Journals / Sağlık Bilimleri Üniversitesi Hemşirelik Dergisi / 2026 / Cilt: 6 Sayı: 1

Medical Device-Related Pressure Injury Development in Intensive Care Patients and Affecting Factors: Point Prevalence Study

Yoğun Bakım Hastalarında Tıbbi Cihazla İlişkili Basınç Yaralanması Gelişimi ve Etkileyen Faktörler: Nokta Prevalans Çalışması

Sevil Pamuk Cebeci(ESKİŞEHİR OSMANGAZİ ÜNİVERSİTESİ, SAĞLIK BİLİMLERİ FAKÜLTESİ)0000-0002-3788-5784
Asuman Çobanoğlu(GİRESUN ÜNİVERSİTESİ)0000-0002-5656-1910
Hatice Oğuzhan(GÜMÜŞHANE ÜNİVERSİTESİ, GÜMÜŞHANE SAĞLIK HİZMETLERİ MESLEK YÜKSEKOKULU)0000-0003-2343-8673
Pages
57–64
Publication Date
2024-04-08
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AI Summary & Key Takeaways

AI Insight
⚡ TL;DR(Too Long; Didn't Read)

Conclusion: In the study, it was found that pressure injuries related to medical devices were seen at a very high rate in patients hospitalized in intensive care and that pressure injuries were more common in the nose and nose edge, ear and around the ear, and the subclavian region.

📌 3 Key Takeaways

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Objective & Hypothesis:ABSTRACT Introduction: Medical device-related pressure injuries are more common in intensive care units where medical devices are used more frequently Aim: The research was conducted to examine the pressure injury conditionrelated to medical devices and the affecting factors in intensive care patients.
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Key Findings & Data:Method: The research was conducted as a point prevalence study with 102 patients treated in the intensive care units of two training and research hospitals located in two different provinces in Turkey.
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Conclusion & Impact:Conclusion: In the study, it was found that pressure injuries related to medical devices were seen at a very high rate in patients hospitalized in intensive care and that pressure injuries were more common in the nose and nose edge, ear and around the ear, and the subclavian region.
🔬Design:Klinik Araştırma
📍Scope:Comprehensive Sample
⚙️Variables:Basınç yaralanması · hemşirelik bakımı · tıbbi cihaz

Abstract

ABSTRACT Introduction: Medical device-related pressure injuries are more common in intensive care units where medical devices are used more frequently Aim: The research was conducted to examine the pressure injury conditionrelated to medical devices and the affecting factors in intensive care patients. Method: The research was conducted as a point prevalence study with 102 patients treated in the intensive care units of two training and research hospitals located in two different provinces in Turkey. Research data were collected with the Patient Information Form, Braden Pressure Injury Risk Assessment Scale, Pressure Injury Staging Form, and Glasgow Coma Scale. Results: It was determined that the mean score of the Braden Pressure Injury Risk Assessment Scale of the patients was 11.27 ± 3.11, non-medical device related pressure injuries in 67.6% and 29.4% of them had a pressure injuries due to a medical device. Regions where medical device-related pressure injuries in patients; It was seen as 36.6% in the nose andnose edge, 20.0% in the ear and around the ear, and 20.0% in the subclavian region. It was also determined that there was a significant relationship between the patients' albumin and hematocrit values and medical device-related pressure injury (p < 0.05). Conclusion: In the study, it was found that pressure injuries related to medical devices were seen at a very high rate in patients hospitalized in intensive care and that pressure injuries were more common in the nose and nose edge, ear and around the ear, and the subclavian region.

Özet

Giriş: Tıbbi cihazla ilişkili basınç yaraları, tıbbi cihazların daha sık kullanıldığı yoğun bakım ünitelerinde daha fazla görülmektedir. Amaç: Araştırma yoğun bakım hastalarında tıbbi cihazla ilişkili basınç yaralanması durumu ve etkileyen faktörleri incelemek amacıyla yapıldı. Yöntem: Araştırma Türkiye’de iki farklı ilde bulunan iki eğitim ve araştırma hastanesinin yoğun bakım ünitelerinde tedavi gören 102 hasta ile nokta prevalans çalışması olarak yapıldı. Araştırma verileri Hasta Bilgi Formu, Braden Basınç Yaralanması Risk Değerlendirme Ölçeği, Basınç Yaralanması Evrelendirme Formu ve Glaskow Koma Skalası ile toplandı. Bulgular: Hastaların Braden Basınç Yaralanması Risk Değerlendirme Ölçeği puan ortalamasının 11,27 ± 3,11 olduğu, %67,6’sında tıbbi cihazla ilişkili olmayan basınç yaralanması, %29,4’ünde ise tıbbi cihazla ilişkili basınç yaralanması olduğu saptandı. Hastalarda tıbbi cihazla ilişkili basınç yaralanması; burun ve burun kenarında %36,6, kulak ve kulak çevresinde %20, subklavian bölgede ise %20 oranında görüldü. Hastaların albümin ve hematokrit değerleri ile tıbbi cihazla ilişkili basınç yaralanması görülme durumu arasında anlamlı bir ilişki olduğu da belirlendi (p < 0,05). Sonuç: Araştırmada yoğun bakımda yatan hastalarda tıbbi cihazla ilişkili basınç yaralanmasının oldukça yüksek oranda görüldüğü ve basınç yaralanmasının burun ve burun kenarı, kulak ve kulak çevresi ile subklavian bölgede daha fazla olduğu belirlendi.

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Cite This Article

Cebeci, S. P., Çobanoğlu, A., Oğuzhan, H. (2024). Medical Device-Related Pressure Injury Development in Intensive Care Patients and Affecting Factors: Point Prevalence Study. Sağlık Bilimleri Üniversitesi Hemşirelik Dergisi, Cilt: 6 Sayı: 1, 57–64. https://doi.org/10.48071/sbuhemsirelik.1374543

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References (25)

  1. Apold, J., & Rydrych, D. (2012). Preventing device-related pressure ulcers: Using data to guide statewide change. Journal of Nursing Care Quality, 27(1), 28–34. doi: 10.1097/NCQ.0b013e31822b1fd9
  2. Araújo, T.M., Araújo, M.F.M., Barros, L.M., Oliveira, F.J.G., Silva, L.A., & Caetano, J.A. (2019). Educational intervention to assess the knowledge of intensive care nurses about pressure injury. Rev Rene, 20, 1-8. doi: 10.15253/2175-6783.20192041359
  3. Barakat-Johnson, M., Barnett, C., Wand, T., & White, K. (2017). Medical device-related pressure injuries: An exploratory descriptive study in an acute tertiary hospital in Australia. Journal of Tissue Viability, 26(4), 246-253. doi: 10.1016/j.jtv.2017.09.008
  4. Bergstrom, N., Braden, B.J., Laguzza, A., & Holman, V. (1987). The Braden Scale for Predicting Pressure Sore Risk. Nursing Research, 36(4), 205-210.
  5. Black, J.M., & Kalowes, P. (2016). Medical device-related pressure ulcers. Chronic Wound Care Management and Research, 3, 91-99. doi: 10.2147/ CWCMR.S82370
  6. Black, J.M., Cuddigan, J.E., Walko, M.A., Didier, L.A., Lander, M.J., & Kelpe, M.R. (2010). Medical device related pressure ulcers in hospitalized patients. International Wound Journal, 7(5), 358-365. doi: 10.1111/j.1742 481X.2010.00699.x
  7. Bölüktaş, R.P. ve Oğuz, S. (1998). Norton ve Braden Bası Yarası Değerlendirme Ölçeklerinin yatağa bağımlı aynı hasta grubunda güvenirlik ve geçerliğinin sınanması. Uluslararası Katılımlı VI. Ulusal Hemşirelik Kongresi, 14-16 Mayıs 1998, Ankara.
  8. Coyer F., & Tayyip, N. (2017). Risk factors for pressure injury development in critically ill patients in the intensive care unit: A systematic review protocol. Systematic Reviews, 7(6), 58. doi: 10.1186/s13643-017-0451-5
  9. Coyer, F., Labeau, S., & Blot, S. (2022). Preventing pressure injuries among patients in the intensive care unit: Insights gained. Intensive Care Medicine, 48(1), 1787-1789. doi: 10.1007/s00134-022-06838-3
  10. Coyer, F.M., Stotts, N.A., & Blackman, V.S. (2014). A prospective window into medical device related pressure ulcers in intensive care. International Wound Journal, 11(6), 656-664. doi: 10.1111/iwj.12026
  11. Crunden, E.A., Wosrsley, P.R., Coleman, S.B., & Schoonhoven, L. (2022). Barriers and facilitators to reporting medical device-related pressure ulcers: A qualitative exploration of international practice. International Journal of Nursing Studies, 135, 104326, doi: 10.1016/j.ijnurstu.2022.104326
  12. Edsberg, L.E., Black, J.M., Goldberg, M., McNichol, L., Moore, L., & Sieggreen, M. (2016). Revised national pressure ulcer advisory panel pressure ınjury staging system. Journal of Wound Ostomy & Continence Nursing, 43(6), 585-597. doi: 10.1097/WON.0000000000000281
  13. Fulbrook, P., Lovegrove, J., Miles, S., & Isaqi, B. (2022). Systematic review: Incidence and prevalence of mucous membrane pressure injury in adults admitted to acute hospital settings. International Wound Journal, 19(2), 278-293. doi: 10.1111/iwj.13629
  14. Gencer, Z.E., Unal, E., & Ozkan, O. (2019). Pressure ulcers treatment costs effectiveness analysis; Comparison of conventional and modern wound care treatment costs. Akdeniz Medical Journal, 5(2), 201-208.
  15. Hanonu S., & Karadağ, A. (2016). A prospective, descriptive study to determine the rate and characteristics of and risk factors for the development of medical device related pressure ulcers in intensive care units. Ostomy Wound Management, 62(2), 12-22. Jackson, D., Sarki, A.M., Betteridge, R., & Brooke, J. (2019). Medical device-related pressure ulcers: A systematic review and meta-analysis. International Journal of Nursing Studies. 92, 109-120. doi: 10.1016/j. ijnurstu.2019.02.006
  16. Kayser S.A., VanGilder, C.A., Ayello E.A., & Lachenbrunch, C. (2018). Prevalence and analysis of medical-device related pressure injuries: Results from the international pressure ulcer prevalence survey. Advances in Skin & Wound Care, 31(6), 276-285. doi: 10.1097/01.ASW.0000532475.11971.aa
  17. Kıraner, E. ve Kaya H., (2021). COVID-19 tanısı ile yoğun bakımda yatan hastalarda basınç yaralanmalarının ve risk faktörlerinin retrospektif analizi. Yoğun Bakım Hemşireliği Dergisi, 25(3), 139-151.
  18. Kurtuluş, Z. ve Pınar, R. (2003). Braden Skalası ile belirlenen yüksek riskli hasta grubunda albümin düzeyleri ile bası yaraları arasındaki ilişki. CÜ Hemşirelik Yüksek Okulu Dergisi, 7(2), 1-10.
  19. MiJee, K., Young A.S., & InSoon, K. (2019). Risk factors of medical device related pressure ulcer in ıntensive care units. Journal of Korean Academy Nursing, 49(1), 36. doi: 10.4040/jkan.2019.49.1.36
  20. National Pressure Ulcer Advisory Panel and European Pressure Ulcer Advisory Panel (NPUAP & EPUAP) (2014). Prevention and treatment of pressure ulcers: clinical practice guideline. Washington: National Pressure Ulcer Advisory Panel. Retrieved from (02.02.2023): https://www.ehob.com/ media/2018/04/prevention-and-treatment-of-pressure-ulcers-clinical practice-guidline.pdf
  21. National Wound Care Strategy Programme (2021). Retrieved form (13.12.2023): https://www.nationalwoundcarestrategy.net/wp-content/uploads/2021/07/Pressure-ulcer-categorisation-poster.pdf
  22. Nedergaard, H.K., Haberlandt, T., Toft, P., & Jensen, H.I. (2018). Pressure ulcers in critically ill patients-preventable by non-sedation? A substudy of the NONSEDA trial. Intensive and Critical Care Nursing, 44, 31–35. doi: 10.1016/j.iccn.2017.09.005
  23. Rashvand, F., Shamekhi, L., Rafiei, H., & Nasrataghaei, M. (2020). Incidence and risk factors for medical device-related pressure ulcers: The first report in this regard in Iran. International Wound Journal, 17(2), 436-442. doi: 10.1111/iwj.13290
  24. Tanrıkulu, F., & Dikmen, Y. (2017). Pressure sores in intensive care patients: Risk factors and precautions. Journal of Human Rhythm, 3(4), 177-182.
  25. Widiati, E., Nurhaeni, N., & Gayatri, D. (2017). Medical-device-related pressure injuries to children in the intensive care unit. Comprehensive Child and Adolescent Nursing, 40(1), 69-77. doi: 10.1080/24694193.2017.1386973