scholarly journals Nurses’ knowledge on pressure injury prevention: a systematic review and meta-analysis based on the Pressure Ulcer Knowledge Assessment Tool

2018 ◽  
Vol Volume 11 ◽  
pp. 613-620 ◽  
Author(s):  
Sahar Dalvand ◽  
Abbas Ebadi ◽  
Reza Ghanei Gheshlagh
Author(s):  
Carolina Beatriz Cunha Prado ◽  
Elaine Alves Silva Machado ◽  
Karina Dal Sasso Mendes ◽  
Renata Cristina de Campos Pereira Silveira ◽  
Cristina Maria Galvão

Objective: to evaluate evidence on effectiveness support surfaces for pressure injury prevention in the intraoperative period. Method: systematic review. The search for primary studies was conducted in seven databases. The sample consisted of 10 studies. The synthesis of the results was carried out descriptively and through meta-analysis. Results: when comparing low-tech support surfaces with regular care (standard surgical table mattress), the meta-analysis showed that there is no statistically significant difference between the investigated interventions (Relative Risk = 0.88; 95%CI: 0.30-2.39). The Higgins inconsistency test indicated considerable heterogeneity between studies (I2 = 83%). The assessment of the certainty of the evidence was very low. When comparing high-tech and low-tech support surfaces, the meta-analysis showed that there is a statistically significant difference between the interventions studied, with high-tech being the most effective (Relative Risk = 0.17; 95%CI: 0.05-0.53). Heterogeneity can be classified as not important (I2 = 0%). The assessment of certainty of evidence was moderate. Conclusion: the use of high-tech support surfaces is an effective measure to prevent pressure injuries in the intraoperative period.


2018 ◽  
Vol 7 (2) ◽  
pp. 117 ◽  
Author(s):  
Abdul-Monim Batiha

Background: Pressure injuries are a considerable problem for hospitalized critically ill and elderly patients, as such injuries produce pain, and reduce total wellbeing, resulting in increased morbidity and mortality, as well as often extending those patients’ hospital staysPurpose: The purpose of this study was to determine critical care nurses knowledge, attitudes, and perceived barriers toward pressure injuries prevention.Design: A descriptive cross-sectional survey was performed, using a questionnaire method to critical care nurses’. The study took place between August and October 2017 and involved ten hospitals: two university hospital, six public hospitals, and two private hospitals.  Methods: Data were collected by means of a questionnaire using two valid and reliable instruments: i) the Pressure Ulcer Knowledge Assessment Tool 2⋅0, and ii) Attitude Toward Pressure Ulcer Prevention and two newly developed instruments sociodemographic and perceived barriers toward pressure injury prevention.Results: The entire mean knowledge score for the participants was 54.9%, and overall high attitude scores were 76.7%. Level of education, years employed in a critical care unit, training received on pressure injury prevention, and the number of papers read on pressure injury prevention was all identified as having a significant and independent effect on participants’ knowledge concerning prevention of pressure injuries. To evaluate the effect of demographic characteristics on nurses’ attitudes, the only significant variable was "years of employment in critical care units". Shortage of staff was the most commonly cited barrier faced by critical care nurses’ during practice.


2020 ◽  
Vol 90 (5-6) ◽  
pp. 535-552 ◽  
Author(s):  
Mahdieh Abbasalizad Farhangi ◽  
Mahdi Vajdi

Abstract. Backgrounds: Central obesity, as a pivotal component of metabolic syndrome is associated with numerous co-morbidities. Dietary factors influence central obesity by increased inflammatory status. However, recent studies didn’t evaluate the association between central obesity and dietary inflammation index (DII®) that give score to dietary factors according to their inflammatory potential. In the current systematic review and meta-analysis, we summarized the studies that investigated the association between DII® with central obesity indices in the general populations. Methods: In a systematic search from PubMed, SCOPUS, Web of Sciences and Cochrane electronic databases, we collected relevant studies written in English and published until 30 October 2019. The population of included studies were apparently healthy subjects or individuals with obesity or obesity-related diseases. Observational studies that evaluated the association between DII® and indices of central obesity including WC or WHR were included. Results: Totally thirty-two studies were included; thirty studies were cross-sectional and two were cohort studies with 103071 participants. Meta-analysis of observational studies showed that higher DII® scores were associated with 1.81 cm increase in WC (Pooled weighted mean difference (WMD) = 1.813; CI: 0.785–2.841; p = 0.001). Also, a non-significant increase in the odds of having higher WC (OR = 1.162; CI: 0.95–1.43; p = 0.154) in the highest DII category was also observed. In subgroup analysis, the continent, dietary assessment tool and gender were the heterogeneity sources. Conclusion: The findings proposed that adherence to diets with high DII® scores was associated with increased WC. Further studies with interventional designs are necessary to elucidate the causality inference between DII® and central obesity indices.


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