Effect of a wound healing protocol on patients with stage III and IV pressure ulcers: a preliminary observational study

Journal article


Monaco, Dario, Zaghini, Francesco, Fiorini, Jacopo, Venturini, Giulia, Iovino, Paolo, Vellone, Ercole, Alvaro, Rosaria and Sili, Alessandro. (2022). Effect of a wound healing protocol on patients with stage III and IV pressure ulcers: a preliminary observational study. Journal of Wound Care. 31(4), pp. 322-328. https://doi.org/10.12968/jowc.2022.31.4.322
AuthorsMonaco, Dario, Zaghini, Francesco, Fiorini, Jacopo, Venturini, Giulia, Iovino, Paolo, Vellone, Ercole, Alvaro, Rosaria and Sili, Alessandro
Abstract

Objective:
To evaluate the influence of a wound healing protocol for stage III and IV pressure ulcers (PUs), and to determine the predictive power of specific sociodemographic and clinical characteristics on wound healing and infection.

Method:
This longitudinal study included participants with stage III and IV PUs who were recruited from 10 acute care settings of an Italian university hospital, and who were managed with a protocol inspired by the TIMECare model. Data were collected between October 2018 and March 2019. The National Pressure Ulcer Advisory Panel Staging System was used to stage the PUs. Wound healing was assessed with the Pressure Ulcer Scale for Healing (PUSH). Nutritional status was assessed with the Mini Nutritional Assessment Index. Data collection took place at admission and every seven days thereafter—a total of six times before discharge. The outcome and predictors of wound healing were assessed with Student's paired t-tests and multiple linear regressions, respectively.

Results:
Patients (n=126) were almost equally split between male and female, with a mean age of 78.17 years and who were all retired. Stage III and IV PUs were most prevalent at the sacrum (65.5% and 73.2%, respectively). PUSH wound healing scores improved significantly after six weeks in both stage III and IV PUs (p<0.001). Nutritional status was predictive of wound healing (R2=0.12).

Conclusion:
Our results showed that a good nutritional status and a protocol inspired by the TIMECare model were associated with wound healing improvements in stage III and IV PUs. We recommend this protocol in older patients with stage III and IV PUs.

Keywordsinfection; nutritional status; observational study; pressure ulcer; Pressure Ulcer Scale for Healing; protocol; TIME; ulcer; wound; wound care; wound healing
Year2022
JournalJournal of Wound Care
Journal citation31 (4), pp. 322-328
PublisherMA Healthcare Ltd
ISSN0969-0700
Digital Object Identifier (DOI)https://doi.org/10.12968/jowc.2022.31.4.322
PubMed ID35404702
Scopus EID2-s2.0-85127978425
Page range322-328
Publisher's version
License
All rights reserved
File Access Level
Controlled
Output statusPublished
Publication dates
Online11 Apr 2022
Publication process dates
Deposited09 Aug 2023
Permalink -

https://acuresearchbank.acu.edu.au/item/8z7vw/effect-of-a-wound-healing-protocol-on-patients-with-stage-iii-and-iv-pressure-ulcers-a-preliminary-observational-study

Restricted files

Publisher's version

  • 59
    total views
  • 0
    total downloads
  • 2
    views this month
  • 0
    downloads this month
These values are for the period from 19th October 2020, when this repository was created.

Export as

Related outputs

Development and validation of two versions of the nurse–patient mutuality in chronic illness scale
Silvia, Cilluffo, Barbara, Bassola, Iovino, Paolo and Maura, Lusignani. (2023). Development and validation of two versions of the nurse–patient mutuality in chronic illness scale. Journal of Advanced Nursing. 79(8), pp. 3170-3182. https://doi.org/10.1111/jan.15594
Remote motivational interviewing to improve patient self-care and caregiver contribution to self-care in heart failure (REMOTIVATE-HF) : Rationale, design, and methodology for a multicentre randomized controlled trial
Vellone, Ercole, Rebora, Paola, Iovino, Paolo, Ghizzardi, Greta, Baricchi, Marina, Alvaro, Rosaria, Sili, Alessandro, Barello, Serena, Ausili, Davide, Trenta, Alessia M., Pedroni, Cristina, Dellafiore, Federica, Arrigoni, Cristina, Riegel, Barbara and Caruso, Rosario. (2023). Remote motivational interviewing to improve patient self-care and caregiver contribution to self-care in heart failure (REMOTIVATE-HF) : Rationale, design, and methodology for a multicentre randomized controlled trial. Research in Nursing and Health. 46(2), pp. 190-202. https://doi.org/10.1002/nur.22289
Self-care in coronary heart disease patient and caregiver dyads (HEARTS-IN-DYADS)—Protocol of a multicenter longitudinal study
Simonelli, Niccolò, Bolgeo, Tatiana, Iovino, Paolo, Di Matteo, Roberta, Maconi, Antonio and Vellone, Ercole. (2023). Self-care in coronary heart disease patient and caregiver dyads (HEARTS-IN-DYADS)—Protocol of a multicenter longitudinal study. Research in Nursing and Health. 46(1), pp. 37-47. https://doi.org/10.1002/nur.22286
Caregiver contribution to self-care and its associated variables among caregivers of ostomy patients : Results of a cross-sectional study
Giordano, Vittoria, Iovino, Paolo, Corvese, Francesco, Vellone, Ercole, Alvaro, Rosaria and Villa, Giulia. (2022). Caregiver contribution to self-care and its associated variables among caregivers of ostomy patients : Results of a cross-sectional study. Journal of Clinical Nursing. 31(1-2), pp. 99-110. https://doi.org/10.1111/jocn.15851
Self-efficacy, burnout and academic success in nursing students : A counterfactual mediation analysis
Bulfone, Giampiera, Iovino, Paolo, Mazzotta, Rocco, Sebastian, Michael, Macale, Loreana, Sili, Alessandro, Vellone, Ercole and Alvaro, Rosaria. (2022). Self-efficacy, burnout and academic success in nursing students : A counterfactual mediation analysis. Journal of Advanced Nursing. 78(10), pp. 3217-3224. https://doi.org/10.1111/jan.15231
Factors influencing self-care in postmenopausal women with osteoporosis : The Guardian Angel® multicentric longitudinal study
Cittadini, Noemi, Basilici Zannetti, Emanuela, Iovino, Paolo, De Maria, Maddalena, D'Angelo, Daniela, Pennini, Annalisa, Vellone, Ercole and Alvaro, Rosaria. (2022). Factors influencing self-care in postmenopausal women with osteoporosis : The Guardian Angel® multicentric longitudinal study. Maturitas. 161, pp. 7-11. https://doi.org/10.1016/j.maturitas.2022.01.013
Adherence of systematic reviews to Cochrane RoB2 guidance was frequently poor : A meta epidemiological study
Minozzi, Silvia, Gonzalez-Lorenzo, Marien, Cinquini, Michela, Berardinelli, Daniela, Cagnazzo, Celeste, Ciardullo, Stefano, De Nardi, Paola, Gammone, Mariarosaria, Iovino, Paolo, Lando, Alex, Rissone, Marco, Simeone, Giovanni, Stracuzzi, Marta, Venezia, Giovanna, Moja, Lorenzo and Costantino, Giorgio. (2022). Adherence of systematic reviews to Cochrane RoB2 guidance was frequently poor : A meta epidemiological study. Journal of Clinical Epidemiology. 152, pp. 47-55. https://doi.org/10.1016/j.jclinepi.2022.09.003
The role of self-efficacy in the self-care of patients with chronic conditions
Iovino, Paolo. (2022). The role of self-efficacy in the self-care of patients with chronic conditions [PhD Thesis]. University of Rome Tor Vergata
A family nurse-led intervention for reducing health services’ utilization in individuals with chronic diseases : The ADVICE pilot study
Savini, Serenella, Iovino, Paolo, Monaco, Dario, Marchini, Roberta, Di Giovanni, Tiziana, Donato, Giuseppe, Pulimeno, Ausilia, Matera, Carmela, Quintavalle, Giuseppe and Turci, Carlo. (2021). A family nurse-led intervention for reducing health services’ utilization in individuals with chronic diseases : The ADVICE pilot study. International Journal of Nursing Sciences. 8(3), pp. 264-270. https://doi.org/10.1016/j.ijnss.2021.05.001
Outcomes of wound care nurses’ practice in patients with pressure ulcers : An integrative review
Monaco, Dario, Iovino, Paolo, Lommi, Marzia, Marano, Giulia, Zaghini, Francesco, Vellone, Ercole, Alvaro, Rosaria and Sili, Alessandro. (2021). Outcomes of wound care nurses’ practice in patients with pressure ulcers : An integrative review. Journal of Clinical Nursing. 30(3-4), pp. 372-384. https://doi.org/10.1111/jocn.15583
The influence of caregiver preparedness on caregiver contributions to self-care in heart failure and the mediating role of caregiver confidence
Vellone, Ercole, Biagioli, Valentina, Durante, Angela, Buck, Harleah G., Iovino, Paolo, Tomietto, Marco, Colaceci, Sofia, Alvaro, Rosaria and Petruzzo, Antonio. (2020). The influence of caregiver preparedness on caregiver contributions to self-care in heart failure and the mediating role of caregiver confidence. Journal of Cardiovascular Nursing. 35(3), pp. 243-252. https://doi.org/10.1097/JCN.0000000000000632