J Korean Crit Care Nurs.  2018 Feb;11(1):67-78. 10.0000/jkccn.2018.11.1.67.

Effectiveness of the Intervention Programs for Pressure Ulcer Prevention in Intensive Care Units : A Meta-analysis

• Kang H
• Ko JW

• KMID: 2407172
• DOI: http://doi.org/10.0000/jkccn.2018.11.1.67

Abstract

PURPOSE
A meta-analysis was conducted to identify the effectiveness of strategies designed to prevent the incidence and prevalence of pressure ulcers in intensive care units (ICUs). METHOD: The search strategy was designed to retrieve studies both published and unpublished between 2007 and 2017 including studies in English across PubMed and CINAHL, as well as in Korean across RISS, DBPia, NDSL, KISS, and NAL. All adult ICU participants were 18 years or over. Inclusion criteria were randomized controlled trials, quasi-experimental and comparative studies. Two independent reviewers conducted quality assessments of the included studies by Scottish Intercollegiate Guidelines Network. A Review Manager 5 was used to analyze effect sizes and to identify possible sources of heterogeneity among the studies.
RESULTS
The odds ratio (OR) effect sizes were all statistically significant. The OR of total effect size was 0.30(95% CI: 0.19, 0.47), care bundle was 0.37(95% CI: 0.24, 0.57), position change was 0.45(95% CI: 0.10, 2.08), and a silicone border foam dressing was 0.14(95% CI: 0.07, 0.29).
CONCLUSION
The preventive interventions for patients in the ICUs have positive impacts on reducing the incidence of pressure ulcers.

Keyword

Pressure ulcer; Intensive care unit; Intervention; Meta-analysis

MeSH Terms

Adult
Bandages
Critical Care*
Humans
Incidence
Intensive Care Units*
Methods
Odds Ratio
Patient Care Bundles
Population Characteristics
Pressure Ulcer*
Prevalence
Silicon
Silicones
Silicon
Silicones