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Assessing effectiveness of regular repositioning in preventing pressure ulcers in children
Rifka Putri Andayani1,2, Nani Nurhaeni1, Dessie Wanda1
1Faculty of Nursing, Universitas Indonesia.
Insights
Regular repositioning every two hours significantly prevents pressure ulcers in pediatric patients. Early detection of skin integrity damage using the Braden Q Scale is crucial for nurses.
Area of Science:
- Nursing
- Dermatology
- Pediatrics
Background:
- Pressure ulcers pose significant health risks.
- Early detection of skin integrity damage is vital for prevention.
- Two-hourly repositioning is a standard nursing intervention for pressure ulcer prevention.
Purpose of the Study:
- To evaluate the effectiveness of regular repositioning in preventing pressure sores.
- To assess the role of the Braden Q Scale in predicting pressure ulcer development.
Main Methods:
- Quasi-experimental pretest-posttest nonequivalent control group design.
- 93 pediatric participants (43 intervention, 50 control) selected via consecutive sampling.
- Intervention group received two-hourly repositioning; control group received a pressure mattress for 14 days.
Main Results:
- A statistically significant difference (P<0.001) was observed in Braden Q Scale scores before and after the intervention in both groups.
- Regular repositioning demonstrated effectiveness in mitigating pressure ulcer risk.
Conclusions:
- Nurses should utilize the Braden Q Scale for early detection of skin integrity issues.
- Implementing regular repositioning is a key nursing strategy to prevent pressure ulcers in pediatric patients.
Abstract:
Pressure ulcers have adverse effects on health. Thus, early detection of damage to skin integrity is important for preventing the occurrence of pressure sores. Meanwhile, two-hourly repositioning is a nursing intervention performed to prevent pressure ulcers. This study aimed to evaluate the implementation of regular repositioning for preventing pressure sores. The Braden Q Scale is an instrument that predicts skin breakdown caused by pressure ulcers. The designs used quasi-experiment pretest and posttest nonequivalent control group; 93 participants were selected through a nonprobability sampling technique by consecutive sampling (43 for the intervention group and 50 for the control group). Respondents in the intervention group were repositioned every 2 hours, and the control group received pressure mattress, which is done for 14 days or until the child can go home. The findings suggest that there is a significant difference in the Braden Q scores from before and after repositioning of the intervention group and the control group using pressure mattress (P<0.001). Nurses are expected to be able to detect early damage to skin integrity and to implement regular repositioning by using the Braden Q Scale.
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