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IRCT2016042522333N3 IRCT 2016-05-08 Endocrinology and Metabolism Clinical Sciences Institute afiilated of Tehran Univercity of Medical S Prevention and treatment of pressure ulcers prevention from pressure ulcer Effect patients and staffs education programs to prevention and treatment of pressure ulcers and pressure ulcer-related injuries in a general hospital: A cluster randomized controlled trial 2016-05-21 anticipated 1280 Complete https://irct.ir/trial/19282 interventional Randomization: Randomized, Blinding: Single blinded, Placebo: Not used, Assignment: Crossover, Purpose: Prevention. N/A Decubitus ulcer. Intervention 1: Assessment of patient with Braden scale, alarm to identify patients prone, patient education, employee education, massage local skin, wound wash regulatory, change position frequently, using wavy mattress, dressing, Daily visit wound care nurse. Intervention 2: Participants in the control phase receive usual care of hospital that consists of assessment of patients and wound dressing by nurse.
public Dr.Hossein Adibi
Endocrinology and Metabolism Clinical Sciences Institute, Forth Floor, Shariati Hospital, North kargar Avenue
Tehran Iran (Islamic Republic of) +98 228882200 adibi@tums.ac.ir Endocrinology and Metabolism Clinical Sciences Institute scientific Zhila Najafpour
Economic And Health Managment group, Public Health Faculty, Tehran university of medical sciences, Pour Sina street, 16 Azar street,Tehra, Iran
Tehran Iran (Islamic Republic of) +98 218882200 zh-najafpour@razi.tums.ac.ir Tehran Univercity of Medical Sciences Iran (Islamic Republic of) Inclusion criteria: patient at risk of pressure ulcer with Braden (pressure ulcer risk assessment) scale less than 9; length of stay more than 48 hours in the intensive care unit; ventilator-dependent patients more than 3 days; no medical condition that would preclude the use of re-positioning, consent to participate in the study Exclusion criteria: length of stay less than 48 hours; medical condition that would preclude the use of re-positioning no limit no limit Both L89, L89.0 Decubitus ulcer and pressure area, Stage I decubitus ulcer and pressure area, Stage II decubitus ulcer, Stage III decubitus ulcer, Stage IV decubitus ulcer, Decubitus ulcer and pressure area, unspecified Prevention Prevention Assessment of patient with Braden scale, alarm to identify patients prone, patient education, employee education, massage local skin, wound wash regulatory, change position frequently, using wavy mattress, dressing, Daily visit wound care nurse. Participants in the control phase receive usual care of hospital that consists of assessment of patients and wound dressing by nurse. Rate of reduction in pressure ulcer surface area, incidence of pressure ulcers. Timepoint: 38 weeks. Method of measurement: Checklist, Patient Visit, Screening of Medical Record. Time to healing, Percentage of wounds healed, Incidence of new pressure ulcers, Pressure ulcer prevalence, Grades of new pressure ulcers, length of stay. Timepoint: 38 weeks. Method of measurement: patient visit, screening of medical record. Endocrinology and Metabolism Clinical Sciences Institute afiilated of Tehran Univercity of Medical S Approved 2016-03-02 Endocrinology and Metabolism Clinical Sciences Institute afiilated of Tehran Univercity of Medical S Endocrinology and Metabolism Clinical Sciences Institute, Forth Floor, Shariati Hospital, North kargar Avenue Tehran Iran (Islamic Republic of)