Retrospective Study
Copyright ©The Author(s) 2024. Published by Baishideng Publishing Group Inc. All rights reserved.
World J Clin Cases. Jul 6, 2024; 12(19): 3807-3814
Published online Jul 6, 2024. doi: 10.12998/wjcc.v12.i19.3807
Evaluation of the effectiveness of preventive nursing measures for pressure injuries in patients in the neurology intensive care unit
Rong Zhang, Peng-Xin Ma, Juan-Juan Zhang
Rong Zhang, Peng-Xin Ma, Intensive Medicine Department, The First People’s Hospital of Jiangxia District, Wuhan 430000, Hubei Province, China
Juan-Juan Zhang, Department of Neurology, The First People’s Hospital of Jiangxia District, Wuhan 430000, Hubei Province, China
Co-first authors: Rong Zhang and Peng-Xin Ma.
Author contributions: Zhang R and Ma PX designed the research study; Ma PX and Zhang JJ performed the research; Zhang R and Zhang JJ collected and analyzed the data; All authors give final approval of the version to be published; All authors have participated sufficiently in the work to take public responsibility for appropriate portions of the content and agreed to be accountable for all aspects of the work in ensuring that questions related to its accuracy or integrity.
Institutional review board statement: This study was reviewed and approved by The First People’s Hospital of Jiangxia District.
Informed consent statement: All patients provided written informed consent.
Conflict-of-interest statement: All the authors report no relevant conflicts of interest for this article.
Data sharing statement: No additional data are available.
Open-Access: This article is an open-access article that was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution NonCommercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: https://creativecommons.org/Licenses/by-nc/4.0/
Corresponding author: Juan-Juan Zhang, Bachelor, Nurse-in-charge, Department of Neurology, The First People’s Hospital of Jiangxia District, No. 1 Wenhua Avenue, Jiangxia District, Wuhan 430000, Hubei Province, China. 18672776687@163.com
Received: April 7, 2024
Revised: May 11, 2024
Accepted: May 22, 2024
Published online: July 6, 2024
Processing time: 82 Days and 21 Hours
Abstract
BACKGROUND

Patients in neurology intensive care units (ICU) are prone to pressure injuries (PU) due to factors such as severe illness, long-term bed rest, and physiological dysfunction. PU not only causes pain and complications to patients, but also increases medical burden, prolongs hospitalization time, and affects the recovery process.

AIM

To evaluate and optimize the effectiveness of pressure injury prevention nursing measures in neurology ICU patients.

METHODS

A retrospective study was conducted, and 60 patients who were admitted to the ICU of the Department of Neurology were selected and divided into an observation group and a control group according to the order of admission, with 30 people in each group. The observation group implemented pressure injury prevention and nursing measures, while the control group adopted routine care.

RESULTS

Comparison between observation and control groups following pressure injury prevention nursing intervention revealed significantly lower incidence rates in the observation group compared to the control group at 48 h (8.3% vs 26.7%), 7 d (16.7% vs 43.3%), and 14 d (20.0% vs 50.0%). This suggests a substantial reduction in pressure injury incidence in the observation group, with the gap widening over time. Additionally, patients in the observation group exhibited quicker recovery, with a shorter average time to get out of bed (48 h vs 72 h) and a shorter average length of stay (12 d vs 15 d) compared to the control group. Furthermore, post-intervention, patients in the observation group reported significantly improved quality of life scores, including higher scores in body satisfaction, feeling and function, and comfort (both psychological and physiological), indicating enhanced overall well-being and comfort following the implementation of pressure injury prevention nursing measures.

CONCLUSION

Implementing pressure injury preventive care measures for neurology ICU patients will have better results.

Keywords: Neurology intensive care units; Pressure injury; Preventive care; Effect evaluation; Optimization research; Prognostic effect

Core Tip: In this study, Patients in neurology intensive care units (ICU) are prone to pressure injuries due to factors such as severe illness, long-term bed rest, and physiological dysfunction. This study aims to evaluate and optimize the effectiveness of preventive nursing measures for pressure injuries in neurology ICU patients through retrospective research methods, in order to provide a more reliable basis for clinical practice. Lead to the conclusion that the implementation of pressure injury preventive nursing measures for neurology ICU patients can be effectively assistant for them.