Effects of Prototype Triangular Latex Pillows on the Prevention of Pressure Injury in Older Adults*

Main Article Content

Kwanjit Punpho
Baiboon Srithamma
Yotahka Dontree

Abstract

This quasi-experimental study aimed to examine the effect of prototype triangular latex pillows on the prevention of pressure injury in older adults. The participants were 150 older adults aged 60 years and over, with a Braden scale less than 18 and no pressure injury.The study was conducted at Thammasat University Hospital from February 2022 to September 2023. The participants who met the inclusion criteria were randomly assigned into five groups,30 participants per group: one control group (CG) and four experimental groups (EGs) via sampling without replacement. The participants in the control group were positioned in a 30-degree side-lying posture with regular pillows or folded blankets to support and turn over every two hours. Participants in the first experimental group were positioned in a side-lying posture with a 40-degree firm latex pillow, whereas those in the second experimental group were positioned in a side-lying posture with 40-degree medium latex pillows. Participants in the third experimental group were positioned in a side-lying posture with a 45-degree firm latex pillow, and those in the fourth experimental group were positioned in a side-lying posture with a 45-degree medium latex pillow. Each participant was turning positions every two hours,three times. At each turn, pressure injury was assessed on the coccyx and left and right hip.Data were collected until each group had 30 participants completed the protocol. The data were analyzed using descriptive statistics and one-way ANOVA. The results showed that all participants had no pressure injuries after the program completion. For future studies, the duration of time should be extended and different degrees and densities of latex pillows should be examined on the prevention of pressure injury.
Keywords: Older adults, Pressure injury, Triangular latex pillow

Article Details

How to Cite
1.
Punpho K, Srithamma B, Dontree Y. Effects of Prototype Triangular Latex Pillows on the Prevention of Pressure Injury in Older Adults*. Nurs Res Inno J [Internet]. 2024 Aug. 19 [cited 2024 Nov. 20];30(2). Available from: https://he02.tci-thaijo.org/index.php/RNJ/article/view/264903
Section
Research Articles

References

Nursing Department of Thammasat University Hospital.Nursing quality assurance committee pressure ulcer indicators, pressure injury incidence report for the fiscal year 2021–2023; 2023. (in Thai)

Jiamtanopachai R, Sanveingchan S. Nursing practice guidelines for the prevention of pressure ulcers. Thai Journal of Nursing. 2018;67(4):53-61. (in Thai)

Nursing Quality Coach for Sustainable Nursing Quality and Thai Enterostomal Therapy Society Pressure Ulcer:Definitions and Updates the Stages of Pressure Ulcer;2017. (in Thai)

Mamom J. The effects of a community-based discharge planning model for continuing pressure ulcer care on wound healing rates, nutritional status, and infection rates of elderly patients in Thailand. Songklanakarin Journal of Science & Technology. 2017;93(3):341-6. (in Thai)

Saila W. Pressure Injury. In: Prasungsit C, Rungsangchan K, Moungngen Y, editors. Wound care for nursing:evidence base to practice. 1st ed. Bangkok: P.A. Living;2016. p.153-67.(in Thai)

Ostomy and Wound Clinic, Nursing Department, Siriraj Hospital. Pressure injury prevention; 2018 [cited 2023 November 15]. Available from: https://www.si.mahidol.ac.th/th/division/hph/(in Thai)

Pass Medical Co.,Ltd. Medpro Triangle Pillow; 2023 [cited 2023 November 15]. Available from: https://www.passmedical.co.th/index. php/ product. (in Thai)

Pisuchpen S, Development of cushioning material from natural latex foam [Thesis]. Packaging Technology: Prince of Songkhla University; 2009. (in Thai)

Trulylatex Metress. Selecting the density of a latex mattress to suit the user. according to the state of health and various factors appropriately; 2023 [cited 2023 November 15].Available from: https://www.trulylatex.com/index.php/(in Thai)

Pressure Ulcer Advisory Panel, National Pressure Injury Advisory Panel and Pan Pacific Pressure Injury Alliance.Prevention and treatment of pressure ulcers/injuries: quick reference guide. In: Haesler E. (ed.). EPUAP/NPIAP/PPPIA; 2019.

Israsena Na Ayutthaya P, Treerattanapan C. Design thinking: learning by doing. 2023. [cited 2023 November15]. Available from: http://resource.tcdc.or.th/ebook/Design.Thingking.Learning.by.Doing.pdf (in Thai)

Delice A. The sampling issues in quantitative research;2010 [cited 2022 December 15]. Available from: https://files.eric.ed.gov/fulltext/EJ919871.pdf

Cheinwichai S, Thompermpon A. Pressure ulcer risk assessment tool. In: Prasungsit C, Rungsangchan K,Moungngen Y, editors. Wound care for nursing: evidence base to practice. 1st ed. Bangkok: P.A. Living; 2016.p.169-84. (in Thai)

The National Pressure Injury Advisory Panel (NPIAP).Pressure injury and stages; 2023. [cited 2023 November15]. Available from: https://npiap.com/

Srisathitnarakun B. Effect size, power analysis. Optimal sample size calculations using the G*Power software.Chulalongkorn University Press; 2020. (in Thai)

Sinsupang S, Sorahong S, Nuchsongdee S. Factors affecting pressure injury in general ward at Danchang hospital: retrospective case control study. Journal of Health and Nursing Ubon Ratchathani University. 2023;2(2):87-99.(in Thai)

Moore Z, Cowman S, Conroy RM. A randomised controlled clinical trial of repositioning, using the 30° tilt,for the prevention of pressure ulcers. J Clin Nurs.2011;20(17-18):2633-44.

Kovitwanawong N, Nithiuthai N. The material supports pressure on the patient’s organs during surgery. Made from

rubber-covered polymer and the manufacturing process for this support material; 2017. [cited 2024 January 7].Available from: https://piti-ipop.psu.ac.th/portfolio/Detail.aspx?id=283 (in Thai)