Evaluation of an Evidence-Based Care Bundle for Preventing Hospital-Acquired Pressure Injuries in High-Risk Surgical...

Area of Science:

• Medical Research
• Patient Safety

Background:

• Perioperative pressure injuries are a significant concern in healthcare settings.
• Standard care may not adequately address the risk factors for pressure injury development.

Purpose of the Study:

• To evaluate the effectiveness of an evidence-based care bundle in preventing perioperative pressure injuries.
• To compare pressure injury incidence rates before and after implementing the care bundle.

Main Methods:

• A quasi-experimental design with preintervention and postintervention groups was employed.
• The study involved 944 patients across two phases: standard care and care bundle implementation.
• The care bundle incorporated patient education, skin protection, moisture control, and pressure-relieving devices.

Main Results:

• The incidence of pressure injury was significantly lower in the postintervention group (1.6%) compared to the preintervention group (4.8%; P < .001).
• Despite the reduced incidence, the odds ratio for the intervention's effect was nonsignificant, indicating unclear clinical relevance.

Conclusions:

• The evidence-based care bundle demonstrated a potential to reduce perioperative pressure injuries.
• Further research, including controlled trials and multi-site studies, is necessary to establish the bundle's definitive clinical impact.