J Korean Acad Fundam Nurs.  2016 Aug;23(3):256-263. 10.7739/jkafn.2016.23.3.256.

Prophylactic Effect of Transparent Film Dressing on Sacrum and Coccyx in SICU Patients

• Kim H
• Lee SM
• Choi HY
• Min YK
• Jung YJ

• KMID: 2351287
• DOI: http://doi.org/10.7739/jkafn.2016.23.3.256

Abstract

PURPOSE
This study was done to examine the prophylactic effect of transparent film dressing on the sacrum and coccyx sites to reduce pressure ulcers.
METHODS
The participants were 317 patients admitted to an SICU in Seoul, Korea. Of the patients, 175 were assigned to the experimental group and 142 to the control group. For participants in the experimental group, a prophylactic transparent film dressing was applied on the sacrum and coccyx. The control group received the usual care. The nurses checked for pressure ulcers on the sacrum and coccyx at least once every duty. When pressure ulcer occurred, it reported on the record form. The results were analyzed using Poisson and Hierarchical logistic regression.
RESULTS
The prevalence and risk of pressure ulcer was lower in the experimental group compared to the control group but the difference was not significant. The ICU length of stay was significantly associated with pressure ulcer risk.
CONCLUSION
Findings indicate that prophylactic transparent film dressing helps to reduce pressure ulcer in SICU patients.

Keyword

Pressure ulcer; Prevention and control; Critical care nursing; Skin care

MeSH Terms

Bandages*
Coccyx*
Critical Care Nursing
Humans
Korea
Length of Stay
Logistic Models
Pressure Ulcer
Prevalence
Sacrum*
Seoul
Skin Care