scholarly journals THE EFFECT OF MASSAGE ON THE PREVENTION OF COMPRESSION STOCKINGASSOCIATED PRESSURE INJURY IN INTENSIVE CARE PATIENTS

2021 ◽  
pp. 97-100
Author(s):  
Sena Şükran Gura ◽  
Yazile Yazici Sayin
Keyword(s):  
Intensive Care ◽  
Clinical Characteristics ◽  
Intensive Care Patients ◽  
Superficial Skin ◽  
Significant Difference ◽  
Massage Group ◽  
Pressure Injury ◽  
Quasi Experimental ◽  
Protective Care ◽  
Care Period

AIM:Effect of massage on prevention of antiembolic stockings- associated pressure injury (AES-API). MATERIALS AND METHODS: It is a quasi-experimental design design. The massage group (n=30) received skin massage and skin protective care with a moisturizer at least 3 times or at every change of position (every 2 hours a day) in a day during the period they wore AES.The nonmassage group(n=39),no massage was performed. RESULTS: There was no significant difference between the sociodemographic and clinical characteristics of the massage group and nonmassage groups during ICU admission. The duration of AES use in the massage group was longer than that of the nonmassage group during the treatment and care period (p>0.05). However, AES-API only observed in the nonmassage group (n=5;12.8%). CONCLUSION:The short superficial skin massage may beneficial for its prevention for AES-API.

scholarly journals Effectiveness of application of a manual for improvement of alarms management by nurses in Intensive Care Units

2021 ◽  
Vol 39 (2) ◽  
Author(s):  
Amirhossein Yousefinya ◽  
Camellia Torabizadeh ◽  
Farid Zand ◽  
Mahnaz Rakhshan ◽  
Mohammad Fararooei
Keyword(s):  
Intensive Care ◽  
Intensive Care Units ◽  
Blood Pressure Monitoring ◽  
Post Intervention ◽  
Alarm Management ◽  
Effective Interventions ◽  
Significant Difference ◽  
Quasi Experimental ◽  
And Control ◽  
Time Type

Objective. To evaluate the effects of application of a manual on the improvement of alarms management in Intensive Care Units (ICU). Methods. This quasi-experimental study evaluated the effectiveness of the introduction into of a manual for alarm management and control in the ICU of a hospital in southeastern Iran. The intervention was a 4-hour workshop was on topics related to the adverse effects of alarms, standardization of ECG, oxygen saturation and blood pressure monitoring systems, and the use of ventilators and infusion pumps. Data were collected thorough 200 hours of observation of 60 ICU nurses (100 hours’ pre-intervention and 100 hours’ post-intervention). Response time, type of response, customization of alarm settings for each patient, the person responding to an alarm, and the cause of the alarm were analyzed. Alarms were classified into three types: false, true and technical. Results. The results showed a statistically significant difference between the pre- and post-intervention frequency of alarm types, frequency of monitoring parameters, customized monitoring settings for patients, and individuals who responded to alarms. The percentage of effective interventions was significantly higher for all parameters after the intervention (46.9%) than before the intervention (38.9%). Conclusion. The employment of a manual for management of alarms from electronic equipment in ICUs can increase the frequency of appropriate responses to alarms in these units.

Effect of Pressure Injury Prevention Guides Used In a Pediatric Intensive Care

2019 ◽  
Vol 29 (4) ◽  
pp. 249-255
Author(s):  
Gülzade Uysal ◽  
Duygu Sönmez Düzkaya ◽  
Tülay Yakut ◽  
Gülçin Bozkurt
Keyword(s):  
Intensive Care ◽  
Treatment Group ◽  
Injury Prevention ◽  
Intervention Group ◽  
Pediatric Intensive Care ◽  
Control Group ◽  
Post Intervention ◽  
Significant Difference ◽  
Pressure Injury ◽  
Pressure Injury Prevention

The aim of this study was to determine the effectiveness of a pressure injury prevention guide used in a pediatric intensive care unit (PICU) on the occurrence of pressure injuries. The design is a pre-post intervention with a control group and a prospective intervention group. Pressure injuries occurred on 9.4% of children in the nontreatment group, and in 3.6% of children in the treatment group. There was a statistically significant difference in the occurrence of pressure injuries between the nontreatment group and the treatment group ( p = .033). The average Braden Q pressure injury score was 12.20 ± 2.280 at the beginning of the intensive care hospitalization, and 13.73 ± 3.312 at discharge in the treatment group ( p < .001). The results show that the risk of pressure injuries was reduced and pressure injuries occurred later when an evidence-based pressure injury prevention guide was used.

scholarly journals Wound Team Clinical Skin Rounding in the Intensive Care Unit to Decrease Hospital Acquired Pressure Injury Rates

2016 ◽  
Vol 1 (1) ◽  
Keyword(s):  
Intensive Care ◽  
Staging System ◽  
The United States ◽  
Advisory Panel ◽  
Current Standard ◽  
Injury Rates ◽  
Intensive Care Patients ◽  
Pressure Injury ◽  
Hospital Acquired ◽  
Nursing Quality

Hospital Acquired Pressure Injuries (HAPI) reflects upon nursing care effectiveness and is seen as a nursing quality outcome measure. HAPIs are a global concern due to many factors and contribute to an increase in treatment costs, increase length of stay, possible litigation, and reimbursement issues. HAPIs are seen as a preventable adverse event as identified by Centers for Medicare and Medicaid services (CMS). Data gathered before initiation of this project indicated that within a 12-month period both the MICU and SICU demonstrated a HAPI rate of 47% of the total HAPI occurrences in the hospital. Goal Statement: Among intensive care patients would daily clinical skin assessment rounding, done with a wound nurse expert and bedside nurse, versus current standard practice, decrease Hospital Acquired Pressure Injuries rates? Utilizing the Evidence-Based Practice Institute Conceptual Model, as well as the United States National Pressure Ulcer Advisory Panel Staging System as a guide for this project, the certified wound expert rounded on each patient with the assigned critical care nurse and made focused Head-to-Toe assessments. Informal teaching by the wound expert was provided at the bedside with instruction on pressure relieving interventions, HAPI risk factors, and proper identifiable staging. Assessment of 450 patients demonstrated no identified stage II or greater HAPIs and a clinically relevant reduction in the incidence of pressure injuries during the project period. Benefits to patients included improved skin surveillance and early HAPI detection. An educational focus on Medical-Device Related HAPIs should be considered in future projects.

scholarly journals Validation of a point-of-care capillary lactate measuring device (Lactate Pro 2).

2020 ◽  
Author(s):  
Anette Raa ◽  
Geir Arne Sunde ◽  
Bjørn Bolann ◽  
Reidar Kvåle ◽  
Christopher Bjerkvig ◽  
...  
Keyword(s):  
Intensive Care ◽  
Healthy Volunteers ◽  
Blood Lactate ◽  
Point Of Care ◽  
Reference Method ◽  
Capillary Blood ◽  
Handheld Device ◽  
Intensive Care Patients ◽  
Arterial Blood ◽  
Significant Difference

Abstract Background: The measurement of lactate in emergency medical services has the potential for earlier detection of shock and can be performed with a point-of-care handheld device. Validation of a point-of-care handheld device is required for prehospital implementation. Aim: The primary aim was to validate the accuracy of Lactate Pro 2 in healthy volunteers and in haemodynamically compromised intensive care patients. The secondary aim was to evaluate which sample site, fingertip or earlobe, is most accurate compared to arterial lactate. Methods: Arterial, venous and capillary blood samples from fingertips and earlobes were collected from intensive care patients and healthy volunteers. Arterial and venous blood lactate samples were analysed on a stationary hospital blood gas analyser (ABL800 Flex) as the reference device and compared to the Lactate Pro 2. We used the Bland-Altman method to calculate the limits of agreement and used mixed effect models to compare instruments and sample sites. A total of 49 intensive care patients with elevated lactate and 11 healthy volunteers with elevated lactate were included. Results: There was no significant difference in measured lactate between Lactate Pro 2 and the reference method using arterial blood in either the healthy volunteers or the intensive care patients. Capillary lactate measurement in the fingertip and earlobe of intensive care patients was 47% (95% CI (29% to 68%), p<0.001) and 27% (95% CI (11% to 45%), p<0.001) higher, respectively, than the corresponding arterial blood lactate. In the healthy volunteers, we found that capillary blood lactate in the fingertip was 14% higher than arterial blood lactate (95% CI (4% to 24%), p= 0.003) and no significant difference between capillary blood lactate in the earlobe and arterial blood lactate.Conclusion: Our results showed that the handheld Lactate Pro 2 had good agreement with the reference method using arterial blood in both intensive care patients and healthy volunteers. However, we found that the agreement was poorer using venous blood in both groups. Furthermore, the earlobe may be a better sample site than the fingertip in intensive care patients.

Comparison of alternating pressure mattresses and overlays for prevention of pressure ulcers in ventilated intensive care patients: a quasi-experimental study

2013 ◽  
Vol 69 (9) ◽  
pp. 2099-2106 ◽  
Author(s):  
Francisco Manzano ◽  
Ana-María Pérez ◽  
Manuel Colmenero ◽  
María-Mar Aguilar ◽  
Emilio Sánchez-Cantalejo ◽  
...  
Keyword(s):  
Experimental Study ◽  
Intensive Care ◽  
Pressure Ulcers ◽  
Intensive Care Patients ◽  
Quasi Experimental

scholarly journals The Effect of Foot Massage on Pain of the Intensive Care Patients: A Parallel Randomized Single-Blind Controlled Trial

2020 ◽  
Vol 2020 ◽  
pp. 1-8
Author(s):  
Masoumeh Momeni ◽  
Mansoor Arab ◽  
Mahlagha Dehghan ◽  
Mehdi Ahmadinejad
Keyword(s):  
Intensive Care ◽  
Controlled Trial ◽  
Care Quality ◽  
Control Group ◽  
Minimization Method ◽  
Icu Patients ◽  
Significant Difference ◽  
Massage Group ◽  
The Mean ◽  
Single Blind

Background and Purpose. Pain is a common stressor in intensive care units (ICUs) with detrimental consequences in case of no treatment. The current study aimed to compare the effect of foot massage by a nurse or the patient’s family on pain of the ICU patients. Materials and Methods. This randomized, parallel, single-blind controlled trial study was performed on 75 ICU patients. Patients were allocated into three groups (massage by a nurse, massage by the patient’s family, and control group) by the minimization method. Swedish massage was provided for the patients in experimental groups (each foot for 5 minutes) once a day for six days. The pain was examined in all three groups before, immediately, and one week after the intervention. Results. The mean scores of pain in the groups of foot massage by the patient’s family and by a nurse showed a significant reduction at the end of the study (from 4.48 to 3.36 and 4.76 to 2.96, respectively). The control group had significantly more pain after the intervention than the family-based massage group and the nurse-based massage group (P<0.05). Although significant difference was found in the mean scores of pain between the massage provided by a nurse and that provided by the patient’s family immediately after the intervention (P<0.05), it was not significant one week after the intervention (P>0.05). Conclusion. Using foot massage, by both nurses and family members can reduce the pain of ICU patients. This intervention may improve the nursing care quality with the least cost and complications.

scholarly journals The Effect of Three Eye Care Methods on the Severity of Lagophthalmos in Intensive Care Patients: A Randomized Controlled Clinical Trial

2021 ◽  
Vol 2021 ◽  
pp. 1-7
Author(s):  
Tahere Nikseresht ◽  
Mansour Rezaei ◽  
Alireza Khatony
Keyword(s):  
Clinical Trial ◽  
Intensive Care ◽  
The Other ◽  
Controlled Clinical Trial ◽  
Eye Injuries ◽  
Artificial Tear ◽  
Intensive Care Patients ◽  
Conflicting Evidence ◽  
Significant Difference ◽  
Convenience Sampling

Background. Patients admitted to intensive care units are exposed to a variety of eye injuries such as lagophthalmos, which can lead to blindness. There is conflicting evidence regarding the effectiveness of different eye protection methods, and evaluations are ongoing. Therefore, this study was performed to compare the effect of “polyethylene cover,” “polyethylene cover plus artificial tear drops,” and “polyethylene cover plus Lubratex eye ointment” on the severity of lagophthalmos. Methods. A total of 156 patients connected to ventilators were included in this clinical trial using the convenience sampling method. They were randomly divided into three groups: “polyethylene cover,” polyethylene cover plus artificial tear drops,” and “polyethylene cover plus Lubratex eye ointment.” In each group, one eye was regarded as control and the other eye as intervention. The control eye received routine interventions, including washing with normal saline. The eyes were examined daily by an ophthalmologist for 5 days for the occurrence of lagophthalmos. Results. There was no statistically significant difference in the severity of lagophthalmos among the three groups “polyethylene cover,” “polyethylene cover plus artificial tear drop,” and “polyethylene cover plus Lubratex eye ointment.” However, clinically the severity of lagophthalmos was lower in the “polyethylene cover plus artificial tear drops” group than in the other two groups. Conclusion. The results showed that the combination of polyethylene cover and artificial tears drops can be clinically effective in reducing the severity of lagophthalmos. Therefore, the use of this method is recommended for patients admitted to the intensive care unit. Similar studies are recommended.

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