Abstract
Many critically ill patients admitted in ICUs sedated on mechanical ventilation are unable to change the position themselves. Therefore, these patients are at high risk of impaired skin integrity that leads to development of pressure ulcers. This study assessed the effectiveness of pressure ulcer prevention package in reducing the incidences of pressure ulcers among patients in ICUs. In this experimental design pre-test post-test control group study, 70 patients 35 each in experimental and control group from different ICUs of Dr RML Hospital, New Delhi were randomly allocated into two groups i.e. experimental and control groups. Experimental group received the intervention of pressure ulcer prevention package and the control group received routine skin care. Demographic and clinical data were collected by using demographic pro'Agrave;le tool, standardised skin assessment tool and pressure ulcer staging tool. All the subjects were followed every third day from admission to discharge, death and up to a maximum 20 days. Data were analysed using STATA 11.1 with the level of signi'Agrave;cance at p'lt;0.05. Descriptive and inferential statistics were used. The sacrum and then heels were the most common areas of pressure ulcers among ICU patients. Pressure ulcer prevention package was signi'Agrave;cantly effective (p'lt; 0.001) to delay the pressure ulcers-related adverse events among patients of experimental group. Pressure ulcers-related adverse events were developed earlier in control group i.e. 14 percent in experimental and 41 percent in control group. Number of pressure ulcers development were signi'Agrave;cantly (p'lt;0.001) lower in experimental group (08/35) compared to control group (20/35). The experimental group had signi'Agrave; cantly less Stage I and Stage II pressure ulcers development compared to control group (p'lt;0.001). Pressure ulcers prevention package was found to be signi'Agrave;cantly effective to reduce incidences, severity and total number of pressure ulcers among patients admitted in ICUs.
Sign-in/Register to access full text options 
Talk to us
Join us for a 30 min session where you can share your feedback and ask us any queries you have
Schedule a callDisclaimer: All third-party content on this website/platform is and will remain the property of their respective owners and is provided on "as is" basis without any warranties, express or implied. Use of third-party content does not indicate any affiliation, sponsorship with or endorsement by them. Any references to third-party content is to identify the corresponding services and shall be considered fair use under The CopyrightLaw.
