Effectiveness of multi-layer silicon foam dressing in preventing sacrococcygeal and heel pressure injury in patients: a Meta-analysis
10.3760/cma.j.cn211501-20240315-00589
- VernacularTitle:多层硅泡沫敷料预防患者骶尾部及足跟部压力性损伤有效性的Meta分析
- Author:
Shumei SI
1
;
Jiayi SU
;
Wenwen LI
Author Information
1. 山西医科大学第一医院护理部，太原 030001
- Keywords:
Randomized controlled trials;
Pressure ulcer;
Meta-analysis;
Foam dressing
- From:
Chinese Journal of Practical Nursing
2024;40(19):1447-1453
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To analyze the effectiveness of multi-layer silicone foam dressing in preventing pressure injury of sacrococcygeal and heel by systematic evaluation.Methods:Randomized controlled studies on the effectiveness of multi-layer silicone foam dressings in preventing stress injury of sacrococcygeal and heel of hospitalized patients in CNKI, Wanfang, VIP, CBM, PubMed, Embase, The Cochrane Library and Web of Science were systematically reviewed. The retrieval time was from January 2012 to January 2023, and the Meta were screened and extracted by two researchers respectively. After evaluating the bias risk of the included studies, they were conducted by RevMan 5.4 software.Results:Eight randomized controlled studies involving 4 725 patients were included. Meta-analysis showed that multilayer silicone foam dressing could reduce the incidence of sacrococcygeal stage I pressure injury ( RR=0.18, 95% CI 0.09-0.35, P<0.01), and reduce the incidence of the first-stage heel pressure injury ( RR=0.29, 95% CI 0.13-0.66, P<0.05). It could reduce the incidence of sacrococcygeal stage Ⅱ and more serious pressure injury ( RR=0.42, 95% CI 0.31-0.58, P<0.01), but the influence on the incidence of the second-stage heel pressure injury and more serious heel pressure injury was not clear ( RR=0.52, 95% CI 0.27-0.99, P=0.05) Conclusions:Multi-layer silicone foam dressing can effectively reduce the incidence of sacrococcygeal pressure injury and reduce the incidence of first-stage pressure injury in heel, but the impact on the incidence of second-stage and more serious pressure injury in heel is still unclear.
