| Title: |
Related factors to semi-recumbent position compliance and pressure ulcers in patients with invasive mechanical ventilation: An observational study (CAPCRI study) |
| Authors: |
Universitat Rovira i Virgili; Llaurado-Serra M; Ulldemolins M; Fernandez-Ballart J; Guell-Baro R; Valentí-Trulls T; Calpe-Damians N; Piñol-Tena A; Pi-Guerrero M; Paños-Espinosa C; Sandiumenge A; Jimenez-Herrera MF; CAPCRI Study Group |
| Source: |
International Journal Of Nursing Studies; 10.1016/j.ijnurstu.2016.06.002; International Journal Of Nursing Studies. 61 198-208 |
| Publisher Information: |
2016 |
| Document Type: |
Electronic Resource |
| Abstract: |
Background Semi-recumbent position is recommended to prevent ventilator-associated pneumonia. Its implementation, however, is below optimal. Objectives We aimed to assess real semi-recumbent position compliance and the degree of head-of-bed elevation in Spanish intensive care units, along with factors determining compliance and head-of-bed elevation and their relationship with the development of pressure ulcers. Finally, we investigated the impact that might have the diagnosis of pressure ulcers in the attitude toward head-of-bed elevation. Methods We performed a prospective, multicenter, observational study in 6 intensive care units. Inclusion criteria were patients ¿18 years old and expected to remain under mechanical ventilator for ¿48 h. Exclusion criteria were patients with contraindications for semi-recumbent position from admission, mechanical ventilation during the previous 7 days and prehospital intubation. Head-of-bed elevation was measured 3 times/day for a maximum of 28 days using the BOSCH GLM80® device. The variables collected related to patient admission, risk of pressure ulcers and the measurements themselves. Bivariate and multivariate analyses were carried out using multiple binary logistic regression and linear regression as appropriate. Statistical significance was set at p < 0.05. All analyses were performed with IBM SPSS for Windows Version 20.0. Results 276 patients were included (6894 measurements). 45.9% of the measurements were |
| Index Terms: |
Nursing,Nursing (Miscellaneous); Ventilator-associated pneumonia; Prevention; Pressure ulcer; Predictors; Pneumonia; Patient positioning; Of-bed elevation; Head; Guidelines; Critically-ill patients; Critical care nursing; Care; Aspiration; Adherence; pressure ulcer; patient positioning; critical care nursing; Saúde coletiva; Odontología; Nursing (miscellaneous); Nursing (all); Nursing; Medicina iii; Medicina ii; Medicina i; Interdisciplinar; General nursing; General medicine; Enfermagem; Ciencias sociales; Journal Publications |
| URL: |
http://hdl.handle.net/20.500.11797/imarina5129929 |
| Availability: |
Open access content. Open access content; info:eu-repo/semantics/openAccess |
| Other Numbers: |
RIV oai:urv.cat:imarina:5129929; 1443596225 |
| Contributing Source: |
UNIVERSITAT ROVIRA I VIRGILI BIBLIOTECA; From OAIster®, provided by the OCLC Cooperative. |
| Accession Number: |
edsoai.on1443596225 |
| Database: |
OAIster |