Repositioning and Pressure Ulcer in Geriatric Population: A Systematic Review

2.50
Hdl Handle:
http://hdl.handle.net/10755/243202
Category:
Abstract
Type:
Presentation
Title:
Repositioning and Pressure Ulcer in Geriatric Population: A Systematic Review
Author(s):
Li, Yueh-Lih; Tsai, Chia-Hua; Li, Yu-Pei; Sun, Li-Chen; Chen, Li-Chin; Fang, Yueh-Yen
Author Details:
Li, Yueh-Lih, BSN, RN, 910014@ms.kmuh.org.tw; Tsai, Chia-Hua, BSN, RN; Li, Yu-Pei, BSN, RN; Sun, Li-Chen, MSN, RN; Chen, Li-Chin , MSN, RN; Fang, Yueh-Yen, PhD, RN;
Abstract:
Purpose: The purpose of this study was to identify the relationship between repositioning and the development of pressure ulcers (PUs) in geriatric population from current research evidence. 

Methods:  A systematic review was conducted to respond the study purpose. Six English and three Chinese databases were used to search English and Chinese literature published up to August, 2011. Search terms used were ‘turning’, ‘position’, ‘reposition’, ‘pressure ulcer’, ‘erythema’, ‘pressure sore’, and ‘decubitus ulcer.’ Data were extracted by two researchers independently. Disagreement among data extraction was resolved by complete consensus between researchers. Study quality was evaluated by the Johns Hopkins Nursing Evidence-based practice Quality Rating Scale.

Results:  Four randomized controlled trials (RCTs) that met the inclusion criteria were located from 1312 articles. The total subjects involved were 1332 geriatric patients. Study quality of included studies ranged from high to median level. However, a combination of different mattress and position used made the integration of study results difficult. Attrition and protection of patient’s right became major concerns of study quality. Though, the quantitative integration of study results was impossible because of different protocols used between studies. Grouping of same or similar manipulations across studies revealed a combined effect of mattress type and position. Pressure-reduction mattresses did bring a positive effect in either first-grade or second-grade PU development. Patients who received Semi-Flower position presented a higher rate of PU incidence than those who did not use this position.

Conclusion: Variations in repositioning protocols made the validation of research evidence difficult. Varied capability in mobility of research subjects across studies and short intervention time impeded study validity. Prevention of pressure ulcers may bring a significant impact on healthcare cost and patient’s mortality and quality of life. It is suggested that future studies include a standard control to make cross study comparison possible.

Keywords:
geriatric; pressure ulcer; repositioning
Repository Posting Date:
12-Sep-2012
Date of Publication:
12-Sep-2012
Conference Date:
2012
Conference Name:
23rd International Nursing Research Congress
Conference Host:
Sigma Theta Tau International, the Honor Society of Nursing
Conference Location:
Brisbane, Australia

Full metadata record

DC FieldValue Language
dc.type.categoryAbstracten_GB
dc.typePresentationen_GB
dc.titleRepositioning and Pressure Ulcer in Geriatric Population: A Systematic Reviewen_GB
dc.contributor.authorLi, Yueh-Lihen_GB
dc.contributor.authorTsai, Chia-Huaen_GB
dc.contributor.authorLi, Yu-Peien_GB
dc.contributor.authorSun, Li-Chenen_GB
dc.contributor.authorChen, Li-Chinen_GB
dc.contributor.authorFang, Yueh-Yenen_GB
dc.author.detailsLi, Yueh-Lih, BSN, RN, 910014@ms.kmuh.org.tw; Tsai, Chia-Hua, BSN, RN; Li, Yu-Pei, BSN, RN; Sun, Li-Chen, MSN, RN; Chen, Li-Chin , MSN, RN; Fang, Yueh-Yen, PhD, RN;en_GB
dc.identifier.urihttp://hdl.handle.net/10755/243202-
dc.description.abstract<b>Purpose: </b>The purpose of this study was to identify the relationship between repositioning and the development of pressure ulcers (PUs) in geriatric population from current research evidence.&nbsp; <p><b>Methods: </b>&nbsp;A systematic review was conducted to respond the study purpose. Six English and three Chinese databases were used to search English and Chinese literature published up to August, 2011. Search terms used were &lsquo;turning&rsquo;, &lsquo;position&rsquo;, &lsquo;reposition&rsquo;, &lsquo;pressure ulcer&rsquo;, &lsquo;erythema&rsquo;, &lsquo;pressure sore&rsquo;, and &lsquo;decubitus ulcer.&rsquo; Data were extracted by two researchers independently. Disagreement among data extraction was resolved by complete consensus between researchers. Study quality was evaluated by the Johns Hopkins Nursing Evidence-based practice Quality Rating Scale. <p><b>Results: </b>&nbsp;Four randomized controlled trials (RCTs) that met the inclusion criteria were located from 1312 articles. The total subjects involved were 1332 geriatric patients. Study quality of included studies ranged from high to median level. However, a combination of different mattress and position used made the integration of study results difficult. Attrition and protection of patient&rsquo;s right became major concerns of study quality. Though, the quantitative integration of study results was impossible because of different protocols used between studies. Grouping of same or similar manipulations across studies revealed a combined effect of mattress type and position. Pressure-reduction mattresses did bring a positive effect in either first-grade or second-grade PU development. Patients who received Semi-Flower position presented a higher rate of PU incidence than those who did not use this position. <p><b>Conclusion: </b>Variations in repositioning protocols made the validation of research evidence difficult. Varied capability in mobility of research subjects across studies and short intervention time impeded study validity. Prevention of pressure ulcers may bring a significant impact on healthcare cost and patient&rsquo;s mortality and quality of life. It is suggested that future studies include a standard control to make cross study comparison possible.en_GB
dc.subjectgeriatricen_GB
dc.subjectpressure ulceren_GB
dc.subjectrepositioningen_GB
dc.date.available2012-09-12T09:18:55Z-
dc.date.issued2012-09-12-
dc.date.accessioned2012-09-12T09:18:55Z-
dc.conference.date2012en_GB
dc.conference.name23rd International Nursing Research Congressen_GB
dc.conference.hostSigma Theta Tau International, the Honor Society of Nursingen_GB
dc.conference.locationBrisbane, Australiaen_GB
All Items in this repository are protected by copyright, with all rights reserved, unless otherwise indicated.