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Optimal Time Interval for Position Change for ICU Patients using Foam Mattress Against Pressure Ulcer Risk
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Hyean Jeong Kim, In Sook Jeong
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J Korean Acad Nurs 2012;42(5):730-737. Published online October 31, 2012
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DOI: https://doi.org/10.4040/jkan.2012.42.5.730
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 Abstract
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Purpose
This study was done to identify the time interval to pressure ulcer and to determine the optimal time interval for position change depending on pressure ulcer risk in patients using foam mattress in intensive care units.
Methods
The Braden scale score, occurrence of pressure ulcers and position change intervals were assessed with 56 patients admitted to an intensive care unit from April to November, 2011. The time to pressure ulcer occurrence by Braden scale risk group was analyzed with Kaplan-Meier survival analysis and log rank test. Then, the optimal time interval for position change was calculated with ROC curve.
Results
The median time to pressure ulcer occurrence was 5 hours at mild or moderate risk, 3.5 hours at high risk and 3 hours at very high risk on the Braden scale. The optimal time interval for position change was 3 hours at mild and moderate risk, 2 hours at high and very high risk of Braden scale.
Conclusion
When foam mattresses are used a slight extension of the time interval for position change can be considered for the patients with mild or moderate pressure ulcer risk but not for patients with high or very high pressure ulcer risk by Braden scale.
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Citations
Citations to this article as recorded by  - The effect of support surface on the prevention of pressure injury in acute care settings: A multi-center prospective observational study
Mi-Ock Shim, Chul-Gyu Kim, Ja Kyung Min, So Yeon Kwak, Hyunhee Ghil, Seungmi Park
Journal of Tissue Viability.2024; 33(4): 652. CrossRef - Predicting the cut‐off point for interface pressure in pressure injury according to the standard hospital mattress and polyurethane foam mattress as support surfaces
Mi Yu, Kyung Hee Park, Jiseon Shin, Ji Hyun Lee
International Wound Journal.2022; 19(6): 1509. CrossRef - Effectiveness of Devices for Prevention and Treatment of Pressure Ulcers: A scoping Review
Soo Youn Jung, Mina Park, Kyoung Ja Moon
Korean Journal of Adult Nursing.2022; 34(2): 123. CrossRef - Comparing Pressure Injury Incidence Based on Repositioning Intervals and Support Surfaces in Acute Care Settings: A Quasi-Experimental Pragmatic Study
Jeong Sil Choi, Seon Young Hyun, Sun Ju Chang
Advances in Skin & Wound Care.2021; 34(8): 1. CrossRef - Perioperative factors and pressure ulcer development in postoperative ICU patients: a retrospective review
Neha Kumta, Fiona Coyer, Michael David
Journal of Wound Care.2018; 27(8): 475. CrossRef - Improving the quality of nurse‐influenced patient care in the intensive care unit
Lynsey J. Sutton, Rebecca J. Jarden
Nursing in Critical Care.2017; 22(6): 339. CrossRef - The Efficacy of a Viscoelastic Foam Overlay on Prevention of Pressure Injury in Acutely Ill Patients
Kyung Hee Park, Joohee Park
Journal of Wound, Ostomy & Continence Nursing.2017; 44(5): 440. CrossRef - Automated Pressure Injury Risk Assessment System Incorporated Into an Electronic Health Record System
Yinji Jin, Taixian Jin, Sun-Mi Lee
Nursing Research.2017; 66(6): 462. CrossRef - Prophylactic Effect of Transparent Film Dressing on Sacrum and Coccyx in SICU Patients*
Heejeong Kim, Sun-Mi Lee, Hee young Choi, Yu Kyung Min, Yoo Jin Jung
Journal of Korean Academy of Fundamentals of Nursing.2016; 23(3): 256. CrossRef - A Phenomenological Study on Illness Experience of Patients with Pressure Ulcer
Misoo Yoo, Myungsun Yi
Korean Journal of Adult Nursing.2015; 27(5): 515. CrossRef - Reusability of EMR Data for Applying Cubbin and Jackson Pressure Ulcer Risk Assessment Scale in Critical Care Patients
Eunkyung Kim, Mona Choi, JuHee Lee, Young Ah Kim
Healthcare Informatics Research.2013; 19(4): 261. CrossRef
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