Effectiveness of Nursing Recommendation of National Pressure Ulcer Advisory Panel on Prevention of Medical device–related pressure injury in Intensive Care Unit of Qazvin velayat Hospital
Effectiveness of Implementing the Nursing Recommendation of the International Association of Acute Wounds in Preventing Acute Injuries Due to Medical Equipment
Design
The clinical trial has a control group with 60 samples in the control group and 60 samples in the comparison group. It is a quasi-experimental study because it is not possible to randomize
Settings and conduct
In the ICU of Qazvin hospital in two groups of control and intervention
Participants/Inclusion and exclusion criteria
Inclusion criteria: log in informed consent of the patient or his family to participate in the research; Have at least one medical device connected to the patient.
No entry criteria: reluctance to participate in research; restrictions on examining the skin under the device attached to the patient, for example examining the skin under the neck in patients with limited neck movement; if the equipment is removed within the first 24 hours, the patient is transferred to the ward or dies
Intervention groups
In the first phase of the study conducted in the control group, you can use your specialist doctor to eliminate and be able to use your doctor. In the second phase, which is done in the intervention group, you can have daily and using medical services you can send your letters.
Main outcome variables
Reducing the incidence of compression injuries caused by medical equipment in hospitalized patients
General information
Reason for update
Acronym
IRCT registration information
IRCT registration number:IRCT20200726048208N1
Registration date:2020-08-05, 1399/05/15
Registration timing:prospective
Last update:2020-08-05, 1399/05/15
Update count:0
Registration date
2020-08-05, 1399/05/15
Registrant information
Name
Lida Shamekhi
Name of organization / entity
Country
Iran (Islamic Republic of)
Phone
+98 28 3322 3973
Email address
shamekhi1367@gmail.com
Recruitment status
Recruitment complete
Funding source
Expected recruitment start date
2020-08-09, 1399/05/19
Expected recruitment end date
2020-09-09, 1399/06/19
Actual recruitment start date
empty
Actual recruitment end date
empty
Trial completion date
empty
Scientific title
Effectiveness of Nursing Recommendation of National Pressure Ulcer Advisory Panel on Prevention of Medical device–related pressure injury in Intensive Care Unit of Qazvin velayat Hospital
Public title
Effectiveness of Nursing Recommendation of National Pressure Ulcer Advisory Panel on Prevention of Medical device–related pressure injury in Intensive Care Unit of Qazvin velayat Hospital
Purpose
Prevention
Inclusion/Exclusion criteria
Inclusion criteria:
Informed consent of the patient or his family to participate in the research.
Have at least one medical device attached to the patient
Exclusion criteria:
Restrictions on examining the skin under the device attached to the patient, for example, examining the skin under the neck in a patient with limited neck movement.
Reluctance to participate in research
If the equipment is removed within the first 24 hours, the patient is transferred to the ward or dies
Age
No age limit
Gender
Both
Phase
N/A
Groups that have been masked
No information
Sample size
Target sample size:
120
Randomization (investigator's opinion)
Not randomized
Randomization description
Blinding (investigator's opinion)
Not blinded
Blinding description
Placebo
Not used
Assignment
Other
Other design features
Secondary Ids
empty
Ethics committees
1
Ethics committee
Name of ethics committee
Ethics Committee of Qazvin University of Medical Sciences
Street address
Qazvin University of Medical Sciences, Bahonar St.
City
Qazvin
Province
Qazvin
Postal code
3413635595
Approval date
2020-03-06, 1398/12/16
Ethics committee reference number
IR.QUMS.REC.1398.379
Health conditions studied
1
Description of health condition studied
Compression injury caused by medical device
ICD-10 code
ICD-10 code description
Primary outcomes
1
Description
Pressure injury
Timepoint
Interval 24 hours to 21 days
Method of measurement
Scale grading pressure ulcer
Secondary outcomes
empty
Intervention groups
1
Description
Intervention group: The second phase of astrology is performed one week after the first phase and in the same section in the intervention group. At this stage, 60 patients who meet the inclusion criteria will be examined. For this purpose, a checklist of demographic characteristics is completed for each patient and then a checklist of medical equipment will be completed and the type of equipment will be specified. The intervention will be implemented in accordance with the recommendation that this nursing recommendation of the International Association of Acute Wounds in the prevention of compression injuries caused by medical equipment includes seven clauses, which include: 1) choosing the appropriate size of medical equipment appropriate to the person, 2) use Preventive dressings in high-risk areas, 3) Evaluate the skin area in contact with medical equipment, 4) Avoid placing equipment At the site of previous injuries, 5) Inform skin edema under medical equipment, 6) Educate staff on the proper use of medical equipment and injury prevention, and 7) Avoid contact of objects and equipment left in bed and chairs with patient skin. is. For ease of implementation, the nursing referral letter will be planned and implemented in three steps. These steps include 1) staff training, 2) comprehensive skin monitoring, and 3) preventative dressing. The first step is to train the staff. In this regard, immediately after the sampling of the comparison group, the researcher conducted a two-hour training session for the nurses of the ICU of the provincial hospital in the field of prevention of pressure injury caused by medical equipment in PowerPoint format. Will provide this if they need more trainingIt was possible that this training will be done in the ICU itself according to the conditions of the patients in the ICU ward where it is not possible for all staff to leave the ward. Ways to prevent this type of injury are in line with the International Wound Association Nursing Recommendation. In order to perform the comprehensive skin monitoring step, the researcher will monitor the skin and equipment three times in 21 days in accordance with checklist number two, and in the preventive dressing step, the researcher will perform preventive dressing three times a day for 21 days. The pad will be used at the point of contact of the equipment with the patient's skin. Throughout the intervention, the assessment according to checklist number one by the researcher continues for 21 days or until the patient suffers from pressure injury caused by medical equipment (the study range is from 24 hours to 21 days). In the event of compressive injury, a calibration tool is used to determine the severity of the injury
Category
Prevention
2
Description
Control group: The first phase of the study will be conducted in a comparison group. At this stage, 60 patients with inclusion criteria (based on the number obtained from the sample size formula) will be examined. For this purpose, a demographic profile checklist is completed for each patient, and then a medical equipment checklist will be completed and the type of equipment will be specified (checklist number one). This examination begins when the patient is connected to the equipment and the daily assessment is performed by the researcher in the morning shift for 21 days (47) or until the patient suffers from compression injury caused by medical equipment and at any time the pressure injury caused The severity of the injury was determined from the medical equipment based on the wound severity rating instrument (the study range is from 24 hours to 21 days).
Category
Prevention
Recruitment centers
1
Recruitment center
Name of recruitment center
Qazvin University of Medical Sciences
Full name of responsible person
Lida Shamkhi
Street address
Qazvin University of Medical Sciences, Bahonar St.