PDF(Pubmed)
Abstract：
BACKGROUND: Pressure ulcer (PU) are prevalent among critically ill trauma patients, posing substantial risks. Bundled care strategies and silver nanoparticle dressings offer potential solutions, yet their combined effectiveness and impact on patient satisfaction remain insufficiently investigated.
OBJECTIVE: To assess the impact of bundled care along with silver nanoparticle dressing on PUs management and family satisfaction in critically ill trauma patients.
METHODS: A total of 98 critically ill trauma patients with PUs in intensive care unit (ICU) were included in this study. Patients were randomly assigned to either the control group (conventional care with silver nanoparticle dressing, n = 49) or the intervention group (bundled care with silver nanoparticle dressing, n = 49). The PU Scale for Healing (PUSH) tool was used to monitor changes in status of pressure injuries over time. Assessments were conducted at various time points: Baseline (day 0) and subsequent assessments on day 3, day 6, day 9, and day 12. Family satisfaction was assessed using the Family Satisfaction ICU 24 questionnaire.
RESULTS: No significant differences in baseline characteristics were observed between the two groups. In the intervention group, there were significant reductions in total PUSH scores over the assessment period. Specifically, surface area, exudate, and tissue type parameters all showed significant improvements compared to the control group. Family satisfaction with care and decision-making was notably higher in the intervention group. Overall family satisfaction was significantly better in the intervention group.
CONCLUSIONS: Bundled care in combination with silver nanoparticle dressings effectively alleviated PUs and enhances family satisfaction in critically ill trauma patients. This approach holds promise for improving PUs management in the ICU, benefiting both patients and their families.
OBJECTIVE: To assess the impact of bundled care along with silver nanoparticle dressing on PUs management and family satisfaction in critically ill trauma patients.
METHODS: A total of 98 critically ill trauma patients with PUs in intensive care unit (ICU) were included in this study. Patients were randomly assigned to either the control group (conventional care with silver nanoparticle dressing, n = 49) or the intervention group (bundled care with silver nanoparticle dressing, n = 49). The PU Scale for Healing (PUSH) tool was used to monitor changes in status of pressure injuries over time. Assessments were conducted at various time points: Baseline (day 0) and subsequent assessments on day 3, day 6, day 9, and day 12. Family satisfaction was assessed using the Family Satisfaction ICU 24 questionnaire.
RESULTS: No significant differences in baseline characteristics were observed between the two groups. In the intervention group, there were significant reductions in total PUSH scores over the assessment period. Specifically, surface area, exudate, and tissue type parameters all showed significant improvements compared to the control group. Family satisfaction with care and decision-making was notably higher in the intervention group. Overall family satisfaction was significantly better in the intervention group.
CONCLUSIONS: Bundled care in combination with silver nanoparticle dressings effectively alleviated PUs and enhances family satisfaction in critically ill trauma patients. This approach holds promise for improving PUs management in the ICU, benefiting both patients and their families.
摘要：
背景：压疮（PU）在危重创伤患者中普遍存在，构成重大风险。捆绑护理策略和银纳米颗粒敷料提供了潜在的解决方案，然而，它们的综合有效性和对患者满意度的影响仍未得到充分调查。
目的：评估集束化护理与纳米银敷料对危重创伤患者的PUs管理和家庭满意度的影响。
方法：本研究纳入了重症监护病房（ICU）的98例危重创伤患者。患者被随机分配到对照组（使用银纳米颗粒敷料进行常规护理，n=49）或干预组（使用银纳米颗粒敷料进行捆绑护理，n=49）。PU治疗量表（PUSH）工具用于监测压力伤害状态随时间的变化。在各个时间点进行评估:基线(第0天)和在第3天、第6天、第9天和第12天的后续评估。使用ICU24家庭满意度问卷评估家庭满意度。
结果：两组之间的基线特征没有显着差异。在干预组中，在评估期间,PUSH总分显著降低.具体来说,表面积,渗出物,与对照组相比，组织类型参数均显示出显着改善。干预组的家庭对护理和决策的满意度明显更高。干预组家庭总体满意度明显优于对照组。
结论：集束化护理联合银纳米敷料可有效缓解危重创伤患者的PU，提高家庭满意度。这种方法有望改善ICU的PUs管理，有利于患者和他们的家人。
目的：评估集束化护理与纳米银敷料对危重创伤患者的PUs管理和家庭满意度的影响。
方法：本研究纳入了重症监护病房（ICU）的98例危重创伤患者。患者被随机分配到对照组（使用银纳米颗粒敷料进行常规护理，n=49）或干预组（使用银纳米颗粒敷料进行捆绑护理，n=49）。PU治疗量表（PUSH）工具用于监测压力伤害状态随时间的变化。在各个时间点进行评估:基线(第0天)和在第3天、第6天、第9天和第12天的后续评估。使用ICU24家庭满意度问卷评估家庭满意度。
结果：两组之间的基线特征没有显着差异。在干预组中，在评估期间,PUSH总分显著降低.具体来说,表面积,渗出物,与对照组相比，组织类型参数均显示出显着改善。干预组的家庭对护理和决策的满意度明显更高。干预组家庭总体满意度明显优于对照组。
结论：集束化护理联合银纳米敷料可有效缓解危重创伤患者的PU，提高家庭满意度。这种方法有望改善ICU的PUs管理，有利于患者和他们的家人。
