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With the development of technology in medicine, more medical instruments are used in the treatment of diseases. Although the use of these instruments provides great benefits for the patients, it can also cause some complications.One of the most important of these complications is pressure ulcer.Some care and evaluation are needed to prevent these complications.This study aims to prevent pressure ulcers with a care package for patients with high risk scores.
A care package will be created with the Delphi method to prevent pressure ulcers caused by medical devices.Experimental and control groups will be formed by randomized control method.The care package created for 14 days will be applied to the experimental group. standard care will be applied to the control group.As a result, the rates of medical device-induced pressure ulcers in both groups will be compared.Children between the ages of 1 and 10 years and treated in the pediatric intensive care unit will be included in the study.Patients with any skin-related disease will not be included in the study.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| the group to which the care bundle will be applied | Experimental | Patients with a score of 13 or higher on the Braden QD medical instrument risk assessment scale. Patients with attached nasogastric tube, intubation tube and saturation probe. |
|
| group not to be interfered with | No Intervention | Patients with attached nasogastric tube, intubation tube and saturation probe. |
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| care bundle application | Other | The patients in the experimental group will be given care according to the current care bundle for 14 days |
|
| Measure | Description | Time Frame |
|---|---|---|
| Pressure ulcer | Medical devices related pressure ulcer | 14 day |
| Measure | Description | Time Frame |
|---|---|---|
| medical device induced pressure ulcer | The rate of pressure ulcers caused by medical devices in the care package group will be compared with the rates of pressure ulcers caused by medical devices in patients receiving normal care. | 14 day |
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Inclusion Criteria:
Exclusion Criteria:
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| Name | Role | Phone | Extension | |
|---|---|---|---|---|
| Erhan ElmaoÄŸlu | Contact | +903488142666 | erhan.elmaoglu@kilis.edu.tr |
| Name | Affiliation | Role |
|---|---|---|
| Zerrin Çiğdem | Hasan Kalyoncu Univesity | Principal Investigator |
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| PubMed Identifier | Type | Citation | Retractions |
|---|---|---|---|
| 18286861 | Result | Butler CT. Pediatric skin care: guidelines for assessment, prevention, and treatment. Dermatol Nurs. 2007 Oct;19(5):471-2, 477-82, 485. | |
| 29246340 | Result | Curley MAQ, Hasbani NR, Quigley SM, Stellar JJ, Pasek TA, Shelley SS, Kulik LA, Chamblee TB, Dilloway MA, Caillouette CN, McCabe MA, Wypij D. Predicting Pressure Injury Risk in Pediatric Patients: The Braden QD Scale. J Pediatr. 2018 Jan;192:189-195.e2. doi: 10.1016/j.jpeds.2017.09.045. |
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The data collected by the researcher will be shared with other participants. however, information about the patient will not be shared.
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| ID | Term |
|---|---|
| D003668 | Pressure Ulcer |
| ID | Term |
|---|---|
| D012883 | Skin Ulcer |
| D012871 | Skin Diseases |
| D017437 | Skin and Connective Tissue Diseases |
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Experimental and control groups will be selected using the randomized control method.
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| 28387749 | Result | Freundlich K. Pressure Injuries in Medically Complex Children: A Review. Children (Basel). 2017 Apr 7;4(4):25. doi: 10.3390/children4040025. |
| 32904968 | Result | Puspitasari JD, Nurhaeni N, Waluyanti FT. Testing of Braden QD Scale for predicting pressure ulcer risk in the Pediatric Intensive Care Unit. Pediatr Rep. 2020 Jun 25;12(Suppl 1):8694. doi: 10.4081/pr.2020.8694. eCollection 2020 Jun 25. |
| 29120893 | Result | Delmore BA, Ayello EA. CE: Pressure Injuries Caused by Medical Devices and Other Objects: A Clinical Update. Am J Nurs. 2017 Dec;117(12):36-45. doi: 10.1097/01.NAJ.0000527460.93222.31. |