Cor Zeynep, Soysal Ganime Esra
Anaesthesia and Reanimation Intensive Care Unit, Düzce Atatürk State Hospital, Düzce, Turkey.
Department of Nursing, Faculty of Health Sciences, Bolu Abant Izzet Baysal University, Bolu, Turkey.
Int Wound J. 2024 Dec;21(12):e70138. doi: 10.1111/iwj.70138.
The aim of this study was to evaluate the effectiveness of the REPRISE care bundle (CB) model for pressure ulcer (PU) prevention in intensive care patients and to determine the impact of the training provided to nurses on their knowledge base and attitudes. This study has an experimental design. The study was conducted in the anaesthesia and resuscitation intensive care unit on a total of 72 patients. The prevalence of PU was compared between the control group and the REPRISE-CB group. For the nurses, 50 nurses working in the ICU were included in the study. The nurses' knowledge and attitudes towards PU were compared before and after the training. The data were analysed using a statistical program. The incidence of IW was significantly lower in the intervention group (13.9%) compared to the control group (38.9%) (p < 0.05). The study showed that oedema, low albumin levels, low mean blood pressure and low Braden Scale scores were significant risk factors for the development of PU. In addition, the training provided to nurses was found to significantly improve their knowledge and attitudes (p < 0.05). It was concluded that REPRISE-CB was effective in the prevention of PU and that nurses' knowledge increased with training.
本研究旨在评估REPRISE护理包(CB)模型对重症监护患者预防压疮(PU)的有效性,并确定对护士进行培训对其知识基础和态度的影响。本研究采用实验设计。研究在麻醉与复苏重症监护病房对共72例患者进行。比较了对照组和REPRISE-CB组的PU患病率。对于护士,共有50名在重症监护病房工作的护士纳入研究。比较了培训前后护士对PU的知识和态度。使用统计程序对数据进行分析。干预组的Ⅰ期伤口发生率(13.9%)显著低于对照组(38.9%)(p<0.05)。研究表明,水肿、低白蛋白水平、低平均血压和低Braden量表评分是PU发生的显著危险因素。此外,发现对护士进行的培训显著改善了他们的知识和态度(p<0.05)。得出的结论是,REPRISE-CB在预防PU方面有效,且护士的知识通过培训得到了增加。