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Evaluation of a Pressure Injury Prevention Care Bundle in an ICU in Turkey
1Gülnaz Altaş, MSc, RN, is Nurse, Haydarpaşa Numune Education and Training Hospital, Istanbul, Turkey. Selda Çelik, PhD, RN, is Associate Professor, University of Health Sciences Turkey, Hamidiye Faculty of Nursing, Istanbul. Acknowledgments: The authors thank the nurses of the Anesthesia and Reanimation ICU of Haydarpasa Numune Training and Research Hospital for their voluntary participation in the study. The authors have disclosed no financial relationships related to this article. Submitted September 19, 2022; accepted in revised form January 9, 2023.
Objective:
To evaluate a pressure injury (PI) prevention care bundle in ICU patients diagnosed with internal diseases.
Methods:
The study had a quasi-experimental design and included 98 patients who were diagnosed with internal diseases and hospitalized in the ICU. Patients in the control group (n = 49) received routine clinical care, whereas those in the intervention group (n = 49) received the PI prevention care bundle. Data were collected using a patient information form and the Braden Scale.
Results:
All patients in the control group and 61.2% of the patients in the intervention group developed PIs. Those in the intervention group who developed PIs did so later on average in comparison with the control group. Patient risk of PI development increased with advanced age, low oxygen saturation, low prealbumin values, and low Braden Scale scores. Fewer PIs developed in the patients in the intervention group despite their longer duration of hospitalization and high glucose levels.
Conclusions:
The PI prevention care bundle may help prevent the development of PI.
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