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The Effect of Care Bundle in Preventing Pressure Ulcers Caused by Medical Devices in the Pediatric Intensive Care Unit

Primary Purpose

Pressure Ulcer, Nursing Caries, Device Induced Injury

Status
Not yet recruiting
Phase
Not Applicable
Locations
Study Type
Interventional
Intervention
care bundle application
Sponsored by
Kilis 7 Aralik University
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional prevention trial for Pressure Ulcer focused on measuring medical devices, pressure ulcers, Care Bundles

Eligibility Criteria

1 Year - 10 Years (Child)All SexesAccepts Healthy Volunteers

Inclusion Criteria:

  • being in the pediatric intensive care unit.
  • nasogastric tube, intubation tube and saturation probe attached.
  • Voluntary consent of family to participate in the study

Exclusion Criteria:

  • Patients with skin disease
  • Patients staying less than 14 days

Sites / Locations

    Arms of the Study

    Arm 1

    Arm 2

    Arm Type

    Experimental

    No Intervention

    Arm Label

    the group to which the care bundle will be applied

    group not to be interfered with

    Arm Description

    Patients with a score of 13 or higher on the Braden QD medical instrument risk assessment scale. Patients with attached nasogastric tube, intubation tube and saturation probe.

    Patients with attached nasogastric tube, intubation tube and saturation probe.

    Outcomes

    Primary Outcome Measures

    Pressure ulcer
    Medical devices related pressure ulcer

    Secondary Outcome Measures

    medical device induced pressure ulcer
    The rate of pressure ulcers caused by medical devices in the care package group will be compared with the rates of pressure ulcers caused by medical devices in patients receiving normal care.

    Full Information

    First Posted
    April 24, 2022
    Last Updated
    June 4, 2022
    Sponsor
    Kilis 7 Aralik University
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    1. Study Identification

    Unique Protocol Identification Number
    NCT05406986
    Brief Title
    The Effect of Care Bundle in Preventing Pressure Ulcers Caused by Medical Devices in the Pediatric Intensive Care Unit
    Official Title
    The Effect of Care Bundle in Preventing Pressure Ulcers Caused by Medical Devices in the Pediatric Intensive Care Unit
    Study Type
    Interventional

    2. Study Status

    Record Verification Date
    June 2022
    Overall Recruitment Status
    Not yet recruiting
    Study Start Date
    July 15, 2022 (Anticipated)
    Primary Completion Date
    October 15, 2022 (Anticipated)
    Study Completion Date
    October 15, 2022 (Anticipated)

    3. Sponsor/Collaborators

    Responsible Party, by Official Title
    Principal Investigator
    Name of the Sponsor
    Kilis 7 Aralik University

    4. Oversight

    Studies a U.S. FDA-regulated Drug Product
    No
    Studies a U.S. FDA-regulated Device Product
    No
    Data Monitoring Committee
    Yes

    5. Study Description

    Brief Summary
    With the development of technology in medicine, more medical instruments are used in the treatment of diseases. Although the use of these instruments provides great benefits for the patients, it can also cause some complications.One of the most important of these complications is pressure ulcer.Some care and evaluation are needed to prevent these complications.This study aims to prevent pressure ulcers with a care package for patients with high risk scores.
    Detailed Description
    A care package will be created with the Delphi method to prevent pressure ulcers caused by medical devices.Experimental and control groups will be formed by randomized control method.The care package created for 14 days will be applied to the experimental group. standard care will be applied to the control group.As a result, the rates of medical device-induced pressure ulcers in both groups will be compared.Children between the ages of 1 and 10 years and treated in the pediatric intensive care unit will be included in the study.Patients with any skin-related disease will not be included in the study.

    6. Conditions and Keywords

    Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
    Pressure Ulcer, Nursing Caries, Device Induced Injury
    Keywords
    medical devices, pressure ulcers, Care Bundles

    7. Study Design

    Primary Purpose
    Prevention
    Study Phase
    Not Applicable
    Interventional Study Model
    Parallel Assignment
    Model Description
    Experimental and control groups will be selected using the randomized control method.
    Masking
    Participant
    Allocation
    Randomized
    Enrollment
    80 (Anticipated)

    8. Arms, Groups, and Interventions

    Arm Title
    the group to which the care bundle will be applied
    Arm Type
    Experimental
    Arm Description
    Patients with a score of 13 or higher on the Braden QD medical instrument risk assessment scale. Patients with attached nasogastric tube, intubation tube and saturation probe.
    Arm Title
    group not to be interfered with
    Arm Type
    No Intervention
    Arm Description
    Patients with attached nasogastric tube, intubation tube and saturation probe.
    Intervention Type
    Other
    Intervention Name(s)
    care bundle application
    Intervention Description
    The patients in the experimental group will be given care according to the current care bundle for 14 days
    Primary Outcome Measure Information:
    Title
    Pressure ulcer
    Description
    Medical devices related pressure ulcer
    Time Frame
    14 day
    Secondary Outcome Measure Information:
    Title
    medical device induced pressure ulcer
    Description
    The rate of pressure ulcers caused by medical devices in the care package group will be compared with the rates of pressure ulcers caused by medical devices in patients receiving normal care.
    Time Frame
    14 day

    10. Eligibility

    Sex
    All
    Minimum Age & Unit of Time
    1 Year
    Maximum Age & Unit of Time
    10 Years
    Accepts Healthy Volunteers
    Accepts Healthy Volunteers
    Eligibility Criteria
    Inclusion Criteria: being in the pediatric intensive care unit. nasogastric tube, intubation tube and saturation probe attached. Voluntary consent of family to participate in the study Exclusion Criteria: Patients with skin disease Patients staying less than 14 days
    Central Contact Person:
    First Name & Middle Initial & Last Name or Official Title & Degree
    Erhan Elmaoğlu
    Phone
    +903488142666
    Email
    erhan.elmaoglu@kilis.edu.tr
    Overall Study Officials:
    First Name & Middle Initial & Last Name & Degree
    Zerrin Çiğdem
    Organizational Affiliation
    Hasan Kalyoncu Univesity
    Official's Role
    Principal Investigator

    12. IPD Sharing Statement

    Plan to Share IPD
    No
    IPD Sharing Plan Description
    The data collected by the researcher will be shared with other participants. however, information about the patient will not be shared.
    Citations:
    PubMed Identifier
    18286861
    Citation
    Butler CT. Pediatric skin care: guidelines for assessment, prevention, and treatment. Dermatol Nurs. 2007 Oct;19(5):471-2, 477-82, 485.
    Results Reference
    result
    PubMed Identifier
    29246340
    Citation
    Curley MAQ, Hasbani NR, Quigley SM, Stellar JJ, Pasek TA, Shelley SS, Kulik LA, Chamblee TB, Dilloway MA, Caillouette CN, McCabe MA, Wypij D. Predicting Pressure Injury Risk in Pediatric Patients: The Braden QD Scale. J Pediatr. 2018 Jan;192:189-195.e2. doi: 10.1016/j.jpeds.2017.09.045.
    Results Reference
    result
    PubMed Identifier
    28387749
    Citation
    Freundlich K. Pressure Injuries in Medically Complex Children: A Review. Children (Basel). 2017 Apr 7;4(4):25. doi: 10.3390/children4040025.
    Results Reference
    result
    PubMed Identifier
    32904968
    Citation
    Puspitasari JD, Nurhaeni N, Waluyanti FT. Testing of Braden QD Scale for predicting pressure ulcer risk in the Pediatric Intensive Care Unit. Pediatr Rep. 2020 Jun 25;12(Suppl 1):8694. doi: 10.4081/pr.2020.8694. eCollection 2020 Jun 25.
    Results Reference
    result
    PubMed Identifier
    29120893
    Citation
    Delmore BA, Ayello EA. CE: Pressure Injuries Caused by Medical Devices and Other Objects: A Clinical Update. Am J Nurs. 2017 Dec;117(12):36-45. doi: 10.1097/01.NAJ.0000527460.93222.31.
    Results Reference
    result

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