Use of Pillow 30 Degree in Preventing the Pressure Injury Event
Pressure injury are a hospital problem in all countries. PI risk factors include pressure, shear, friction, increased surface temperature, and humidity. The use of pillows is one approach to prevent the development of PIs by modifying pressure on the skin or reducing shear and friction forces. The use of 300 lateral repositioning cushions still varies. This study aims to identify and analyze scientific evidence of the use of 300 pillows to reduce interface pressure and microclimate in patients at risk of PI. This study uses the literature review method and is compiled using the 2009 PRISMA guidelines checklist and analyzes randomized clinical trial and prospective cohort scientific articles with publications between 2015-2019, in English, and human subjects. Databases used include the PubMed, ProQuest, Science Direct, Wiley Online Library, ClinicalKey Nursing portals and secondary searches with a total number of articles of 12.290. The results of this literature obtained four articles that fit the inclusion and exclusion criteria consisting of one randomized clinical trial article and three prospective cohort articles. The use of pillow 300 promises to prevent the occurrence of pressure injury in health care facilities.
Becker, D., Cristiana, T., Savaris, S., Luciana, A., Carla, M., Silva, B., … Duarte, P. A. D. (2017). Intensive and Critical Care Nursing Pressure ulcers in ICU patients : Incidence and clinical and epidemiological features : A multicenter study in southern Brazil. Intensive and Critical Care Nursing, 42, 55–61. https://doi.org/10.1016/j.iccn.2017.03.009
Berry, L. (2015). Seating and cushions for preventing pressure damage among patients in the community. Wounds UK, 11(1), 32–44.
Cai, D., & Chen, H. L. (2016). Ergonomic approach for pillow concept design. Applied Ergonomics, 52, 142–150. https://doi.org/10.1016/j.apergo.2015.07.004
CASP. (2018). Critical Appraisal Skills Programme (CASP) part of Oxford Centre for Triple Value Healthcare Ltd www.casp-uk.net. Retrieved from https://casp-uk.net/casp-tools-checklists/
Charalambous, C., Vassilopoulos, A., Koulouri, A., Eleni, S., Popi, S., Antonis, F., … Roupa, Z. (2018). The Impact of Stress on Pressure Ulcer Wound Healing Process and on the Psychophysiological Environment of the Individual Suffering from them. MED ARCH, 72(5), 362–366. https://doi.org/10.5455/medarh.2018.72.362-366
Edger, M. (2017). E ff ect of a Patient-Repositioning Device in an Intensive Care Unit On Hospital-Acquired Pressure Injury Occurances and Cost. J Wound Ostomy Continence Nurs, 44(June), 1–5. https://doi.org/10.1097/WON.0000000000000328
Emilia, N. L., Yusuf, S., & Astrada, A. (2020). The prevalence of pressure injury in patients with incontinence: Literature review. Enfermeria Clinica, 30 Suppl 2, 449–452. https://doi.org/10.1016/j.enfcli.2019.07.135
Gao, L., Yang, L., Li, X., Chen, J., Du, J., Bai, X., & Yang, X. (2018). The use of a logistic regression model to develop a risk assessment of intraoperatively acquired pressure ulcer. Journal of Clinical Nursing, 27(15–16), 2984–2992. https://doi.org/10.1111/jocn.14491
Gaspar, S., & Peralta, M. (2019). Effectiveness on hospital-acquired pressure ulcers prevention : a systematic review. Int Wound J, (May), 1–16. https://doi.org/10.1111/iwj.13147
Gefen, A., & Aviv, T. (2011). How do microclimate factors affect the risk for superficial pressure ulcers : A mathematical modeling study. Journal of Tissue Viability, 20(3), 81–88. https://doi.org/10.1016/j.jtv.2010.10.002
Gillespie, B. M., Chaboyer, W. P., Mclnnes, E., Kent, B., & Whitty, J. A. (2016). Repositioning for pressure ulcer prevention in adults-A Cochrane review. International Journal of Nursing Practice, 22(1), 108–109. https://doi.org/10.1111/ijn.12426
Hollington, J., & Hillman, S. J. (2013). Can static interface pressure mapping be used to rank pressure-redistributing cushions for active wheelchair users? Journal of Rehabilitation Research and Development, 50(1), 53–60. https://doi.org/10.1682/JRRD.2011.10.0192
Järbrink, K., Ni, G., Sönnergren, H., Schmidtchen, A., Pang, C., Bajpai, R., & Car, J. (2016). Prevalence and incidence of chronic wounds and related complications: A protocol for a systematic review. BioMed Central, 5(1), 1–6. https://doi.org/10.1186/s13643-016-0329-y
Jaul, E., Barron, J., Rosenzweig, J. P., & Menczel, J. (2018). An overview of co-morbidities and the development of pressure ulcers among older adults. BMC Geriatrics, 18(1), 1–11. https://doi.org/10.1186/s12877-018-0997-7
Källman, U. (2015). Evaluation of Repositioning in Pressure Ulcer Prevention. LiU-Tryck, Sweden.
Källman, U., Bergstrand, S., Ek, A. C., Engström, M., Lindberg, L. G., & Lindgren, M. (2013). Different lying positions and their effects on tissue blood flow and skin temperature in older adult patients. Journal of Advanced Nursing, 69(1), 133–144. https://doi.org/10.1111/j.1365-2648.2012.06000.x
Kapp, S., Gerdtz, M., Gefen, A., Prematunga, R., & Santamaria, N. (2019). An observational study of the maintenance of the 30 side-lying lateral tilt position among aged care residents at risk of developing pressure injuries when using the standard care pillow and a purpose-designed positioning device. Int Wound J, (February), 1–7. https://doi.org/10.1111/iwj.13142
Katzengold, R., & Gefen, A. (2017). What makes a good head positioner for preventing occipital pressure ulcers. Int Wound, 1–7. https://doi.org/10.1111/iwj.12857
Kwong, E. W. Y., Hung, M. S. Y., & Woo, K. (2016). Improvement of pressure ulcer prevention care in private for-profit residential care homes : an action research study. BMC Geriatrics, 16(192), 1–14. https://doi.org/10.1186/s12877-016-0361-8
Leen, M. Van, Halfens, R., & Schols, J. (2018). Preventive Effect of a Microclimate-Regulating System on Pressure Ulcer Development : A Prospective , Randomized Controlled Trial in Dutch Nursing Homes. (January), 1–5.
Lima Serrano, M., González Méndez, M. I., Carrasco Cebollero, F. M., & Lima Rodríguez, J. S. (2017). Risk factors for pressure ulcer development in Intensive Care Units: A systematic review. Medicina Intensiva, 41(6), 339–346. https://doi.org/10.1016/j.medine.2017.04.006
Marie, I., Bjøro, K., Gunningberg, L., & Hofoss, D. (2015). International Journal of Nursing Studies The prevalence , prevention and multilevel variance of pressure ulcers in Norwegian hospitals : A cross-sectional study. International Journal of Nursing Studies, 52(1), 149–156. https://doi.org/10.1016/j.ijnurstu.2014.07.005
Moher, D., Liberati, A., Tetzlaff, J., Altman, D. G., & Group, T. P. (2009). Preferred Reporting Items for Systematic Reviews and Meta-Analyses : The PRISMA Statement. Plos Medicine, 6(7), 1–6. https://doi.org/10.1371/journal.pmed.1000097
Moustgaard, H., Clayton, G. L., Jones, H. E., Boutron, I., Jørgensen, L., Laursen, D. L. T., … Hróbjartsson, A. (2020). Impact of blinding on estimated treatment effects in randomised clinical trials: Meta-epidemiological study. BMJ, 368, 1–13. https://doi.org/10.1136/bmj.l6802
NPUAP/EPUAP/PPPIA. (2014). Prevention and Treatment of Pressure Ulcers : Clinical Practice Guideline. Retrieved from https://www.ehob.com/media/2018/04/prevention-and-treatment-of-pressure-ulcers-clinical-practice-guidline.pdf
NPUAP/EPUAP/PPPIA. (2019). Prevention and Treatment of Pressure Ulcers / Injuries : Quick Reference Guide (Third edit). Western Australia: Cambridge Media.
Pannucci, C. J., & Wilkins, E. G. (2010). Identifying and Avoiding Bias in Research. NIH Public Access, 126(2), 1–11. https://doi.org/10.1097/PRS.0b013e3181de24bc.Identifying
Powers, J. (2016). Two methods for turning and positioning and the effect on pressure ulcer development. Journal of Wound, Ostomy and Continence Nursing, 43(1), 46–50. https://doi.org/10.1097/WON.0000000000000198
Qaseem, A., Mir, T. P., Starkey, M., & Denberg, T. D. (2015). Risk assessment and prevention of pressure ulcers: A clinical practice guideline from the American College of Physicians. Annals of Internal Medicine, 162(5), 359–369. https://doi.org/10.7326/M14-1567
Rae, K. E., Isbel, S., & Upton, D. (2018). Support surfaces for the treatment and prevention of pressure ulcers: a systematic literature review. JOURNAL OF WOUND CARE VOL, 27(8), 467–473.
Rutherford, C., Brown, J. M., Smith, I., McGinnis, E., Wilson, L., Gilberts, R., … Nixon, J. (2018). A patient-reported pressure ulcer health-related quality of life instrument for use in prevention trials (PU-QOL-P): Psychometric evaluation. Health and Quality of Life Outcomes, 16(1), 1–11. https://doi.org/10.1186/s12955-018-1049-x
Shakibamehr, J., Rad, M., Akrami, R., & Rad, M. (2019). Effectiveness of Tragacanth Gel Cushions in Prevention of Pressure Ulcer in Traumatic Patients: a Randomized Controlled Trial. Journal of Caring Sciences, 8(1), 45–49. https://doi.org/10.15171/jcs.2019.007
Simundic, A. M. (2013). Bias in research. Biochemia Medica, 23(1), 12–15. https://doi.org/10.11613/BM.2013.003
VanGilder, C., Lachenbruch, C., Algrim-Boyle, C., & Meyer, S. (2017). The international pressure ulcer PrevalenceTM Survey: 2006-2015: A 10-year pressure injury prevalence and demographic trend analysis by care setting. Journal of Wound, Ostomy and Continence Nursing, 44(1), 20–28. https://doi.org/10.1097/WON.0000000000000292
Yusuf, S., Okuwa, M., Shigeta, Y., Dai, M., Iuchi, T., & Rahman, S. (2013). Microclimate and development of pressure ulcers and superficial skin changes. International Wound Journal, 40–46. https://doi.org/10.1111/iwj.12048
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