age, diagnosis, comorbidities, admission trajectory, length of stay) and clinical variables (Braden Scale score, severity of organ function score, mechanical ventilation, PU presence, and staging). All patients were followed every two days from admission through to discharge, death, or up to a maximum of 28 days. Data were analyzed with descriptive correlation statistics, Kaplan-Meier survival analysis, and Poisson regression. The total number of participants recruited was 140: 70 control participants (with a total of 728 days of observation) and 70 intervention participants (784 days of observation). PU cumulative incidence was significantly lower in the intervention group (7.14%) compared to the control group (32.86%). Poisson regression revealed the likelihood of PU development was 70% lower...Continue Reading

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Citations

Sep 1, 2016·Intensive & Critical Care Nursing : the Official Journal of the British Association of Critical Care Nurses·Nahla TayyibPeter A Lewis
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Dec 6, 2019·British Journal of Community Nursing·Tuba YilmazerHilal Tuzer
Feb 17, 2021·Journal of Clinical Nursing·Bassam AlshahraniRebekkah Middleton
Jun 12, 2021·Risk Management and Healthcare Policy·Xiaoman ZhangZhenxiang Li
Jun 20, 2021·Australian Critical Care : Official Journal of the Confederation of Australian Critical Care Nurses·Josephine LovegroveMichael Steele

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