Katherine E Rae, Judith Barker, Stephen Isbel, Dominic Upton
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引用次数: 0
Abstract
Objective: A feasibility study to test the proposed methodology for a larger randomised control trial was conducted, investigating the comparative effectiveness of the two types of pressure management support surfaces with regards to healing pressure injuries (PI). A secondary objective was to provide insights into the user acceptability of the two types of pressure management support surfaces.
Method: A randomised control feasibility study was conducted in a community health setting in Canberra, Australia. Patients aged ≥65 years with an existing Stage 2 PI who slept in a bed were eligible. Participants were randomised to either the active mattress group or the reactive mattress group for use on their bed. All participants received standard wound care by community nursing staff and were provided an air-flotation cushion for use when not in bed. Photographs were taken and used for blind assessment of wound healing. Secondary information was gathered through a survey regarding user acceptability of the support surfaces and changes in habits regarding PI prevention strategies.
Results: In total, five patients were recruited, with one passing away prior to mattress allocation. Results were inconclusive with regards to comparative effectiveness and user acceptability due to the small sample size; however, secondary data indicated an increasing implementation of PI prevention strategies.
Conclusion: This study confirmed the need for further high quality research comparing reactive and active pressure mattresses. Trends indicate the importance of including education on PI prevention strategies to promote changes in behaviour. Changes to the proposed methodology will be made to increase recruitment in the primary study.
目的进行一项可行性研究,为更大规模的随机对照试验测试所建议的方法,调查两种压力管理支撑面对压力损伤(PI)愈合的比较效果。次要目标是深入了解用户对两种压力管理支撑面的接受程度:方法:在澳大利亚堪培拉的一个社区医疗机构开展了一项随机对照可行性研究。年龄≥65 岁、患有第 2 期 PI 并睡在床上的患者均符合条件。参与者被随机分配到主动床垫组或被动床垫组,在床上使用。所有参与者均接受社区护理人员提供的标准伤口护理,并获得一个气浮垫,供不卧床时使用。拍摄的照片用于盲法评估伤口愈合情况。通过调查收集辅助信息,了解用户对支撑面的接受程度以及在预防 PI 策略方面的习惯变化:共招募了五名患者,其中一人在床垫分配前去世。由于样本量较小,关于比较效果和用户接受度的结果尚无定论;不过,二手数据显示,PI 预防策略的实施正在增加:这项研究证实,有必要进一步开展高质量的研究,对反应式床垫和主动式床垫进行比较。研究趋势表明,纳入有关 PI 预防策略的教育以促进行为改变非常重要。将对拟议方法进行修改,以增加初级研究的招募人数。
期刊介绍:
Journal of Wound Care (JWC) is the definitive wound-care journal and the leading source of up-to-date research and clinical information on everything related to tissue viability. The journal was first launched in 1992 and aimed at catering to the needs of the multidisciplinary team. Published monthly, the journal’s international audience includes nurses, doctors and researchers specialising in wound management and tissue viability, as well as generalists wishing to enhance their practice.
In addition to cutting edge and state-of-the-art research and practice articles, JWC also covers topics related to wound-care management, education and novel therapies, as well as JWC cases supplements, a supplement dedicated solely to case reports and case series in wound care. All articles are rigorously peer-reviewed by a panel of international experts, comprised of clinicians, nurses and researchers.
Specifically, JWC publishes:
High quality evidence on all aspects of wound care, including leg ulcers, pressure ulcers, the diabetic foot, burns, surgical wounds, wound infection and more
The latest developments and innovations in wound care through both preclinical and preliminary clinical trials of potential new treatments worldwide
In-depth prospective studies of new treatment applications, as well as high-level research evidence on existing treatments
Clinical case studies providing information on how to deal with complex wounds
Comprehensive literature reviews on current concepts and practice, including cost-effectiveness
Updates on the activities of wound care societies around the world.