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Basınç Yaralarına Yönelik Yapılan Bakım Paketi Çalışmaları: Kapsam İncelemesi

Year 2024, Volume: 3 Issue: 1, 26 - 39, 04.05.2024

Abstract

Günümüzde basınç yaraları, hastanelerde bakım kalitesini düşüren ve aynı zamanda önlenebilir bir komplikasyon olarak kabul edilmektedir. Basınç yaralarını önlemenin tedaviden daha düşük maliyetli olduğu bilinmektedir. Ancak, günümüzde özellikle yoğun bakım ünitelerinde basınç yaralarının insidansının çok yüksek olduğu gözlemlenmektedir. Uluslararası kılavuzlarda kanıta dayalı uygulamaların bir arada uygulanması, basınç yaralarının insidansını azaltmaya yardımcı olabilir. Bu kanıta dayalı uygulamaların bir araya getirilip uygulanmasıyla oluşan bakım paketleri, basınç yaralarının sıklığını azaltmaya yönelik bir başlangıç noktası olabilir. Bu nedenle, basınç yaralarının azaltılmasında oldukça etkili olduğu görülen bakım paketi uygulamalarına odaklanarak, son on yılda yapılan araştırma makalelerinin sonuçları bu derlemede ele alınmıştır.

Ethical Statement

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Supporting Institution

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Thanks

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References

  • Altaş, G., & Çelik, S. (2023). Evaluation of a Pressure Injury Prevention Care Bundle in an ICU in Turkey. Advances in Skin and Wound Care, 36(12), 658–665. https://doi.org/10.1097/ASW.0000000000000070
  • Anderson, M., Guthrie, P. F., Kraft, W., Reicks, P., Skay, C., & Beal, A. L. (2015). Universal Pressure Ulcer Prevention Bundle with WOC Nurse Support. Journal of Wound, Ostomy and Continence Nursing, 42(3), 217–225. https://doi.org/10.1097/WON.0000000000000109
  • Borgert, M. J., Goossens, A., & Dongelmans, D. A. (2015). What are effective strategies for the implementation of care bundles on ICUs: A systematic review. Implementation Science, 10(1), 1–11. https://doi.org/10.1186/s13012-015-0306-1
  • Byrne, S., Patton, D., Avsar, P., Strapp, H., Budri, A., O’Connor, T., Nugent, L., & Moore, Z. (2023). Sub epidermal moisture measurement and targeted SSKIN bundle interventions, a winning combination for the treatment of early pressure ulcer development. International Wound Journal, 20(6), 1987–1999. https://doi.org/10.1111/iwj.14061
  • Candaş, B., & Gürsoy, A. (2017). Time for Nurses to Make the Move: From Evidence Based Practice to Care Bundle. Hemşirelikte Eğitim ve Araştırma Dergisi, 14(3), 233–238. https://doi.org/10.5222/head.2017.233
  • Çavuşoğlu, A., Yeni, K., İncekara, H., Acun, A., Polat Dünya, C., & Türek, Z. (2020). Pressure Ulcer Prevalence in a Intensive Care Unit: A Retrospective Study. Journal of Academic Research in Nursing, 6(2), 203–209. https://doi.org/10.5222/jaren.2020.36854
  • Chaboyer, W., Bucknall, T., Webster, J., McInnes, E., Gillespie, B. M., Banks, M., Whitty, J. A., Thalib, L., Roberts, S., Tallott, M., Cullum, N., & Wallis, M. (2016). The effect of a patient centred care bundle intervention on pressure ulcer incidence (INTACT): A cluster randomised trial. International Journal of Nursing Studies, 64, 63–71. https://doi.org/10.1016/j.ijnurstu.2016.09.015
  • Chaboyer, W., & Gillespie, B. M. (2014). Understanding nurses’ views on a pressure ulcer prevention care bundle: A first step towards successful implementation. Journal of Clinical Nursing, 23(23–24), 3415–3423. https://doi.org/10.1111/jocn.12587
  • Chen, Y., He, L., Qu, W., & Zhang, C. (2017). Predictors of intraoperative pressure injury in patients undergoing major hepatobiliary surgery. Journal of Wound Ostomy & Continence Nursing, 44(5), 445–449.
  • Cox, J., Roche, S., & Murphy, V. (2018). Pressure Injury Risk Factors in Critical Care Patients: A Descriptive Analysis. Advances in Skin and Wound Care, 31(7), 328–334. https://doi.org/10.1097/01.ASW.0000534699.50162.4e
  • EPUAP/NPIAP/PPPIA. (2019). Basınç Ülserlerinin/Yaralarının Önlenmesi ve Tedavisi:Hızlı Başvuru Kılavuzu. In European Pressure Ulcer Advisory Panel.
  • Espejo, E., Andrés, M., Borrallo, R. M., Padilla, E., Garcia-Restoy, E., & Bella, F. (2018). Bacteremia associated with pressure ulcers: a prospective cohort study. European Journal of Clinical Microbiology and Infectious Diseases, 37(5), 969–975. https://doi.org/10.1007/s10096-018-3216-8
  • Ferguson, J. W., & Armstrong, M. J. (2018). monitoring blood pressure is key to the safe use of beta-blockers in patients with chronic liver failure. Alimentary Pharmacology & Therapeutics, 47(2), 300–301.
  • İlce,A. & Kuzay, H. (2023). Evde Bakımda Kronik Yara Bakımı Verenlerin Özellikleri ve Kronik Yara Bakımında Kullandığı Yöntemlerin Belirlenmesi. Sağlık, Bakım ve Rehabilitasyon Dergisi, 2(1), 1-9.
  • Kayser, S. A., VanGilder, C. A., & Lachenbruch, C. (2019). Predictors of superficial and severe hospital-acquired pressure injuries: A cross-sectional study using the international pressure ulcer prevalenceTM survey. International Journal of Nursing Studies, 89(August 2018), 46–52. https://doi.org/10.1016/j.ijnurstu.2018.09.003
  • Kiraner, E., & Kaya, H. (2021). COVİD-19 tanısı ile yoğun bakımda yatan hastalarda basınç yaralanmalarının ve risk faktörlerinin retrospektif analizi. Journal Of The Turkısh Socıety Of Crıtıcal Care Nurses, 25(3), 139–151. https://doi.org/https://dergipark.org.tr/en/pub/ybhd/issue/66611/925918
  • Labeau, S. O., Afonso, E., Benbenishty, J., Blackwood, B., Boulanger, C., Brett, S. J., Calvino-Gunther, S., Chaboyer, W., Coyer, F., Deschepper, M., François, G., Honore, P. M., Jankovic, R., Khanna, A. K., Llaurado-Serra, M., Lin, F., Rose, L., Rubulotta, F., Saager, L., … Erdogan, E. (2021). Prevalence, associated factors and outcomes of pressure injuries in adult intensive care unit patients: the DecubICUs study. Intensive Care Medicine, 47(2), 160–169. https://doi.org/10.1007/s00134-020-06234-9
  • Li, Z., Lin, F., Thalib, L., & Chaboyer, W. (2020). Global prevalence and incidence of pressure injuries in hospitalised adult patients: A systematic review and meta-analysis. International Journal of Nursing Studies, 105, 103546. https://doi.org/10.1016/j.ijnurstu.2020.103546
  • Mao, X., & Zhu, L. (2021). Effects of care bundles for patients with pressure ulcers and the impact on self-care efficacy. American Journal of Translational Research, 13(3), 1799–1807. https://doi.org/https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8014366/
  • Roberts, S., McInnes, E., Wallis, M., Bucknall, T., Banks, M., & Chaboyer, W. (2016). Nurses’ perceptions of a pressure ulcer prevention care bundle: A qualitative descriptive study. BMC Nursing, 15(1), 1–10. https://doi.org/10.1186/s12912-016-0188-9
  • Roberts, S., Wallis, M., McInnes, E., Bucknall, T., Banks, M., Ball, L., & Chaboyer, W. (2017). Patients’ Perceptions of a Pressure Ulcer Prevention Care Bundle in Hospital: A Qualitative Descriptive Study to Guide Evidence-Based Practice. Worldviews on Evidence-Based Nursing, 14(5), 385–393. https://doi.org/10.1111/wvn.12226
  • Rostamvand, M., Abdi, K., Gheshlagh, R. G., Khaki, S., Dehvan, F., & Barzgaran, R. (2022). Nurses’ attitude on pressure injury prevention: A systematic review and meta-analysis based on the pressure ulcer prevention instrument (APuP). Journal of Tissue Viability, 31(2), 346–352. https://doi.org/10.1016/j.jtv.2021.12.004
  • Sayan, H. E., Girgin, N. K., & Asan, A. (2020). Prevalence of pressure ulcers in hospitalized adult patients in Bursa, Turkey: A multicentre, point prevalence study. Journal of Evaluation in Clinical Practice, 26(6), 1669–1676. https://doi.org/10.1111/jep.13354
  • Tayyib, N., Asiri, M. Y., Danic, S., Sahi, S. L., Lasafin, J., Generale, L. F., Malubay, A., Viloria, P., Palmere, M. G., Parbo, A. R., Aguilar, K. E., Licuanan, P. M., & Reyes, M. (2021). The effectiveness of the SKINCARE bundle in preventing medical-device related pressure injuries in critical care units: A clinical trial. Advances in Skin and Wound Care, 34(2), 75–80. https://doi.org/10.1097/01.ASW.0000725184.13678.80
  • Tayyib, N., & Coyer, F. (2017). Translating Pressure Ulcer Prevention into Intensive Care Nursing Practice: Overlaying a Care Bundle Approach with a Model for Research Implementation. Journal of Nursing Care Quality, 32(1), 6–14. https://doi.org/10.1097/NCQ.0000000000000199
  • Tayyib, N., Coyer, F., & Lewis, P. A. (2016). Implementing a pressure ulcer prevention bundle in an adult intensive care. Intensive and Critical Care Nursing, 37, 27–36. https://doi.org/10.1016/j.iccn.2016.04.005
  • Wang, N., Lv, L., Yan, F., Ma, Y., Miao, L., Foon Chung, L. Y., & Han, L. (2022). Biomarkers for the early detection of pressure injury: A systematic review and meta-analysis. Journal of Tissue Viability, 31(2), 259–267. https://doi.org/10.1016/j.jtv.2022.02.005
  • Whitty, J. A., McInnes, E., Bucknall, T., Webster, J., Gillespie, B. M., Banks, M., Thalib, L., Wallis, M., Cumsille, J., Roberts, S., & Chaboyer, W. (2017). The cost-effectiveness of a patient centred pressure ulcer prevention care bundle: Findings from the INTACT cluster randomised trial. International Journal of Nursing Studies, 75(December 2016), 35–42. https://doi.org/10.1016/j.ijnurstu.2017.06.014
  • Yilmazer, T., & Tuzer, H. (2019). Pressure ulcer prevention care bundle: A Cross-sectional, Content Validation Study. Wound Management and Prevention, 65(5), 33–39. https://doi.org/10.25270/wmp.2019.5.3339
  • Yılmazer, T., & Tüzer, H. (2020). Hemşirelikte Araştırma Geliştirme Dergisi Basınç Yaralanması Önleme Bakım Paketinin Uygulanmasındaki Engellerin Belirlenmesi ; Yoğun Bakım Hemşirelerinin Görüşleri Identification of Barriers to the Implementation of Pressure Ulcer Prevention Care Bundle ; 9557, 1–11.
  • Yilmazer, T., & Tuzer, H. (2022). The effect of a pressure ulcer prevention care bundle on nursing workload costs. Journal of Tissue Viability, 31(3), 459–464. https://doi.org/10.1016/j.jtv.2022.05.004
  • Zhang, X., Wu, Z., Zhao, B., Zhang, Q., & Li, Z. (2021). Implementing a pressure injury care bundle in chinese intensive care units. Risk Management and Healthcare Policy, 14, 2435–2442. https://doi.org/10.2147/RMHP.S292579

BUNDLE STUDIES RELATED TO PRESSURE WOUNDS: SCOPING REVIEW

Year 2024, Volume: 3 Issue: 1, 26 - 39, 04.05.2024

Abstract

In contemporary healthcare settings, pressure ulcers are acknowledged as a preventable complication that not only compromises the quality of care in hospitals but also escalates healthcare costs. It is widely recognized that preventing pressure ulcers is more cost-effective than treating them. However, it is currently observed that the incidence of pressure ulcers is particularly high in intensive care units. The simultaneous implementation of evidence-based practices outlined in international guidelines may contribute to reducing the incidence of pressure ulcers. Care bundles formed basınç yarası the amalgamation and application of these evidence-based practices could serve as an initial step towards decreasing the prevalence of pressure ulcers. Therefore, focusing on care bundle interventions, which have been shown to be highly effective in reducing pressure ulcer occurrences, the findings of research articles from the past decade have been addressed in this review.

References

  • Altaş, G., & Çelik, S. (2023). Evaluation of a Pressure Injury Prevention Care Bundle in an ICU in Turkey. Advances in Skin and Wound Care, 36(12), 658–665. https://doi.org/10.1097/ASW.0000000000000070
  • Anderson, M., Guthrie, P. F., Kraft, W., Reicks, P., Skay, C., & Beal, A. L. (2015). Universal Pressure Ulcer Prevention Bundle with WOC Nurse Support. Journal of Wound, Ostomy and Continence Nursing, 42(3), 217–225. https://doi.org/10.1097/WON.0000000000000109
  • Borgert, M. J., Goossens, A., & Dongelmans, D. A. (2015). What are effective strategies for the implementation of care bundles on ICUs: A systematic review. Implementation Science, 10(1), 1–11. https://doi.org/10.1186/s13012-015-0306-1
  • Byrne, S., Patton, D., Avsar, P., Strapp, H., Budri, A., O’Connor, T., Nugent, L., & Moore, Z. (2023). Sub epidermal moisture measurement and targeted SSKIN bundle interventions, a winning combination for the treatment of early pressure ulcer development. International Wound Journal, 20(6), 1987–1999. https://doi.org/10.1111/iwj.14061
  • Candaş, B., & Gürsoy, A. (2017). Time for Nurses to Make the Move: From Evidence Based Practice to Care Bundle. Hemşirelikte Eğitim ve Araştırma Dergisi, 14(3), 233–238. https://doi.org/10.5222/head.2017.233
  • Çavuşoğlu, A., Yeni, K., İncekara, H., Acun, A., Polat Dünya, C., & Türek, Z. (2020). Pressure Ulcer Prevalence in a Intensive Care Unit: A Retrospective Study. Journal of Academic Research in Nursing, 6(2), 203–209. https://doi.org/10.5222/jaren.2020.36854
  • Chaboyer, W., Bucknall, T., Webster, J., McInnes, E., Gillespie, B. M., Banks, M., Whitty, J. A., Thalib, L., Roberts, S., Tallott, M., Cullum, N., & Wallis, M. (2016). The effect of a patient centred care bundle intervention on pressure ulcer incidence (INTACT): A cluster randomised trial. International Journal of Nursing Studies, 64, 63–71. https://doi.org/10.1016/j.ijnurstu.2016.09.015
  • Chaboyer, W., & Gillespie, B. M. (2014). Understanding nurses’ views on a pressure ulcer prevention care bundle: A first step towards successful implementation. Journal of Clinical Nursing, 23(23–24), 3415–3423. https://doi.org/10.1111/jocn.12587
  • Chen, Y., He, L., Qu, W., & Zhang, C. (2017). Predictors of intraoperative pressure injury in patients undergoing major hepatobiliary surgery. Journal of Wound Ostomy & Continence Nursing, 44(5), 445–449.
  • Cox, J., Roche, S., & Murphy, V. (2018). Pressure Injury Risk Factors in Critical Care Patients: A Descriptive Analysis. Advances in Skin and Wound Care, 31(7), 328–334. https://doi.org/10.1097/01.ASW.0000534699.50162.4e
  • EPUAP/NPIAP/PPPIA. (2019). Basınç Ülserlerinin/Yaralarının Önlenmesi ve Tedavisi:Hızlı Başvuru Kılavuzu. In European Pressure Ulcer Advisory Panel.
  • Espejo, E., Andrés, M., Borrallo, R. M., Padilla, E., Garcia-Restoy, E., & Bella, F. (2018). Bacteremia associated with pressure ulcers: a prospective cohort study. European Journal of Clinical Microbiology and Infectious Diseases, 37(5), 969–975. https://doi.org/10.1007/s10096-018-3216-8
  • Ferguson, J. W., & Armstrong, M. J. (2018). monitoring blood pressure is key to the safe use of beta-blockers in patients with chronic liver failure. Alimentary Pharmacology & Therapeutics, 47(2), 300–301.
  • İlce,A. & Kuzay, H. (2023). Evde Bakımda Kronik Yara Bakımı Verenlerin Özellikleri ve Kronik Yara Bakımında Kullandığı Yöntemlerin Belirlenmesi. Sağlık, Bakım ve Rehabilitasyon Dergisi, 2(1), 1-9.
  • Kayser, S. A., VanGilder, C. A., & Lachenbruch, C. (2019). Predictors of superficial and severe hospital-acquired pressure injuries: A cross-sectional study using the international pressure ulcer prevalenceTM survey. International Journal of Nursing Studies, 89(August 2018), 46–52. https://doi.org/10.1016/j.ijnurstu.2018.09.003
  • Kiraner, E., & Kaya, H. (2021). COVİD-19 tanısı ile yoğun bakımda yatan hastalarda basınç yaralanmalarının ve risk faktörlerinin retrospektif analizi. Journal Of The Turkısh Socıety Of Crıtıcal Care Nurses, 25(3), 139–151. https://doi.org/https://dergipark.org.tr/en/pub/ybhd/issue/66611/925918
  • Labeau, S. O., Afonso, E., Benbenishty, J., Blackwood, B., Boulanger, C., Brett, S. J., Calvino-Gunther, S., Chaboyer, W., Coyer, F., Deschepper, M., François, G., Honore, P. M., Jankovic, R., Khanna, A. K., Llaurado-Serra, M., Lin, F., Rose, L., Rubulotta, F., Saager, L., … Erdogan, E. (2021). Prevalence, associated factors and outcomes of pressure injuries in adult intensive care unit patients: the DecubICUs study. Intensive Care Medicine, 47(2), 160–169. https://doi.org/10.1007/s00134-020-06234-9
  • Li, Z., Lin, F., Thalib, L., & Chaboyer, W. (2020). Global prevalence and incidence of pressure injuries in hospitalised adult patients: A systematic review and meta-analysis. International Journal of Nursing Studies, 105, 103546. https://doi.org/10.1016/j.ijnurstu.2020.103546
  • Mao, X., & Zhu, L. (2021). Effects of care bundles for patients with pressure ulcers and the impact on self-care efficacy. American Journal of Translational Research, 13(3), 1799–1807. https://doi.org/https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8014366/
  • Roberts, S., McInnes, E., Wallis, M., Bucknall, T., Banks, M., & Chaboyer, W. (2016). Nurses’ perceptions of a pressure ulcer prevention care bundle: A qualitative descriptive study. BMC Nursing, 15(1), 1–10. https://doi.org/10.1186/s12912-016-0188-9
  • Roberts, S., Wallis, M., McInnes, E., Bucknall, T., Banks, M., Ball, L., & Chaboyer, W. (2017). Patients’ Perceptions of a Pressure Ulcer Prevention Care Bundle in Hospital: A Qualitative Descriptive Study to Guide Evidence-Based Practice. Worldviews on Evidence-Based Nursing, 14(5), 385–393. https://doi.org/10.1111/wvn.12226
  • Rostamvand, M., Abdi, K., Gheshlagh, R. G., Khaki, S., Dehvan, F., & Barzgaran, R. (2022). Nurses’ attitude on pressure injury prevention: A systematic review and meta-analysis based on the pressure ulcer prevention instrument (APuP). Journal of Tissue Viability, 31(2), 346–352. https://doi.org/10.1016/j.jtv.2021.12.004
  • Sayan, H. E., Girgin, N. K., & Asan, A. (2020). Prevalence of pressure ulcers in hospitalized adult patients in Bursa, Turkey: A multicentre, point prevalence study. Journal of Evaluation in Clinical Practice, 26(6), 1669–1676. https://doi.org/10.1111/jep.13354
  • Tayyib, N., Asiri, M. Y., Danic, S., Sahi, S. L., Lasafin, J., Generale, L. F., Malubay, A., Viloria, P., Palmere, M. G., Parbo, A. R., Aguilar, K. E., Licuanan, P. M., & Reyes, M. (2021). The effectiveness of the SKINCARE bundle in preventing medical-device related pressure injuries in critical care units: A clinical trial. Advances in Skin and Wound Care, 34(2), 75–80. https://doi.org/10.1097/01.ASW.0000725184.13678.80
  • Tayyib, N., & Coyer, F. (2017). Translating Pressure Ulcer Prevention into Intensive Care Nursing Practice: Overlaying a Care Bundle Approach with a Model for Research Implementation. Journal of Nursing Care Quality, 32(1), 6–14. https://doi.org/10.1097/NCQ.0000000000000199
  • Tayyib, N., Coyer, F., & Lewis, P. A. (2016). Implementing a pressure ulcer prevention bundle in an adult intensive care. Intensive and Critical Care Nursing, 37, 27–36. https://doi.org/10.1016/j.iccn.2016.04.005
  • Wang, N., Lv, L., Yan, F., Ma, Y., Miao, L., Foon Chung, L. Y., & Han, L. (2022). Biomarkers for the early detection of pressure injury: A systematic review and meta-analysis. Journal of Tissue Viability, 31(2), 259–267. https://doi.org/10.1016/j.jtv.2022.02.005
  • Whitty, J. A., McInnes, E., Bucknall, T., Webster, J., Gillespie, B. M., Banks, M., Thalib, L., Wallis, M., Cumsille, J., Roberts, S., & Chaboyer, W. (2017). The cost-effectiveness of a patient centred pressure ulcer prevention care bundle: Findings from the INTACT cluster randomised trial. International Journal of Nursing Studies, 75(December 2016), 35–42. https://doi.org/10.1016/j.ijnurstu.2017.06.014
  • Yilmazer, T., & Tuzer, H. (2019). Pressure ulcer prevention care bundle: A Cross-sectional, Content Validation Study. Wound Management and Prevention, 65(5), 33–39. https://doi.org/10.25270/wmp.2019.5.3339
  • Yılmazer, T., & Tüzer, H. (2020). Hemşirelikte Araştırma Geliştirme Dergisi Basınç Yaralanması Önleme Bakım Paketinin Uygulanmasındaki Engellerin Belirlenmesi ; Yoğun Bakım Hemşirelerinin Görüşleri Identification of Barriers to the Implementation of Pressure Ulcer Prevention Care Bundle ; 9557, 1–11.
  • Yilmazer, T., & Tuzer, H. (2022). The effect of a pressure ulcer prevention care bundle on nursing workload costs. Journal of Tissue Viability, 31(3), 459–464. https://doi.org/10.1016/j.jtv.2022.05.004
  • Zhang, X., Wu, Z., Zhao, B., Zhang, Q., & Li, Z. (2021). Implementing a pressure injury care bundle in chinese intensive care units. Risk Management and Healthcare Policy, 14, 2435–2442. https://doi.org/10.2147/RMHP.S292579
There are 32 citations in total.

Details

Primary Language Turkish
Subjects ICU Nursing
Journal Section Reviews
Authors

Zeynep Çor 0009-0007-6315-3572

Ganime Esra Soysal 0000-0002-8291-4310

Publication Date May 4, 2024
Submission Date March 26, 2024
Acceptance Date April 22, 2024
Published in Issue Year 2024 Volume: 3 Issue: 1

Cite

APA Çor, Z., & Soysal, G. E. (2024). Basınç Yaralarına Yönelik Yapılan Bakım Paketi Çalışmaları: Kapsam İncelemesi. Sağlık Bakım Ve Rehabilitasyon Dergisi, 3(1), 26-39.