Prevention of Pressure Ulcers in the Intensive Care Unit A Randomized Trial of 2 Viscoelastic Foam Support Surfaces

WOS: 000356660700006PubMed ID: 26053604Aims and objectives: The aim of this study is to compare whether differences exist between 2 viscoelastic foam support surfaces in the development of new pressure ulcers. Background: There is evidence to support the use of viscoelastic foam over standard hospital foam to reduce pressure. A comparative effectiveness study was done to compare 2 viscoelastic foam support surfaces. Design: A randomized controlled trial was carried out. Method: The study was performed in 2 intensive care units between October 1, 2008, and January 4, 2010. Patients (n = 105) admitted to intensive care unit were randomly assigned to viscoelastic foam 1 (n = 53) or viscoelastic foam 2 support surface (n = 52). Results: In total, 42.8% of all patients developed a new pressure ulcer of stage 1 or worse. By stages, pressure ulcer incidence was 28.6%, 13.3%, and 1.0% for stages 1, 2, and 3, respectively. There was no significant difference in pressure ulcer incidence between the viscoelastic foam 1 and 2 groups (X-2 = 0.07, df = 1, P > .05). Conclusions: No difference was found between 2 different viscoelastic foam surfaces in the prevention of pressure ulcers in patients treated in intensive care. Relevance to Clinical Practice: Pressure ulcer incidence in critically ill patients remains high. Nurses must compare current products for effectiveness and develop innovative systems, processes, or devices to deliver best practices.Commission on Scientific Research Projects (SRP) of Afyon Kocatepe UniversityAfyon Kocatepe University; SRPThis study was supported by the Commission on Scientific Research Projects (SRP) of Afyon Kocatepe University. SRP financially supports projects that contribute to the field of science, domestically or internationally, and assists with advancements in the technological, economic, social, or cultural development of the country. An application for financial support for our study was submitted on December 12, 2007, and the study was accepted for financial support on October 1, 2008

The effect of an information, motivation, and behavioral skills model intervention on young women's intention to get an HPV vaccine

This study aims to examine the effect of the information, motivation, and behavioral skills (IMB) model intervention on young women's intention to get the Human Papilloma Virus (HPV) vaccine. An intervention study that has a pre-test, post-test design was conducted with IMB and control groups. An intervention based on the IMB model, focusing on developing motivation and proper behavioral skills, was applied to the IMB group. A traditional approach was applied to the control group. In this study, the significant post-test differences within groups were information (both groups improved significantly, p < 0.01), individual motivation (the control group decreased significantly, p < 0.01), behavioral skills (both groups improved significantly, p < 0.01), self-management behavior (the IMB group increased significantly, p < 0.01), objective health outcome (the control group decreased significantly, p < 0.01), and subjective health outcome (the IMB group increased significantly, p < 0.0125). IMB-based interventions can help young women acquire new sexual health behaviors to prevent cervical cancer.Scientific and Technological Research Council of Turkey (TUBITAK) [116S381]This study was supported by the Scientific and Technological Research Council of Turkey (TUBITAK, Project ID #116S381)

The Effect of Endotracheal Tube Cuff Pressure Control Training on Nurses' Knowledge Level

OZYUREK, Pakize/0000-0002-5277-6412; YAVUZ van GIERSBERGEN, MERYEM/0000-0002-8661-0066WOS:000569133200005Objective: This study was designed to investigate the effect of endotracheal tube cuff pressure training on the knowledge level of intensive care nurses. Materials and Methods: This quasi-experimental study was conducted in August 2017 with 32 nurses working in eight different intensive care units (ICU) of a university hospital. Data were collected using structured and self-administered 8-item sociodemographic and occupational characteristics form, and a 20-item endotracheal tube cuff pressure control knowledge level evaluation form. Results: The mean age of the participating nurses was 25.80 +/- 5.31 years and 59.4% of them were female. The mean work experience of the nurses was 5.87 +/- 4.44 years, while their mean ICU experience was 4.37 +/- 3.85 years. After endotracheal tube cuff pressure training, the mean knowledge score of the nurses was found to be significantly higher (17.90 +/- 1.71) than that of pretraining score (10.90 +/- 2.73) (Z=-4.942, p<0.001). Conclusion: It was found that endotracheal tube cuff pressure training enhanced the knowledge level of intensive care nurses, and the views and recommendations of the nurses were positive. It is advised to increase the training of ICU nurses to enhance their knowledge and skills regarding endotracheal tube cuff pressure control

Oral care frequency of patients with intensive care needs after surgery: A cross-sectional study

Although oral care for critical patients when applied effectively, minimizes important health risks, no study has been found that determines the oral care frequentness after surgery. This study was conducted to determine the oral care frequentness requirements and related factors of surgical patients admitted to the postoperative intensive care unit. It was a cross-sectional study. It was conducted with 110 surgical patients who were hospitalized in the postoperative intensive care unit and whose oral care was not yet performed within the first 6 hours. &quot;Sociodemographic and Clinical Characteristics Form&quot; and &quot;Intensive Care Oral Care Frequency Assessment Scale&quot; were used to collect data. Descriptive statistics and Chi-square automatic interaction detection analysis were applied in the analysis of the data. The mean score of the Intensive Care Oral Care Frequency Assessment Scale of the patients after surgery was 21.60±3.02. The oral care needs frequency score of 23.6% of the patients was between 10-19 points, they were identified as needing oral care should be at least 8 to 12 hours, and oral care needs of 76.4% were between 20-29 points and they were identified as needing oral care should be at least 6 hours. It was determined that the oral care frequentness score of the patients over 65 was higher than the other age groups and it was statistically significant that they needed oral care should be at least 6 hours (p [Med-Science 2023; 12(3.000): 764-71