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In Hospitalized Patients, How Effective Is a Foam Dressing in Reducing the Risk of Pressure Ulcers Compared with Standard Preventative Care

Received: 19 March 2022     Accepted: 2 April 2022     Published: 14 April 2022
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Abstract

Background: Pressure ulcers (PU) are to point to the necrosis or ulcer that local skin or organization causes because of various reasons. This is the last thing a health care worker wants to happen in a medical setting. The occurrence of pressure ulcers would cause the patients' body infection, affect recovery, and then prolong the hospital stay, increase the national medical investment. If patients do not intervene in time, serious consequences such as death may result. Since pressure ulcers occur mainly in prominent areas of the body, studies have recommended prophylactic use of dressings to reduce the incidence of PU. Current prevention measures for PU include assessing factors associated with avoiding skin damage, regulating nutrient intake and using pressure relief pads. Objective: As one of the main materials of pressure relief pad, foam dressing has been gradually applied and promoted. Whether foam dressing is effective in preventing pressure ulcers is a very important issue for patients and medical staff. Finding effective measures to prevent PU can not only improve the quality of care, reduce patients' suffering, but also reduce medical costs. Therefore, guided by evidence-based theory, it is important for caregivers to use the most effective clinical decisions to prevent pressure ulcers and improve patient outcomes. Method: In this paper, 5 studies related to foam dressing were conducted to confirm whether it is safe and effective for the prevention of pressure ulcers, which can further promote the rational selection of clinical prevention measures. Result: All five studies included in the analysis showed that foam dressings had a positive effect on the prevention of stress injuries. Conclusion: Foam dressings are effective in preventing pressure ulcers. It is suggested that the relevant personnel should strictly choose the materials that meet the requirements when using dressings and train the users on the key points of the application process in advance.

Published in American Journal of Health Research (Volume 10, Issue 2)
DOI 10.11648/j.ajhr.20221002.14
Page(s) 40-43
Creative Commons

This is an Open Access article, distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution and reproduction in any medium or format, provided the original work is properly cited.

Copyright

Copyright © The Author(s), 2022. Published by Science Publishing Group

Keywords

Foam Dressing, Pressure Ulcers, Standard Preventative Care

References
[1] Kottner J, Hahnel E, Lichterfeld-Kottner A, et al. Measuring the quality of pressure ulcer prevention: A systematic mapping review of quality indicators [J]. International Wound Journal, 2018, 15 (2): 218–224.
[2] Hay R J, Johns N E, Williams H C, et al. The Global Burden of Skin Disease in 2010: An Analysis of the Prevalence and Impact of Skin Conditions [J]. Journal of Investigative Dermatology, 2014, 134 (6): 1527–1534.
[3] Gillespie B M, Chaboyer W P, McInnes E, et al. Repositioning for pressure ulcer prevention in adults [J]. Cochrane Wounds Group. Cochrane Database of Systematic Reviews, 2014.
[4] Gefen A, Kottner J, Santamaria N. Clinical and biomechanical perspectives on pressure injury prevention research: The case of prophylactic dressings [J]. Clinical Biomechanics, 2016, 38: 29–34.
[5] Moore Z, Cowman S. Pressure ulcer prevalence and prevention practices in care of the older person in the Republic of Ireland: Pressure ulcer prevalence and prevention practices [J]. Journal of Clinical Nursing, 2012, 21 (3–4): 362–371.
[6] Black J, Clark M, Dealey C, et al. Dressings as an adjunct to pressure ulcer prevention: consensus panel recommendations: Pressure ulcer prevention dressings [J]. International Wound Journal, 2015, 12 (4): 484–488.
[7] National Pressure Ulcer Advisory Panel, European Pressure Ulcer Advisory Panel and Pan Pacific Pressure Injury Alliance. Prevention and Treatment of Pressure Ulcers: Clinical Practice Guideline 2014. [J]. Osborne Park, Western Australia: Cambridge Media., 2014.
[8] Clark M, Black J, Alves P, et al. Systematic review of the use of prophylactic dressings in the prevention of pressure ulcers: Dressings in pressure ulcer prevention [J]. International Wound Journal, 2014, 11 (5): 460–471.
[9] Moore Z E, Webster J. Dressings and topical agents for preventing pressure ulcers [J]. Cochrane Wounds Group. Cochrane Database of Systematic Reviews, 2018.
[10] Richardson P E H. David Sackett and the birth of Evidence Based Medicine: How to Practice and Teach EBM [J]. BMJ, 2015, 350 (jun08 3): h3089–h3089.
[11] Santamaria N, Gerdtz M, Sage S, et al. A randomised controlled trial of the effectiveness of soft silicone multi-layered foam dressings in the prevention of sacral and heel pressure ulcers in trauma and critically ill patients: the border trial: Randomised controlled trial [J]. International Wound Journal, 2015, 12 (3): 302–308.
[12] Santamaria N, Gerdtz M, Kapp S, et al. A randomised controlled trial of the clinical effectiveness of multi-layer silicone foam dressings for the prevention of pressure injuries in high-risk aged care residents: The Border III Trial [J]. International Wound Journal, 2018, 15 (3): 482–490.
[13] Hahnel E, El Genedy M, Tomova-Simitchieva T, et al. The effectiveness of two silicone dressings for sacral and heel pressure ulcer prevention compared with no dressings in high-risk intensive care unit patients: a randomized controlled parallel-group trial [J]. British Journal of Dermatology, 2020, 183 (2): 256–264.
[14] Forni C, D’Alessandro F, Gallerani P, et al. Effectiveness of using a new polyurethane foam multi-layer dressing in the sacral area to prevent the onset of pressure ulcer in the elderly with hip fractures: A pragmatic randomised controlled trial [J]. International Wound Journal, 2018, 15 (3): 383–390.
[15] Oe M, Sasaki S, Shimura T, et al. Effects of Multilayer Silicone Foam Dressings for the Prevention of Pressure Ulcers in High-Risk Patients: A Randomized Clinical Trial [J]. Advances in Wound Care, 2020, 9 (12): 649–656.
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  • APA Style

    Chulei Ji, Ru Yu, Qian Mi, Sha Yu, Xianjie Zhang. (2022). In Hospitalized Patients, How Effective Is a Foam Dressing in Reducing the Risk of Pressure Ulcers Compared with Standard Preventative Care. American Journal of Health Research, 10(2), 40-43. https://doi.org/10.11648/j.ajhr.20221002.14

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    ACS Style

    Chulei Ji; Ru Yu; Qian Mi; Sha Yu; Xianjie Zhang. In Hospitalized Patients, How Effective Is a Foam Dressing in Reducing the Risk of Pressure Ulcers Compared with Standard Preventative Care. Am. J. Health Res. 2022, 10(2), 40-43. doi: 10.11648/j.ajhr.20221002.14

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    AMA Style

    Chulei Ji, Ru Yu, Qian Mi, Sha Yu, Xianjie Zhang. In Hospitalized Patients, How Effective Is a Foam Dressing in Reducing the Risk of Pressure Ulcers Compared with Standard Preventative Care. Am J Health Res. 2022;10(2):40-43. doi: 10.11648/j.ajhr.20221002.14

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  • @article{10.11648/j.ajhr.20221002.14,
      author = {Chulei Ji and Ru Yu and Qian Mi and Sha Yu and Xianjie Zhang},
      title = {In Hospitalized Patients, How Effective Is a Foam Dressing in Reducing the Risk of Pressure Ulcers Compared with Standard Preventative Care},
      journal = {American Journal of Health Research},
      volume = {10},
      number = {2},
      pages = {40-43},
      doi = {10.11648/j.ajhr.20221002.14},
      url = {https://doi.org/10.11648/j.ajhr.20221002.14},
      eprint = {https://article.sciencepublishinggroup.com/pdf/10.11648.j.ajhr.20221002.14},
      abstract = {Background: Pressure ulcers (PU) are to point to the necrosis or ulcer that local skin or organization causes because of various reasons. This is the last thing a health care worker wants to happen in a medical setting. The occurrence of pressure ulcers would cause the patients' body infection, affect recovery, and then prolong the hospital stay, increase the national medical investment. If patients do not intervene in time, serious consequences such as death may result. Since pressure ulcers occur mainly in prominent areas of the body, studies have recommended prophylactic use of dressings to reduce the incidence of PU. Current prevention measures for PU include assessing factors associated with avoiding skin damage, regulating nutrient intake and using pressure relief pads. Objective: As one of the main materials of pressure relief pad, foam dressing has been gradually applied and promoted. Whether foam dressing is effective in preventing pressure ulcers is a very important issue for patients and medical staff. Finding effective measures to prevent PU can not only improve the quality of care, reduce patients' suffering, but also reduce medical costs. Therefore, guided by evidence-based theory, it is important for caregivers to use the most effective clinical decisions to prevent pressure ulcers and improve patient outcomes. Method: In this paper, 5 studies related to foam dressing were conducted to confirm whether it is safe and effective for the prevention of pressure ulcers, which can further promote the rational selection of clinical prevention measures. Result: All five studies included in the analysis showed that foam dressings had a positive effect on the prevention of stress injuries. Conclusion: Foam dressings are effective in preventing pressure ulcers. It is suggested that the relevant personnel should strictly choose the materials that meet the requirements when using dressings and train the users on the key points of the application process in advance.},
     year = {2022}
    }
    

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  • TY  - JOUR
    T1  - In Hospitalized Patients, How Effective Is a Foam Dressing in Reducing the Risk of Pressure Ulcers Compared with Standard Preventative Care
    AU  - Chulei Ji
    AU  - Ru Yu
    AU  - Qian Mi
    AU  - Sha Yu
    AU  - Xianjie Zhang
    Y1  - 2022/04/14
    PY  - 2022
    N1  - https://doi.org/10.11648/j.ajhr.20221002.14
    DO  - 10.11648/j.ajhr.20221002.14
    T2  - American Journal of Health Research
    JF  - American Journal of Health Research
    JO  - American Journal of Health Research
    SP  - 40
    EP  - 43
    PB  - Science Publishing Group
    SN  - 2330-8796
    UR  - https://doi.org/10.11648/j.ajhr.20221002.14
    AB  - Background: Pressure ulcers (PU) are to point to the necrosis or ulcer that local skin or organization causes because of various reasons. This is the last thing a health care worker wants to happen in a medical setting. The occurrence of pressure ulcers would cause the patients' body infection, affect recovery, and then prolong the hospital stay, increase the national medical investment. If patients do not intervene in time, serious consequences such as death may result. Since pressure ulcers occur mainly in prominent areas of the body, studies have recommended prophylactic use of dressings to reduce the incidence of PU. Current prevention measures for PU include assessing factors associated with avoiding skin damage, regulating nutrient intake and using pressure relief pads. Objective: As one of the main materials of pressure relief pad, foam dressing has been gradually applied and promoted. Whether foam dressing is effective in preventing pressure ulcers is a very important issue for patients and medical staff. Finding effective measures to prevent PU can not only improve the quality of care, reduce patients' suffering, but also reduce medical costs. Therefore, guided by evidence-based theory, it is important for caregivers to use the most effective clinical decisions to prevent pressure ulcers and improve patient outcomes. Method: In this paper, 5 studies related to foam dressing were conducted to confirm whether it is safe and effective for the prevention of pressure ulcers, which can further promote the rational selection of clinical prevention measures. Result: All five studies included in the analysis showed that foam dressings had a positive effect on the prevention of stress injuries. Conclusion: Foam dressings are effective in preventing pressure ulcers. It is suggested that the relevant personnel should strictly choose the materials that meet the requirements when using dressings and train the users on the key points of the application process in advance.
    VL  - 10
    IS  - 2
    ER  - 

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Author Information
  • Department of Anesthesiology, The People’s Hospital of Deyang City, Deyang, China

  • Department of Anesthesiology, The People’s Hospital of Deyang City, Deyang, China

  • Department of Anesthesiology, The People’s Hospital of Deyang City, Deyang, China

  • Department of Anesthesiology, The People’s Hospital of Deyang City, Deyang, China

  • Department of Anesthesiology, The People’s Hospital of Deyang City, Deyang, China

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