TriService Nursing Research Program, Bethesda, Maryland, USA.
University of Nevada Las Vegas School of Nursing, Las Vegas, Nevada, USA.
Worldviews Evid Based Nurs. 2023 Aug;20(4):351-360. doi: 10.1111/wvn.12638. Epub 2023 Mar 20.
Hospital-acquired pressure injuries (HAPIs) are a significant problem for hospitals worldwide, negatively affecting patients and organizations by decreasing quality of life and increasing organizational cost of care and workload. A common pressure injury prevention intervention is frequent turning, though compliance can be low. As a newer technology, wearable sensors have emerged as an intervention to increase turn compliance.
The aim of this integrative review was to determine the clinical outcomes of using wearable sensors as a HAPI prevention intervention.
This integrative review was appraised by two independent reviewers using the Johns Hopkins Nursing Evidence-Based Practice Research Appraisal Tool.
Eleven articles were included. The use of wearable sensors increases compliance with frequent turn protocols while decreasing HAPIs and reducing organizational costs. Despite this, the use of such technology was not found to increase the quality of turns. Although staff who used this technology reported positive feedback, technological training is needed to ensure proper use of the sensors.
This innovation has the potential to transform how nursing staff prevent pressure injuries, but more research is needed to definitively state whether wearable sensors will be efficacious as a pressure injury prevention intervention.
医院获得性压疮（HAPI）是全球医院的一个重大问题，通过降低生活质量和增加护理组织成本和工作量，对患者和组织产生负面影响。频繁翻身是一种常见的压疮预防干预措施，但依从性可能较低。作为一种较新的技术，可穿戴传感器已成为一种增加翻身依从性的干预措施。
本综合评价旨在确定将可穿戴传感器作为 HAPI 预防干预措施的临床效果。
本综合评价由两名独立评审员使用约翰霍普金斯护理循证实践研究评估工具进行评估。
共纳入 11 篇文章。使用可穿戴传感器可以提高频繁翻身方案的依从性，同时降低 HAPI 发生率和降低组织成本。尽管如此，使用这种技术并没有发现可以提高翻身质量。尽管使用这种技术的工作人员报告了积极的反馈，但需要进行技术培训，以确保传感器的正确使用。
这项创新有可能改变护理人员预防压疮的方式，但需要进一步研究才能明确可穿戴传感器是否作为压疮预防干预措施有效。
