Use of a Soft Silicone Foam Dressing to Change the Trajectory of Destruction Associated with Suspected Deep Tissue Pressure Ulcers.

Rhonda Sullivan
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Abstract

Purpose: To explore the evolution of suspected deep tissue injury (sDTI) pressure ulcers and identify the role of early identification and intervention in hindering tissue destruction. In contrast to previously published evidence, the foundational research identified a significant trend of sDTI recovery which warranted further analysis.

Subjects and settings: A single-site, 24-month retrospective, IRB-approved study evaluated 77 adult (age 18 or older) hospitalized subjects with 128 wound care nurse-identified sDTIs over the course of 1 day to 14 weeks for 377 encounters.

Methods: Data from a 24-month period (2010-2012) were analyzed during the primary study. In addition to demographics, the evolution process including site, initial presentation, measurements, tissue consistency, and treatment, were assessed. In response to findings of significant sDTI recovery, a secondary in-depth analysis focused on commonalities and variables for clarity of their contribution to the isolated improved patient outcomes.

Results: In addition to clearer delineation of demographics, co-morbid conditions, and evolutionary patterns, the researcher identified patient outcomes in stark contrast to those previously published in the literature. A significant outcome of resolution of sDTI pressure ulcers was observed. Upon further review, the role of absorbent soft silicone, multi-layer, self-adherent bordered foam (Mepilex) in these outcomes was elucidated clearly.

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使用软硅胶泡沫敷料改变与疑似深部组织压疮相关的破坏轨迹。
目的:探讨疑似深部组织损伤(sDTI)压疮的演变过程,探讨早期识别和干预对阻碍组织破坏的作用。与之前发表的证据相比,基础研究确定了sDTI恢复的显著趋势,值得进一步分析。受试者和环境:一项单地点、24个月回顾性、irb批准的研究评估了77名成人(18岁或以上)住院受试者,其中128名伤口护理护士在1天至14周内进行了377次就诊。方法:在初步研究中,对2010-2012年24个月的数据进行分析。除人口统计学外,还评估了演变过程,包括部位、初始表现、测量、组织一致性和治疗。针对显著的sDTI恢复的发现,第二次深入分析侧重于共性和变量,以明确它们对孤立的改善患者预后的贡献。结果:除了更清晰地描述人口统计学、共病条件和进化模式外,研究人员确定的患者结果与先前发表的文献形成鲜明对比。观察到sDTI压疮消退的显著结果。经过进一步的回顾,吸收性软硅胶,多层,自粘泡沫(Mepilex)在这些结果中的作用被清楚地阐明。
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期刊介绍: MEDSURG Nursing, The Journal of Adult Health, is the official journal of the Academy of Medical-Surgical Nurses (AMSN). The journal provides its readers with the multidisciplinary information they need to provide clinically excellent patient care and to enhance their nursing practice. MEDSURG Nursing supports adult health/medical-surgical nurses as they strive for excellence in patient care, private practice, and outpatient health care settings in urban, suburban, and rural locations. Each peer-reviewed issue of MEDSURG Nursing features a comprehensive discussion and description of today"s clinical issues in adult health/medical-surgical nursing.
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