Examination of sacral tissue oxygen saturation among immobile patients
Küçük Resim Yok
Tarih
2018
Yazarlar
Dergi Başlığı
Dergi ISSN
Cilt Başlığı
Yayıncı
Wiley
Erişim Hakkı
info:eu-repo/semantics/closedAccess
Özet
Aims and objectivesTo explore the effect of immobility on sacral tissue oxygen saturation in patients lying on a supporting surface in supine position. BackgroundGuidelines in regard to preventing pressure ulcers recommend that patients lying on a standard bed should change their positions every 2hr and that patients on a supporting surface should change their positions every 4hr. But there is no strong evidence that justifies this practice. DesignQuasi-experimental. MethodsData for the research were collected over the period October 2014-March 2015 at Anesthesiology and Reanimation and Neurosurgery Clinic Intensive Care Units. A total of 46 patients matching the research criteria were left in the supine position for 4hr without having a position change, during which time sacral tissue oxygen saturation was measured every hour on the hour. Sacral tissue oxygen saturation was measured with the InSpectra Tissue Oxygenation Monitor. ResultsMean sacral tissue oxygen saturation was 73.4% at baseline and was then measured as 74.9% at the first hour, 72.3% at the second hour, 71.9% at the third hour and 71.9% at the fourth hour. The changes observed between measuring times were not found to be statistically significant (p=.09). ConclusionsNo statistically significant differences were found between sacral tissue oxygen saturation values recorded over a period of 4hr in immobile patients lying on a supporting surface in the supine position. However, it was observed that sacral tissue oxygen saturation values did not change significantly depending upon the type of supporting surface that was being used. Relevance to clinical practiceThe study outcome supports changing the position of a patient lying on a supporting surface every 4hr and provides evidence that justifies the recommendation made in the guidelines.
Açıklama
Anahtar Kelimeler
immobility, pressure ulcer prevention, reposition, tissue oxygenation
Kaynak
Journal of Clinical Nursing
WoS Q Değeri
Q1
Scopus Q Değeri
Q1
Cilt
27
Sayı
19-20
