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

Yang Qi; Guo Xiaoxia

doi:doi:10.11648/j.sjcm.20200901.12

| Peer-Reviewed

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

Yang Qi, Guo Xiaoxia

Published in Science Journal of Clinical Medicine (Volume 9, Issue 1)

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

Views: Downloads:

Download PDF

Share This Article

Twitter
Linked In
Facebook

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.

Cite This Article

Plain Text BibTeX RIS

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

Copy | Download

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

Copy | Download

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

Copy | Download

@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}
}

Copy | Download

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  -

Copy | Download

Author Information

Yang Qi

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

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

Download PDF

Sections

Plain Text BibTeX RIS

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

Copy | Download

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

Copy | Download

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

Copy | Download

@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}
}

Copy | Download

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  -

Copy | Download