Koc Ferhat, Eren Merve Gulbahar, Sert Havva
In the Internal Medicine Nursing Department, Institute of Health Science, Sakarya University, Turkey, Ferhat Koc, MSc, RN, is Clinical Nurse; Merve Gulbahar Eren, MSc, RN, is Resident Assistant; and Havva Sert, PhD, RN, is Associate Professor. The authors have disclosed no financial relationships related to this article. Submitted November 21, 2022; accepted in revised form January 20, 2023.
Adv Skin Wound Care. 2023 Dec 1;36(12):1-6. doi: 10.1097/ASW.0000000000000064.
To compare the efficacy of zinc oxide versus barrier creams for the maintenance of skin integrity in intensive care patients with a risk of pressure injury (PI).
This was a retrospective and cross-sectional study. The authors included data from 95 patients treated in the neurology and respiratory ICUs of a training and research hospital between January and June 2022. Patients in the neurology ICU were treated with zinc oxide cream (group 1, n = 48), and patients in the respiratory ICU received classic barrier cream (group 2, n = 47). Sociodemographic characteristics and PI data (Braden Scale score, Pressure Ulcer Healing Assessment Scale [PUSH] score, and PI stage) were obtained from each patient's file.
The mean PUSH score of the patients who received zinc oxide cream was 3.83 ± 4.39 at discharge versus 6.79 ± 4.40 for the group who received barrier cream. When PUSH scores and PI stages during hospitalization and discharge were compared, the authors found a statistically significant between-group difference in mean discharge scores (P < .05).
Within the limitations of this retrospective study based on patient records, zinc oxide creams had more positive effects on the prevention of PIs than barrier creams.
比较氧化锌与防护霜对有压力性损伤(PI)风险的重症监护患者维持皮肤完整性的疗效。
这是一项回顾性横断面研究。作者纳入了2022年1月至6月期间在一家培训和研究医院的神经科和呼吸科重症监护病房接受治疗的95例患者的数据。神经科重症监护病房的患者使用氧化锌乳膏治疗(第1组,n = 48),呼吸科重症监护病房的患者使用经典防护霜治疗(第2组,n = 47)。从每位患者的病历中获取社会人口学特征和PI数据(Braden量表评分、压疮愈合评估量表[PUSH]评分和PI分期)。
接受氧化锌乳膏治疗的患者出院时的平均PUSH评分为3.83±4.39,而接受防护霜治疗的组为6.79±4.40。比较住院期间和出院时的PUSH评分及PI分期时,作者发现两组间平均出院评分存在统计学显著差异(P < .05)。
在这项基于患者记录的回顾性研究的局限性内,氧化锌乳膏在预防PI方面比防护霜有更积极的效果。