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- Title
Evaluating the effectiveness of silicone multilayer foam dressing in preventing heel pressure injury among critically ill patients in Singapore.
- Authors
Teo Kai Yunn; Ang SY; Bian Luping; Cheah Engfeng Sharon; Aquino, Somera Melanie; Huda, Ahmad Nurul; Lim Shu Hui; Goh Hui Qi Ivy; Bakar, Aloweni Fazila Abu
- Abstract
Background: The heel has become the second most common site for the development of pressure ulcers in recent years. Hospitals worldwide have been implementing preventive measures to tackle pressure ulcers in patients, such as the use of offloading devices and dressing. Aim: To evaluate the effectiveness of a soft silicone multilayer heel dressing (Mepilex® Heel) in reducing the incidence of heel pressure injuries (HPI) among critical ill patients in the intensive care unit (ICU). Method: This was a quasi-experimental, pre-, and postintervention study design conducted in three adult ICUs in an academic teaching hospital. A convenience sampling was used to recruit 326 patients (195 patients in pre-intervention, 131 patients in intervention group). Result: 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). Conclusion: A prophylactic multilayer foam heel dressing has shown to be effective at reducing the incidence of HPIs among critically ill patients in ICU, even with the tropical climate in Singapore.
- Subjects
SINGAPORE; ULCER prevention; SILICONES; APACHE (Disease classification system); CATASTROPHIC illness; CHI-squared test; CINAHL database; FISHER exact test; FOAMED materials; INTENSIVE care units; RESEARCH methodology; MEDLINE; ONLINE information services; REGRESSION analysis; SURGICAL dressings; T-test (Statistics); TIME; SYSTEMATIC reviews; HEEL (Anatomy); CLASSIFICATION; THERAPEUTICS
- Publication
Wound Practice & Research, 2018, Vol 26, Issue 2, p76
- ISSN
1837-6304
- Publication type
Article