Silicone Foam Dressing for Prevention of Sacral Deep Tissue Injuries Among Cardiac Surgery Patients.
| Autor: | Strauss R; At the Hospital of the University of Pennsylvania, in Philadelphia, Pennsylvania, Robyn Strauss, ACNS-BC, MSN, RN, WCC, is Clinical Nurse Specialist, Level VI; Ave Preston, ACNS-BC, MSN, RN, CWOCN, is an Ostomy & Wound Clinical Nurse Specialist; Demetra C. Zalman, MSN, CRNP, WCC, is an Acute Care Nurse Practitioner, Cardiac Surgery; and Aditi D. Rao, PhD, RN, is Director of Nursing Practice. The authors have disclosed no financial relationships related to this article. Submitted September 25, 2018; accepted in revised form November 13, 2018., Preston A, Zalman DC, Rao AD |
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| Jazyk: | angličtina |
| Zdroj: | Advances in skin & wound care [Adv Skin Wound Care] 2019 Mar; Vol. 32 (3), pp. 139-142. |
| DOI: | 10.1097/01.ASW.0000553111.55505.84 |
| Abstrakt: | Objective: To evaluate the effect of silicone foam dressings, placed preoperatively, on the incidence of postoperative sacral deep-tissue pressure injuries. Design, Setting, and Patients: An uncontrolled before-and-after quality improvement method was used. Within a single, urban academic medical center, consecutively admitted adult cardiac surgery patients were included in the pre- and postintervention groups; only those receiving elective procedures were included. Intervention: Nurses applied a sacral silicone foam dressing preoperatively. This dressing was maintained on the patient's sacrum intraoperatively and postoperatively for up to 5 days in the intensive care and step-down units. Main Results: This project demonstrated a clinically significant decrease (P < .02) in the incidence of postoperative sacral deep-tissue pressure injuries from 2.3% (preintervention, n = 300) to 0% (postintervention, n = 224). These results were sustained for 24 months after the trial was completed. Conclusions: The use of silicone foam dressings may be an effective prophylactic intervention to reduce the incidence of perioperative deep-tissue pressure injuries among cardiac surgery patients, a high-risk population. |
| Databáze: | MEDLINE |
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