Effect of Nurse Driven Skin Care Bundle on Hospital Acquired Pressure Injury among Immobilized Patients with Orthopedic Disorders

E. Elsayad, Hanaa; Mohamed Abd Elalem, Seham; Omar Taman, Rehab

doi:10.21608/ejhc.2023.344190

Effect of Nurse Driven Skin Care Bundle on Hospital Acquired Pressure Injury among Immobilized Patients with Orthopedic Disorders

Document Type : Original Article

Authors

¹ Assistant Professor of Medical Surgical Nursing Faculty of Nursing, Menoufia University, Egypt.

² Assistant Professor of Medical Surgical Nursing - Faculty of Nursing, Menoufia University, Egypt.

³ Lecturer of Medical Surgical Nursing, Faculty of Nursing, Menoufia University, Egypt.

10.21608/ejhc.2023.344190

Abstract

Background: Pressure injury has a significant danger among immobilized patients with orthopedic disorders and consider a clinical challenge for nurses and other healthcare professionals globally. Aim: to determine the effect of nurse driven skin care bundle on hospital acquired pressure injury among immobilized patients with orthopedic disorders. Design: A quasi-experimental design, two groups(study/control) was used. Setting: The study was conducted in the orthopedic department at Menoufia University Hospital. Subjects: A consecutive sample of 118 immobilized adult patients of both genders. Instruments: Instrument I: Structured Interview questionnaire, Instrument II: Comprehensive skin assessment observation checklist, Instrument III: Braden Risk Assessment Scale. Results: It was described that 49.2% of the study group and 35.6% of the control group was in the category of age between 50 < 60 years old and around half of both study and control groups (50.8% and 54.2% respectively) was male. There was a significant statistical difference between the study and the control group related to the occurrence of hospital acquired pressure injury post intervention with (p<0.001). Conclusion: a nurse driven skin care bundle had a positive significant effect on preventing hospital acquired pressure injury among immobilized patients with orthopedic disorders. Recommendations: patients with orthopedic disorders should be oriented to identifying and reporting any changes in their skin condition. Collaborating with other institutions to implement nurse driven skin care bundle as a preventive measure to reduce the incidence of hospital acquired pressure injury among immobilized patients with orthopedic disorders.

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