욕창예방을 위한 체위변경 중재 효과의 비교순위: 네트워크 메타분석
Comparative Effects and Ranks of Repositioning for Pressure Ulcer Prevention in Adults: A Network Meta-analysis
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Purpose: A network meta-analysis was conducted to assess the comparative effects and ranks of repositioning forpressure ulcer prevention in adults. Methods: A network meta-analysis was performed in a frequency method, using the"netmeta" package of R software version 4.1. The effects of repositioning intervention were confirmed by the odds ratio. The comparative ranking of the repositioning effects was confirmed using the cumulative probability (P-score). Results:Seven intervention studies were included in this study. Based on the P-score, the use of the repositioning system wasranked as the most effective among all interventions (P-score 78.7%). Next was 3~4-hour repositioning combined withmemory foam mattress use (P-score 77.2%), use of wearable sensor (P-Score 61.4%), 2-hour repositioning combinedwith memory foam mattress use (P-score 59.1%), 2-hour repositioning combined with powered air pressure redistributionmattress use (P-score 18.0%), and 4-hour repositioning combined with powered air pressure redistribution mattress use(P-score 18.0%). Conclusion: This study provides information on the relative comparative value of various repositioninginterventions to prevent pressure ulcers using network meta-analysis. This is expected to be useful for nurses'decision-making when applying repositioning interventions in clinical practice
Abstract
Purpose: A network meta-analysis was conducted to assess the comparative effects and ranks of repositioning forpressure ulcer prevention in adults. Methods: A network meta-analysis was performed in a frequency method, using the"netmeta" package of R software version 4.1. The effects of repositioning intervention were confirmed by the odds ratio. The comparative ranking of the repositioning effects was confirmed using the cumulative probability (P-score). Results:Seven intervention studies were included in this study. Based on the P-score, the use of the repositioning system wasranked as the most effective among all interventions (P-score 78.7%). Next was 3~4-hour repositioning combined withmemory foam mattress use (P-score 77.2%), use of wearable sensor (P-Score 61.4%), 2-hour repositioning combinedwith memory foam mattress use (P-score 59.1%), 2-hour repositioning combined with powered air pressure redistributionmattress use (P-score 18.0%), and 4-hour repositioning combined with powered air pressure redistribution mattress use(P-score 18.0%). Conclusion: This study provides information on the relative comparative value of various repositioninginterventions to prevent pressure ulcers using network meta-analysis. This is expected to be useful for nurses'decision-making when applying repositioning interventions in clinical practice
참고문헌 (20)
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