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比较氧化锌与凡士林预防性敷料预防重症监护病房患者骶部压疮的效果。

Comparing the efficacy of Zinc Oxide versus Vaseline prophylactic dressings in preventing sacral pressure injuries in patients admitted to the intensive care unit.

机构信息

Clinical Research Development Unit, Shahid Rajaee Hospital, Qazvin University of Medical Sciences, Qazvin, Iran.

Social Determinants of Health Research Center, Research Institute for Prevention of Non-Communicable Diseases, Qazvin University of Medical Sciences, Qazvin, Iran.

出版信息

Int Wound J. 2024 Nov;21(11):e70139. doi: 10.1111/iwj.70139.

Abstract

Preventing pressure injuries is a primary objective for care and treatment teams in intensive care units (ICUs). Therefore, the current study aimed to compare the efficacy of Zinc Oxide and Vaseline prophylactic dressings in preventing sacral pressure injuries in patients admitted to the ICU. This clinical trial was conducted in the ICU in 2023. The study population included patients at moderate to high risk for pressure injuries based on the Braden scale criteria. Eligible patients were randomly assigned to one of five groups using random allocation software: (1) the intervention group receiving Zinc Oxide as a prophylactic dressing, (2) the intervention group using Zinc Oxide as a topical application, (3) the intervention group with Vaseline as a prophylactic dressing, (4) the intervention group using Vaseline as a topical application and (5) the control group. Participants were homogenous regarding demographic information in all five groups. The frequency distribution of pressure injuries across the five groups was analysed using the Chi-square test. The results revealed no pressure injuries were observed in the Zinc Oxide and Vaseline with dressing groups. In contrast, the Zinc Oxide without dressing group had five cases, the Vaseline without dressing group had six cases and the Control group had 14 cases of pressure injuries. These differences were statistically significant (p < 0.05). The results of this study showed that Zinc Oxide and Vaseline as preventive dressings in the sacral area of patients admitted to ICUs can be considered an effective and affordable strategy for healthcare providers.

摘要

预防压力性损伤是重症监护病房(ICU)护理和治疗团队的主要目标。因此,本研究旨在比较氧化锌和凡士林预防性敷料在预防 ICU 住院患者骶尾部压力性损伤中的疗效。这项临床试验于 2023 年在 ICU 进行。研究人群包括根据布雷登量表标准处于中到高度压力性损伤风险的患者。符合条件的患者使用随机分配软件随机分配到五个组之一:(1)接受氧化锌作为预防性敷料的干预组,(2)接受氧化锌作为局部应用的干预组,(3)使用凡士林作为预防性敷料的干预组,(4)使用凡士林作为局部应用的干预组和(5)对照组。所有五组的参与者在人口统计学信息方面均具有同质性。使用卡方检验分析五个组之间的压力性损伤的频率分布。结果显示,在氧化锌和凡士林带敷料组中未观察到压力性损伤。相比之下,氧化锌不带敷料组有 5 例,凡士林不带敷料组有 6 例,对照组有 14 例压力性损伤。这些差异具有统计学意义(p<0.05)。本研究结果表明,将氧化锌和凡士林作为 ICU 住院患者骶尾部的预防性敷料,可以被视为医疗保健提供者的一种有效且经济实惠的策略。

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