Comparison of the Effectiveness of Fluidized Positioner and Memory Foam Pillow in the Prevention of Pressure Injury in the Children's Head

Koç University32 enrolled

Overview

This study aims to compare the effectiveness of fluidized positioners and memory foam pillows in preventing pressure injuries in the head among pediatric patients. H1: There is a significant difference between the fluidized positioner and the memory foam pillow in terms of pressure injury incidence in pediatric intensive care patients. H2: The fluidized positioner reduces the risk of developing pressure injuries more effectively than the memory foam pillow. H3: There is a significant difference in the pressure applied to the head region of the patient between the fluidized positioner and the memory foam pillow. H4: The anatomical locations of pressure injuries (occipital, parietal, temporal, and ear regions) vary depending on the type of pillow used. H5: Compared to the memory foam pillow, the fluidized positioner is associated with a more homogeneous pressure distribution across the occipital, parietal, and temporal regions.

Study Type

INTERVENTIONAL

Allocation

RANDOMIZED

Purpose

PREVENTION

Masking

DOUBLE

Enrollment

Conditions

Pressure Injury

Interventions

Eligibility

Sex: ALLMin age: 28 DaysMax age: 5 Years

Medical Language ↔ Plain English

Inclusion Criteria: * Being treated in the pediatric intensive care unit * Being mechanically ventilated * Being immobile, being in age interval of 28 days to 5 years * Having consent for the participation of the study Exclusion Criteria: * Having surgical intervention in the head region * Parents want to leave at any stage of the project * Having hydrocephalus or burn in the head area * Having PIs on admission to hospital * Existing dermatologic diseases affecting the skin or connective tissue * Having emergence of a new condition during the intervention may significantly affect the risk of pressure injury (e.g., sudden surgery or complication) * Inability to obtain sufficient data during the study (e.g., patient transfer)

Outcomes

Primary Outcomes

Pressure Injury Development

The study will compare the incidence, stage, and anatomical location of PIs between the two groups.

Time frame: 0-14 days after the beginning of mechanical ventilation support

Secondary Outcomes

Pressure Measurement

Regional pressure distribution across the occipital, parietal, temporal, and auricular areas, used to characterize pressure redistribution performance of the support surface.

Time frame: 1st day, 7th day and 14th day of use of support surfaces.