Pressure ulcer healing with an intensive nutrition intervention in an acute setting: a pilot randomised controlled trial
Autor: | Merrilyn Banks, K. Dwyer, Monica Stankiewicz, Lynda J. Ross, Joan Webster, Alison M. Mudge, Jill Campbell, Kerrie Coleman |
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Rok vydání: | 2020 |
Předmět: |
Adult
Male Ulcer healing 0301 basic medicine medicine.medical_specialty Future studies Nursing (miscellaneous) Critical Care Stage ii law.invention 030207 dermatology & venereal diseases 03 medical and health sciences 0302 clinical medicine Randomized controlled trial law Acute care Intervention (counseling) Outcome Assessment Health Care medicine Humans Hospital patients 030212 general & internal medicine Medical prescription Aged Aged 80 and over Pressure Ulcer Wound Healing 030109 nutrition & dietetics business.industry Length of Stay Middle Aged Surgery Dietary Supplements Physical therapy Female Fundamentals and skills Nutrition Therapy business |
Zdroj: | Journal of Wound Care. 29:S10-S17 |
ISSN: | 2052-2916 0969-0700 |
Popis: | Objective: To investigate the feasibility of recruitment, retention, intervention delivery and outcome measurement in a nutritional intervention to promote pressure ulcer healing in an acute setting. Method: Some 50 tertiary hospital patients with stage II or greater pressure ulcer were randomised to receive either individualised nutritional care by a dietitian, including prescription of wound healing supplements; or standard nutritional care. Relevant nutritional and pressure ulcer (PU) parameters were collected at day 5, 10, 15, 22 and then weekly or until discharge. Results: The median length of hospital stay was 14 days (1–70) with 29 patients discharged by day 15. There were 24 patients discharged before their PU fully healed. Per cent change in valid PU area and score measures from baseline to day 15 were chosen for outcome data analysis to account for varying initial size and severity of the wound and length of stay. There was a larger percentage reduction in PU measures in the intervention group, but this was not statistically significant. Little difference was found in nutritional intake between the control and intervention groups indicating a requirement to focus on effective delivery of the intervention in future studies. Future studies in the acute setting need to account for length of stay and ideally follow patients until full healing. Conclusion: Results indicate a positive association with nutrition intervention and PU healing and that a rigorously designed and adequately powered study is feasible. Declaration of interest: This research was supported by a grant from the Queensland Health, Health Practitioner Research Scheme. The authors have no conflicts of interest to declare. |
Databáze: | OpenAIRE |
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