Pressure ulcer Cat. II‐IV incidence on the CuroCell S.A.M. PRO powered reactive air support surface in a high‐risk population: A multicentre cohort study in 12 Belgian nursing homes

Zwaenepoel, Elien; Hecke, Ann Van; Manderlier, Bénédicte; Verhaeghe, Sofie; Beeckman, Dimitri

doi:10.1111/iwj.13242

Cited by 5 publications

(4 citation statements)

References 37 publications

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“…A study of 191 at-risk residents in 12 Belgian nursing homes assessed PI incidence (4.7%) and perceptions of comfort with static air support surfaces. The support surface was found to be comfortable for daily use, and the researchers reported that comfort and sleep quality were essential considerations in the selection of a support surface 60 . Given that some surfaces are associated with higher levels of patient satisfaction and self-reported sleep quality, it seems wise to consider the patient’s individual needs and preferences when selecting a mattress/support surface as well as a repositioning routine.…”

Section: Resultsmentioning

confidence: 99%

“…The support surface was found to be comfortable for daily use, and the researchers reported that comfort and sleep quality were essential considerations in the selection of a support surface. 60 Given that some surfaces are associated with higher levels of patient satisfaction and self-reported sleep quality, it seems wise to consider the patient's individual needs and preferences when selecting a mattress/ support surface as well as a repositioning routine. If preferences cannot be determined because of cognitive disability, consider how the surface is affecting the patient, which surface is appropriate, and the patient's individualized turning schedule.…”

Section: Sleep Support Surface Sleep Deprivation and Repositioningmentioning

confidence: 99%

See 1 more Smart Citation

The Conundrum of Turning/Repositioning Frequency, Sleep Surface Selection, and Sleep Disruption in Preventing Pressure Injury in Healthcare Settings

Langemo

Anderson²,

Hanson³

et al. 2022

Adv Skin Wound Care

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Section: Resultsmentioning

confidence: 99%

Section: Sleep Support Surface Sleep Deprivation and Repositioningmentioning

confidence: 99%

The Conundrum of Turning/Repositioning Frequency, Sleep Surface Selection, and Sleep Disruption in Preventing Pressure Injury in Healthcare Settings

Langemo

Anderson²,

Hanson³

et al. 2022

Adv Skin Wound Care

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“…Hopkins et al 17 described equipment‐related pain and comfort 17 . Other studies have reported on “patient comfort” and “quality of sleep” 32,33,35 . The following themes were described by Nixon et al 12 : “mattress noise,” “interference with sleep,” “affected by mattress motion,” “movement in bed,” “movement getting in and out of bed,” and “overall comfort.”…”

Section: Discussionmentioning

confidence: 99%

“…Three of these reasons (noise, uncomfortable beds, and pain) can be related to the use of the mattress. Patient comfort and sleep quality are essential criteria in the selection of a support surface 35 . Healthcare professionals should be aware that the implementation of a new type of support surface has an impact on nursing home residents.…”

Section: Discussionmentioning

confidence: 99%

An exploration of nursing home residents' experiences of a non‐powered static air mattress overlay to prevent pressure ulcers

Serraes

Hecke

Tiggelen

et al. 2020

International Wound Journal

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Pressure ulcers are injuries to the skin and underlying tissue and are associated with a negative impact on well‐being and health‐related quality of life. This explorative, qualitative study aimed to explore the true meaning of elderly nursing home residents' perspectives and critical success factors when implementing a new non‐powered static air mattress overlay to prevent pressure ulcers. Individual, loosely structured interviews were conductedin 12 nursing homes in Flanders, the Northern region of Belgium, a convenience sampling of 14 nursing home residents were selected based on the following eligibility criteria: high risk for pressure ulcer and/or with category 1 pressure ulcer, being bedbound and/or chair‐bound, aged >65 years, and use of an alternating air pressure mattress previous to the application of the non‐powered static air mattress overlay. Interviews were conducted in the participants' personal rooms between June 2017 and March 2018. Interviews included broad, open‐ended questions, to invite and encourage participants to openly discuss their perspectives and experiences. Participants were interviewed once during the 14‐day observation period between day 3 and day 14. All interviews were audio‐recorded and fully transcribed by an experienced transcriber. Interviews were read several times to reveal emerging patterns and were marked with codes into NVivo 10 qualitative data analysis software. During the process, (sub) themes were discussed by the authors until a consensus was reached. Three main themes emerged from the analysis process: rest and sleep; mobility; and discomfort and pain associated with the use of the support surface. Themes were divided into multiple subthemes: motion, noise, sensation, repositioning, and transfer in and out of bed. Through interviews, critical success factors associated with the implementation were identified, including the lack of information and time needed to evaluate the functionality and effects of a new mattress overlay. Implementation of a non‐powered static air mattress overlay to prevent pressure ulcers has a far‐reaching impact on nursing home residents' experiences. This study provides insight into the true meaning of patients' perspectives by focusing on learning from the patients' experiences that provide valuable information for healthcare professionals and other stakeholders.

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Incidence of pressure ulcer in patients using an alternating pressure mattress overlay: the ACTIVE study

Meaume

Rousseaux²,

Marty

2021

J Wound Care

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Objective: The primary objective was to determine the clinical benefit of using a specific alternating-pressure mattress overlay (APMO) in the prevention of pressure ulcer (PU) in patients at medium to high risk. Method: This prospective study was conducted in five rehabilitation centres and three nursing homes. Patients at medium to high risk of PU, but without PU at baseline, and lying between 15 and 20 hours per day on a specific APMO were included. The primary endpoint was the percentage of patients who developed a sacral, spine, heel or trochanteric PU (supine support areas) of at least category II, at day 35. All patients were included in the analysis. Results: A total of 89 patients were included; of whom six patients (6.7%) dropped out of the study (average (±standard deviation) follow-up 32±5.4 days). No sacral, spine, heel or trochanteric PU of at least category II was reported (i.e., an incidence of 0% [95% Confidence Interval: 0–4.1%] according to the exact Clopper–Pearson method]. Patients were ‘satisfied’ or ‘very satisfied’ with the comfort and stability of the APMO. The caregivers assessed as ‘very easy’ or ‘easy’ the implementation, maintenance and use of the APMO (turning over, moving to a sitting position). Conclusion: In combination with the usual measures to prevent PU, the results of our study showed a low incidence of PU in high-risk patients lying for between 15 and 20 hours a day on an APMO, use of which is therefore recommended in these patients.

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Pressure ulcer Cat. II‐IV incidence on the CuroCell S.A.M. PRO powered reactive air support surface in a high‐risk population: A multicentre cohort study in 12 Belgian nursing homes

Cited by 5 publications

References 37 publications

The Conundrum of Turning/Repositioning Frequency, Sleep Surface Selection, and Sleep Disruption in Preventing Pressure Injury in Healthcare Settings

The Conundrum of Turning/Repositioning Frequency, Sleep Surface Selection, and Sleep Disruption in Preventing Pressure Injury in Healthcare Settings

An exploration of nursing home residents' experiences of a non‐powered static air mattress overlay to prevent pressure ulcers

Incidence of pressure ulcer in patients using an alternating pressure mattress overlay: the ACTIVE study

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