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Mepilex Border Dressings for the Prevention of Pressure Ulcers Caused by Nephrostomy Tube Securement

Received: 16 December 2019     Accepted: 3 January 2020     Published: 23 January 2020
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Abstract

Objective: To investigate the clinical effectiveness of Mepilex Border dressings for the prevention of medical device-related pressure ulcers (MDR PUs) caused by the nephrostomy tube securement with the drainage tube. Methods: Equally randomized 60 obstructive hydronephrosis patients in our hospital who were treated by ultrasound-guided percutaneous nephrolithotomy (from March 2018 to March 2019) into observation group and control group. The observation group was applied dressings beneath the junctions of nephrostomy tubes and drainage tubes before secured with 5*5cm I-shaped 3M elastic adhesive tape to avoid direct contact to patients’ skin; the control group was only secured with 5*5cm I-shaped 3M elastic adhesive tape to the bare skin. The incidences of skin indentations, local pain and pressure ulcers under the junctions were compared between two groups. Results: There were statistical significance (P<0.05) among two groups: all patients in control group (n=30) were presented with skin indentations in different degrees, 21 with local pain, 6 with first-stage pressure ulcers, while no evidence of the above situations was found in the observation group. Conclusions: Application of Mepilex Border dressings can prevent the occurrence of MDR PUs to improve patient comfort.

Published in Science Journal of Clinical Medicine (Volume 9, Issue 1)
DOI 10.11648/j.sjcm.20200901.12
Page(s) 7-10
Creative Commons

This is an Open Access article, distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution and reproduction in any medium or format, provided the original work is properly cited.

Copyright

Copyright © The Author(s), 2020. Published by Science Publishing Group

Keywords

Mepilex Border Dressings, Nephrostomy Tubes, Securement, Medical Device-Related Pressure Ulcers

References
[1] Cheong, N. F., Loon, Y. W., Benjamin, L. T. Y., Kiat, T. J., Kit, N. K., & Kiat, L. S.. (2017). Ultrasound-guided percutaneous nephrolithotomy: advantages and limitations. Investigative and Clinical Urology, 58 (5), 346-352.
[2] 2. Song, Y., Ma, Y. N., Song, Y. S., & Fei, X.. (2015). Evaluating the learning curve for percutaneous nephrolithotomy under total ultrasound guidance. PLOS ONE, 10 (8), e0132986.
[3] Karami, Hossein, Rezaei, Alireza, Mohammadhosseini, Mojtaba, Javanmard, Babak, Mazloomfard, Mohsen, & Lotfi, Behzad.. Ultrasonography-guided percutaneous nephrolithotomy in the flank position versus fluoroscopy-guided percutaneous nephrolithotomy in the prone position: a comparative study. Journal of Endourology, 24 (8), 1357-1361.
[4] Lavallée, Jacqueline F., Gray, T. A., Dumville, J., & Cullum, N.. (2019). Preventing pressure ulcers in nursing homes using a care bundle: a feasibility study. Health & Social Care in the Community,27 (4), e417-e427.
[5] Stéphanie F. Bernatchez, Mengistu, G. E., Ekholm, B. P., Sanghi, S., & Theiss, S. D.. (2015). Reducing friction on skin at risk: the use of 3m ™ cavilon ™ no sting barrier film. Advances in Wound Care, 4 (12), 705-710.
[6] Pittman, J., Beeson, T., Kitterman, J., Lancaster, S., & Shelly, A.. (2015). Medical device–related hospital-acquired pressure ulcers: development of an evidence-based position statement. Journal of Wound Ostomy & Continence Nursing, 42 (2) 151-154.
[7] Jacqueline F Lavallée, Gray, T. A., Dumville, J. C., & Cullum, N.. (2019). Preventing pressure injury in nursing homes: developing a care bundle using the behaviour change wheel. BMJ Open, 9 (6), e026639.
[8] Black, J., Alves, P., Brindle, C. T., Dealey, C., Santamaria, N., & Call, E., et al. (2015). Use of wound dressings to enhance prevention of pressure ulcers caused by medical devices. International Wound Journal, 12 (3), 322-327.
[9] Holroyd, S., & Graham, K.. (2014). Prevention and management of incontinence-associated dermatitis using a barrier cream. British Journal of Community Nursing, 19 (Sup12), 32-8.
[10] Black, J., Clark, M., Dealey, C., Brindle, C. T., Alves, P., & Santamaria, N., et al. (2015). Dressings as an adjunct to pressure ulcer prevention: consensus panel recommendations. International Wound Journal, 12 (4), 484-488.
[11] Fossum, M., Ehnfors, M., Svensson, E., Hansen, L. M., & Ehrenberg, A.. (2013). Effects of a computerized decision support system on care planning for pressure ulcers and malnutrition in nursing homes: an intervention study. International Journal of Medical Informatics, 82 (10), 911-921.
[12] Call, E., Pedersen, J., Bill, B., Black, J., Alves, P., & Brindle, C. T., et al. (2015). Enhancing pressure ulcer prevention using wound dressings: what are the modes of action?. International Wound Journal, 12 (4), 408-413.
[13] Thorpe, & Elaine. (2016). Prophylactic use of dressings for pressure ulcer prevention in the critical care unit. British Journal of Nursing, 25 (12), S6-S12.
[14] Byrne, J., Nichols, P., Sroczynski, M., Stelmaski, L., & Carlin, K.. (2016). Prophylactic sacral dressing for pressure ulcer prevention in high-risk patients. American Journal of Critical Care, 25 (3), 228-234.
[15] Woo, K. Y., Coutts, P. M., Price, P., Harding, K., & Sibbald, R. G.. (2009). A randomized crossover investigation of pain at dressing change comparing 2 foam dressings. Advances in Skin & Wound Care, 22 (7), 304-310.
[16] Waring, M., Bielfeldt, S., M?Tzold, K., Wilhelm, K. P., & Butcher, M.. (2011). An evaluation of the skin stripping of wound dressing adhesives. Journal of Wound Care, 20 (9), 412-422.
[17] Marshall, C., Shore, J., Arber, M., Cikalo, M., Oladapo, T., & Peel, A., et al. (2019). Mepilex border sacrum and heel dressings for the prevention of pressure ulcers: a nice medical technology guidance. Applied Health Economics and Health Policy, 17 (4): 453-465.
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  • APA Style

    Yang Qi, Guo Xiaoxia. (2020). Mepilex Border Dressings for the Prevention of Pressure Ulcers Caused by Nephrostomy Tube Securement. Science Journal of Clinical Medicine, 9(1), 7-10. https://doi.org/10.11648/j.sjcm.20200901.12

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    ACS Style

    Yang Qi; Guo Xiaoxia. Mepilex Border Dressings for the Prevention of Pressure Ulcers Caused by Nephrostomy Tube Securement. Sci. J. Clin. Med. 2020, 9(1), 7-10. doi: 10.11648/j.sjcm.20200901.12

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    AMA Style

    Yang Qi, Guo Xiaoxia. Mepilex Border Dressings for the Prevention of Pressure Ulcers Caused by Nephrostomy Tube Securement. Sci J Clin Med. 2020;9(1):7-10. doi: 10.11648/j.sjcm.20200901.12

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  • @article{10.11648/j.sjcm.20200901.12,
      author = {Yang Qi and Guo Xiaoxia},
      title = {Mepilex Border Dressings for the Prevention of Pressure Ulcers Caused by Nephrostomy Tube Securement},
      journal = {Science Journal of Clinical Medicine},
      volume = {9},
      number = {1},
      pages = {7-10},
      doi = {10.11648/j.sjcm.20200901.12},
      url = {https://doi.org/10.11648/j.sjcm.20200901.12},
      eprint = {https://article.sciencepublishinggroup.com/pdf/10.11648.j.sjcm.20200901.12},
      abstract = {Objective: To investigate the clinical effectiveness of Mepilex Border dressings for the prevention of medical device-related pressure ulcers (MDR PUs) caused by the nephrostomy tube securement with the drainage tube. Methods: Equally randomized 60 obstructive hydronephrosis patients in our hospital who were treated by ultrasound-guided percutaneous nephrolithotomy (from March 2018 to March 2019) into observation group and control group. The observation group was applied dressings beneath the junctions of nephrostomy tubes and drainage tubes before secured with 5*5cm I-shaped 3M elastic adhesive tape to avoid direct contact to patients’ skin; the control group was only secured with 5*5cm I-shaped 3M elastic adhesive tape to the bare skin. The incidences of skin indentations, local pain and pressure ulcers under the junctions were compared between two groups. Results: There were statistical significance (P<0.05) among two groups: all patients in control group (n=30) were presented with skin indentations in different degrees, 21 with local pain, 6 with first-stage pressure ulcers, while no evidence of the above situations was found in the observation group. Conclusions: Application of Mepilex Border dressings can prevent the occurrence of MDR PUs to improve patient comfort.},
     year = {2020}
    }
    

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  • TY  - JOUR
    T1  - Mepilex Border Dressings for the Prevention of Pressure Ulcers Caused by Nephrostomy Tube Securement
    AU  - Yang Qi
    AU  - Guo Xiaoxia
    Y1  - 2020/01/23
    PY  - 2020
    N1  - https://doi.org/10.11648/j.sjcm.20200901.12
    DO  - 10.11648/j.sjcm.20200901.12
    T2  - Science Journal of Clinical Medicine
    JF  - Science Journal of Clinical Medicine
    JO  - Science Journal of Clinical Medicine
    SP  - 7
    EP  - 10
    PB  - Science Publishing Group
    SN  - 2327-2732
    UR  - https://doi.org/10.11648/j.sjcm.20200901.12
    AB  - Objective: To investigate the clinical effectiveness of Mepilex Border dressings for the prevention of medical device-related pressure ulcers (MDR PUs) caused by the nephrostomy tube securement with the drainage tube. Methods: Equally randomized 60 obstructive hydronephrosis patients in our hospital who were treated by ultrasound-guided percutaneous nephrolithotomy (from March 2018 to March 2019) into observation group and control group. The observation group was applied dressings beneath the junctions of nephrostomy tubes and drainage tubes before secured with 5*5cm I-shaped 3M elastic adhesive tape to avoid direct contact to patients’ skin; the control group was only secured with 5*5cm I-shaped 3M elastic adhesive tape to the bare skin. The incidences of skin indentations, local pain and pressure ulcers under the junctions were compared between two groups. Results: There were statistical significance (P<0.05) among two groups: all patients in control group (n=30) were presented with skin indentations in different degrees, 21 with local pain, 6 with first-stage pressure ulcers, while no evidence of the above situations was found in the observation group. Conclusions: Application of Mepilex Border dressings can prevent the occurrence of MDR PUs to improve patient comfort.
    VL  - 9
    IS  - 1
    ER  - 

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Author Information
  • Department of Urology, The First Affiliated Hospital of Jinan University, Guangzhou, China

  • Department of Urology, The First Affiliated Hospital of Jinan University, Guangzhou, China

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