adult patients
A randomised controlled
trial (RCT) conducted in
an ICU demonstrated
efficacy of a hyper-
oxygenated fatty acid
moisturizing regimen
used under plastic facial
masks. Skin assessments
were conducted every
four to six hours and
moisturizer was
reapplied according to
skin hydration status
Met
hods
:
Inte
rven
tion/
Inst
rum
ents
A cross-sectional
study was carried
out based on the
analysis of 198
medical records of
patients admitted in
the two intensive
care units of a
university hospital
in southern Brazil
between July and
December 2015.
Data were collected
A convenience
sampling was used
to recruit 326
patients (195
patients in pre-
intervention, 131
patients in
intervention group).
Adult medical and
surgical patients
admitted to the study
wards of eight
hospitals who are (a)
deemed to be at risk
of
pressure
injury
(i.e. have reduced
mobility), (b) expected
to stay in hospital for
≥48h, (c) admitted to
hospital in the past
36h; and (d) able to
provide informed
This evidence summary
is based on a structured
database search
combining search terms
that describe heel PIs
with search terms
related to prophylactic
dressings. Searches
were conducted in
EMBASE, PubMed,
Medline, Scopus and the
Cochrane Library.
Evidence published up

CAPSTONE PROJECT PRESSURE INJURIES
15
from April to May
2016, using an
instrument drawn
up by the authors.
Subsequently, the
data were double-
digitized in Epi
Info® and analyzed
by the Statistical
Package for the
Social Sciences®
program
consent will be eligible
to participate.
Consenting patients
will receive either the
pressure
injury
prevention care
bundle or standard
care. The care bundle
contains three main
messages: (1) keep
moving; (2) look after
your skin; and (3) eat
a healthy diet. Nurses
will receive education
about the intervention.
Patients will exit the
study upon
development of a
pressure
injury
,
hospital discharge or
28 days, whichever
comes first; transfer to
another hospital or
transfer to critical care
and mechanically
ventilated.
to June 2017 in English
was considered for
inclusion. Retrieved
studies were appraised
for relevance and rigor
using Joanna Briggs
Institute appraisal
tools.2
Anal
ysis
There is a
prevalence of male
patients (60.1%),
white race (73.2%),
mean age 57.5
years-old and the
incidence of
pressure
injury
was 39.4%.
Statistical analysis
was made using
Fisher exact test to
compare between
the two groups. The
results showed a
reduction of 86% in
the incidence of
HPI between the
two groups (pre-
intervention: 10.8%
versus post-
intervention: 1.5%).
Patients in the
intervention group
were less likely to
develop HPIs
(p=<0.007).
. Data will be analyzed
at the cluster
(hospital) and patient
level. Estimates of
hospital acquired
pressure
injury
incidence in each
group, group
differences and 95%
confidence interval
and
p
values will be
reported
Odds of a MDRPI was
3.43 times higher for
preterm infants (p<0.05)
using nasal prongs
without a prophylactic
dressing22 (Level 1c
evidence).


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- Winter '16
- Nursing, Health care provider, Intensive care medicine