A Randomized Clinical Trial of Wheeled Mobility for Pressure Injury Prevention and Better Function

Autor: David M, Brienza, Patricia E, Karg, Marnie, Bertolet, Mark, Schmeler, Prerna, Poojary-Mazzotta, Helen, Vlachos, Debora, Wilkinson
Rok vydání: 2018
Předmět:
Zdroj: Journal of the American Geriatrics Society. 66(9)
ISSN: 1532-5415
0127-5313
Popis: To evaluate the effectiveness of wheelchair assessment and configuration on pressure injury incidence, mobility, and functioning in a wheelchair.Randomized controlled trial with participants individually randomized into intervention and control groups.Nursing home.Nursing home residents aged 60 and older who used wheelchairs and were at risk for pressure injuries (N=258).Treatment and evaluation, individually configured wheelchair and skin protection cushion; control and evaluation, facility-provided wheelchair and skin protection cushion.Pressure injury incidence, Nursing Home Life Space Diameter score, Functioning Every Day in a Wheelchair-Capacity (FEW-C) score, and Wheelchair Skills Test (WST) score.No differences in pressure injuries (p=.77) were found. Pelvic rotation (odds ratio (OR)=0.15, 95% confidence interval (CI)=0.03-0.70, p=.02) and Day 14 WST skill score (OR=0.74, 95% CI=0.60-0.91, p=.004) were significant predictors of pressure injuries. Significant differences were observed between groups in change in FEW-C independence scores between before randomization and endpoint (p=.03) and before randomization and 14 days (p=.04).Participants with individually configured wheelchairs improved more in the safe and effective use of their wheelchairs than residents with facility-provided wheelchairs. The outcomes indicated that nursing home residents functioned safely at a higher level in their wheelchairs if their devices were individually configured using a comprehensive wheelchair and seating assessment process. There was no difference in the incidence of pressure injuries between the two groups.NCT01275313.
Databáze: OpenAIRE
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