Ghent University Academic Bibliography

Advanced

Effectiveness of Two Cushions in the Prevention of Heel Pressure Ulcers

Alexander Heyneman UGent, Katrien Vanderwee UGent, Maria Grypdonck UGent and Tom Defloor UGent (2009) WORLDVIEWS ON EVIDENCE-BASED NURSING. 6(2). p.114-120
abstract
Aim: The aim of the study was to determine the effectiveness of two cushions in the prevention of heel pressure ulcers in a geriatric population. Background: Heel pressure ulcers are a major problem in nursing practice. Several measures for the prevention of heel pressure ulcers are discussed in the literature, but the effectiveness of the different types of cushions in the prevention of heel pressure ulcers is poorly studied. Methods: In this comparative study, two different cushions to prevent heel pressure ulcers were investigated: a wedge-shaped, bedwide, viscoelastic foam cushion and an ordinary pillow. All patients were lying on a viscoelastic foam mattress and were repositioned every 4 hours. Sample: One hundred sixty-two patients over 75 years of age. Results: The incidence of heel pressure ulcers grades 2-4 was 1.9% in the wedge-shaped cushion group and was 10.2% in the pillow group. The patients in the wedge-shaped cushion group developed significantly fewer heel pressure ulcers (p = 0.03). Patients with a wedge-shaped cushion under the lower legs had an 85% less chance in developing a heel pressure ulcer (p = 0.02). The median time to develop a heel pressure ulcer was 4.0 days (IQR = 3.0-5.0) in the wedge-shaped cushion group and 3.5 days (IQR = 1.0-5.8) in the pillow group (p = 0.61). The probability to remain pressure ulcer-free at the heels was significantly higher in the wedge-shaped cushion group (p = 0.008). Conclusion: The study provides evidence that a wedge-shaped, bedwide, viscoelastic foam cushion decreases the risk of developing a heel pressure ulcer compared with the use of a pillow.
Please use this url to cite or link to this publication:
author
organization
year
type
journalArticle (original)
publication status
published
subject
journal title
WORLDVIEWS ON EVIDENCE-BASED NURSING
Worldviews Evid.-Based Nurs.
volume
6
issue
2
pages
114 - 120
Web of Science type
Article
Web of Science id
000266925900007
JCR category
NURSING
JCR impact factor
1.944 (2009)
JCR rank
1/70 (2009)
JCR quartile
1 (2009)
ISSN
1545-102X
language
English
UGent publication?
yes
classification
A1
id
805817
handle
http://hdl.handle.net/1854/LU-805817
date created
2009-12-09 15:03:48
date last changed
2015-06-17 11:19:13
@article{805817,
  abstract     = {Aim: The aim of the study was to determine the effectiveness of two cushions in the prevention of heel pressure ulcers in a geriatric population.

Background: Heel pressure ulcers are a major problem in nursing practice. Several measures for the prevention of heel pressure ulcers are discussed in the literature, but the effectiveness of the different types of cushions in the prevention of heel pressure ulcers is poorly studied.

Methods: In this comparative study, two different cushions to prevent heel pressure ulcers were investigated: a wedge-shaped, bedwide, viscoelastic foam cushion and an ordinary pillow. All patients were lying on a viscoelastic foam mattress and were repositioned every 4 hours.

Sample: One hundred sixty-two patients over 75 years of age.

Results: The incidence of heel pressure ulcers grades 2-4 was 1.9\% in the wedge-shaped cushion group and was 10.2\% in the pillow group. The patients in the wedge-shaped cushion group developed significantly fewer heel pressure ulcers (p = 0.03). Patients with a wedge-shaped cushion under the lower legs had an 85\% less chance in developing a heel pressure ulcer (p = 0.02). The median time to develop a heel pressure ulcer was 4.0 days (IQR = 3.0-5.0) in the wedge-shaped cushion group and 3.5 days (IQR = 1.0-5.8) in the pillow group (p = 0.61). The probability to remain pressure ulcer-free at the heels was significantly higher in the wedge-shaped cushion group (p = 0.008).

Conclusion: The study provides evidence that a wedge-shaped, bedwide, viscoelastic foam cushion decreases the risk of developing a heel pressure ulcer compared with the use of a pillow.},
  author       = {Heyneman, Alexander and Vanderwee, Katrien and Grypdonck, Maria and Defloor, Tom},
  issn         = {1545-102X},
  journal      = {WORLDVIEWS ON EVIDENCE-BASED NURSING},
  language     = {eng},
  number       = {2},
  pages        = {114--120},
  title        = {Effectiveness of Two Cushions in the Prevention of Heel Pressure Ulcers},
  volume       = {6},
  year         = {2009},
}

Chicago
Heyneman, Alexander, Katrien Vanderwee, Maria Grypdonck, and Tom Defloor. 2009. “Effectiveness of Two Cushions in the Prevention of Heel Pressure Ulcers.” Worldviews on Evidence-based Nursing 6 (2): 114–120.
APA
Heyneman, A., Vanderwee, K., Grypdonck, M., & Defloor, T. (2009). Effectiveness of Two Cushions in the Prevention of Heel Pressure Ulcers. WORLDVIEWS ON EVIDENCE-BASED NURSING, 6(2), 114–120.
Vancouver
1.
Heyneman A, Vanderwee K, Grypdonck M, Defloor T. Effectiveness of Two Cushions in the Prevention of Heel Pressure Ulcers. WORLDVIEWS ON EVIDENCE-BASED NURSING. 2009;6(2):114–20.
MLA
Heyneman, Alexander, Katrien Vanderwee, Maria Grypdonck, et al. “Effectiveness of Two Cushions in the Prevention of Heel Pressure Ulcers.” WORLDVIEWS ON EVIDENCE-BASED NURSING 6.2 (2009): 114–120. Print.