PloS one
Door Zamani Shiva Y, Hasandoost F, Nasiri M en 1 anderen.
Inhoud in het Engels
Medical Device-Related Pressure Injuries (MDRPI) are a serious complication in intensive care units (ICUs), yet structured prevention algorithms are lacking.
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This single-group, pre-test/post-test quasi-experimental study was conducted in the General Intensive Care Unit from February 2025 to April 2025. The sample comprised 38 nurses and 77 patients (39 pre-intervention, 38 post-intervention). Nurses' knowledge was assessed using the MDRPUKQ questionnaire, and patient outcomes were monitored using baseline and post-intervention data on pressure injury prevalence and severity. Data were analyzed using SPSS version 26, employing descriptive and inferential statistics including paired t-tests, independent t-tests, chi-square tests, Fisher's exact tests, and multivariable logistic regression.
The mean knowledge score increased significantly from 57.74 (SD = 11.15) before training to 89.55 (SD = 5.17) afterward (mean difference: 31.81, 95% CI: 28.35-35.27, P < 0.001, Cohen's d = 3.02). Overall, MDRPI prevalence decreased from 38.5% (95% CI: 24.9-54.1%) pre-intervention to 28.9% (95% CI: 17-44%). However, this difference was not statistically significant using Pearson's chi-square test (χ2 = 0.82, P = 0.365). The distribution of pressure injury stages before implementation was: Stage 1 (28.2%), Stage 2 (7.7%), and Stage 3 (2.6%). Following the intervention, prevalence dropped to Stage 1 (21.1%) and Stage 2 (5.3%), with no new Stage 3 injuries reported. After adjusting for potential confounders (age, Braden score, ICU length of stay, and device exposure duration), implementation of the algorithm was associated with reduced MDRPI occurrence (adjusted OR = 0.42, 95% CI: 0.19-0.91, P = 0.026).
Implementation of the MDRPI prevention algorithm was associated with significant improvement in nurses' knowledge. A numerically lower prevalence was observed. This suggests that injuries caused by medical equipment are largely absent from current mandatory continuing education or postgraduate nursing curricula, reinforcing the need for a thorough review and the integration of this topic into standard educational programs.
Gepubliceerd in PloS one. Het abstract staat hier zoals het is gepubliceerd en blijft het werk van de auteurs; lees het volledige artikel bij de bron.
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