Developing a Repositioning-assisted Device for the Prevention of Pressure Ulcers for Bedridden Patients: A Pilot Study
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Abstract
This pilot study is the development of a prototype of the repositioning-assisted device that can be used together with a conventional patient bed which reduces the pressure, friction, and shear forces that are the main causes of pressure ulcers and reduces the hassle of repositioning for pressure injury prevention. The prototype development and testing were carried out in three phases, starting from the study of the context of care for bedridden patients and the analysis of needs and obstacles in turning patients. Then, the prototype was developed and tested with one patient in the first phase, after testing, the problems and suggestions were improved and brought to test in the second test phase (3 cases), and the problems and suggestions were brought to the third test phase (10 cases) from December 2020 to March 2021. This Innovative device is made from a steel frame that is used to lie cover the conventional patient's bed floor and then place the mattress over the top. For the right lateral tilt, lift the left side of the steel brace that is hidden under the bed frame setup, and for the left lateral tilt, lift the right side of the steel brace that is hidden under the bed frame set up. The statistics used in the research were descriptive. The results showed that after testing, the subjects at the three stages did not develop pressure ulcers. Studies have shown that this innovative assisted device was developed by a multidisciplinary team including an advance practice nurse to promote correct repositioning that reduces and distributes mechanical loading to prevent pressure ulcers. The results suggest that efficacy should be tested in a large sample and compared with conventional nursing to confirm future pressure ulcer management outcomes.
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