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Design And Control of Patient Bed For Prevention Pressure Ulcers in Long-Term Inpatients

Year 2021, Volume: 12 Issue: 5, 719 - 728, 31.12.2021
https://doi.org/10.24012/dumf.1051333

Abstract

Pressure ulcers cause a lot of pain and discomfort in the patient. It also has a negative impact on the quality of life. Some patient’s treatment process may be take longer in hospitals. Like accident injuries, orthopedic treatments, long-term oncologic treatments. In these processes the time that spent on patient beds is very important. These patients must not be moved while the healing process. Especially elderly patients’ and in these long-term patients some bed injuries may occur because of the pressure on their body named bed sores. Due to the negative effects of pressure ulcers on patients and costly treatment, they must be prevented. Controlling the pressure intensity can help prevent pressure ulcers. Currently, the solutions to prevent pressure ulcers include using different methods for movement and displacement of patients. In this study, a patient bed has been designed to prevent pressure ulcers in long-term inpatients as application of electronics in medicine. In this bed, several plastic balls placed on pressure points. These points are the most pressurized points of the human body. The control of pressure in this points to be implemented in real time by an arduino mega controller board. Then the simplified control system is tested on the designed bed. The air inside the airbags placed at the pressure points according to the pressure sensor values connected to the designed system is changed by the compressor. It has been observed that the pressure values decreased by an average of 8-11% by inflating the balls at the pressure points in the designed patient bed system In this way, pressure ulcers occurring at pressure points can be reduced and pressure ulcers can be prevented.

References

  • [1] G.Ö. Aydın, N. Turan N, H. Kaya, “Malnutrition in Long-Term Hospitalized Patients,” Kafkas J Med Sci, vol. 6(1), pp.58-61, 2016.
  • [2] S. Coleman, C. Gorecki, E.A Nelson, et al, “Patient risk factors for pressure ulcer development: systematic review,” International Journal of Nursing Studies, vol. 50 (7), pp. 974-1003, 2013.
  • [3] E. İnözü, H.R. Özakpınar, M. Durgun, “Geriatrik hastalarda bası yaralarına yaklaşım,” Dicle Tıp Dergisi, vol.39(3), pp.408-412, 2012.
  • [4] S. Bergquist, “Pressure ulcer prediction in older adults receiving home health care: implications for use with the OASIS,” ADV Skin Wound Care, vol.16(1), pp.132-9, 2003.
  • [5] P. Papanikolaou, P. Lyne, D. Anthony, “Risk assessment scales for pressure ulcers: a methodological review,” International Journal of Nursing Studies, vol. 44, pp. 285-296, 2007.
  • [6] S. Şahin, F. Akçiçek, “Yaşlı hastada bası yaraları önleme, tanı ve tedavisi,” Akademik Geriatri Dergisi, pp. 1308-5115, 2009.
  • [7] A. Sönmez, “Bası Yaraları,” Türkiye Aile Hekimliği Dergisi, vol. 7(2), pp. 57-62, 2007.
  • [8] G. Bennet, C. Dealey, J. Posnett, “The Cost of Pressure Ulcers in The Uk,” Age Ageing. vol. 33(3), pp. 230-5, 2004.
  • [9] C. Gorecki, J.M. Brown, E. A. Nelson, et al, “Impact of pressure ulcers on quality of life in older patients: a systematic review,” Journal of the American Geriatrics Society, vol. 57(7), pp. 1175-1183, 2009.
  • [10] F.K. Hülya, S. Gülten, “Basınç Yarası Değerlendirilmesinde Sık Kullanılan Ölçekler,” JAREN, vol. 3(1), pp. 49-54, 2017.
  • [11] F. Çınar, Ş.S. Kula, A.F. Eti, “Yoğun Bakım Ünitesi’nde Basınç Yarasının Önlenmeye Yönelik Türkiye’de Yapılmış Çalışmaların İncelenmesi; Sistematik Derleme,” Balıkesir Sağlık Bilimleri Dergisi, vol. 7 (1), pp. 42-50, 2018.
  • [12] S. Sayar, S. Turgut, H. Doğan, Et Al, “Incidence Of Pressure Ulcers in Intensive Care Unit Patients At Risk According To The Waterlow Scale And Factors Influencing The Development Ulcers”, J.Clin Nurs. vol.18(5), pp.765-74, 2009.
  • [13] L. Schoonhoven, J.R. Haalboom, M.T. Bousema, A. Algra, D.E. Grobbee, M.H. Grypdonck, et al. “The prevention and pressureulcer risk score evaluation study. Prospective cohort study of routine use of risk assessment scales for prediction of pressure ulcers,” BMJ, pp. ; 325-797, 2002.
  • [14] J. Agostin, D. Baker, S. Bogardus, “Making Health Care Safer: A Critical Analysis of Patient Safety Practices,” Rockville, MD: Agency for Healthcare Research and Quality, Chapter 27. Prevention of Pressure Ulcers in Older Patients, 2001.
  • [15] C. Dealey, J. Posnett, A. Walker, “The cost of pressure ulcers in the United Kingdom,” Journal of Wound Care, vol. 21(6), pp. 261–266, 2012.
  • [16] L. Demarré, A. V. Lancker, A. V. Hecke, S. Verhaeghe, M. Grypdonck, J. Lemey, D. Beeckman, “The cost of prevention and treatment of pressure ulcers: A systematic review,” International Journal of Nursing Studies, vol. 52(11), pp. 1754–1774,2015.
  • [17] B. Ceylan, “Basınç Yaralarının Önlenmesinde Pozisyon Değiştirme Sıklığının Doku Oksijenlenmesi Üzerine Etkisi”, Ege Üniversitesi Sağlık Bilimleri Enstitüsü, Doktora tezi, 109s, İzmir, 2016.
  • [18] D.T. Bereded, M.H. Salih & A.E. Abebe, “Prevalence and risk factors of pressure ulcer in hospitalized adult patients; a single center study from Ethiopia”, BMC Res Notes 11, 847, 2018.
  • [19] H.C. Wann, P. Hagell, A. Willman, “Risk factors and prevention among patients with hospitalacquired and pre-existing pressure ulcers in an acute care hospital,” Journal of Clinical Nursing, vol. 17, pp. 1718-1727, 2008.
  • [20] A. Mitchell, “Adult pressure area care: preventing pressure ulcers,” British Journal of NursingVol. 27, No. 18, 2018.
  • [21] G. Özgenel, R. Kahveci, S. Akın, S. Özbek, M. Özcan, “Bası Yaralarında Tedavi Prensiplerimiz ve Sonuçlarımız,” Uludağ Üniversitesi Tıp Fakültesi Dergisi, vol. 28 (2), pp. 27-32, 2002.
  • [22] R.Yousefi, S. Ostadabbas, M. Faezipour, M. Nourani, V. Ng, L.Tamil, A. Bowling, D. Behan, M. Pompeo, “A Smart Bed Platform for Monitoring & Ulcer Prevention, 4th International Conference on Biomedical Engineering and Informatics (BMEI), pp.1362-1366, 2011.
  • [23] L. Khaleghi, “A Review on Equipped Hospital Beds with Wireless Sensor Networks for Reducing, Bedsores,” J Nur Healthcare, vol. 3(3), pp.1-8, 2018.
  • [24] K. Ulrika, E.Maria, B. Sara, E. Anna-Christina, F. Mats, L. Lars-Göran, L. Margareta Lindgren, The Effects of Different Lying Positions on Interface Pressure, Skin Temperature, and Tissue Blood Flow in Nursing Home Residents, Biological Research For Nursing, Vol. 17(2), pp. 142-151, 2014.
  • [25] S. Joshua, M.D. Mervis,J.Tania. M.D. Phillips, “Pressure ulcers: Prevention and management,” Journal of the American Academy of Dermatology, Vol. 81(4), pp. 893-902, 2019.
  • [26] N. Cullum, J. Deeks, T. A. Sheldon, F. Song, A.W. Fletcher, “Beds, mattresses and cushions for pressure söre prevention and treatment (Cochrane Review). In: The Cochrane Library”, Oxford: Update Software, Issue 4, 2000.
  • [27] H. James, “Preventing pressure sores in patients’ homes,” Prof Nurse, vol. 12(6), pp.12-4, 1997.
  • [28] A.J.P.B. Keller AJPB, J.Wille, V.B. Ramshorst, V.D.C.Werken, “Pressureulser in intensive care patients: A review of risk and prevention,” Intensive Care Med, vol. 28(10), pp. 1379-88, 2002.
  • [29] G.B. Zachary, “Design And Control Of A Smart Bed For Pressure Ulcer Prevention,” Master Thesis, 2013; The University of Texas.
  • [30] M. Akitsugu, I. Kyoko, T. Shin-ichiro, W. Mika, F. Shuji, F. Masutaka, “Body Pressure Sensing Mattress for Bedsore Prevention,” Sei Technical Review, vol. 78, pp.95-99, 2014.
  • [31] E. Gürçay, “Spinal kord yaralanmalı hastalarda bası yaraları,” Marmara Medical Journal, vol.22(2), pp.162-168, 2009.
  • [32] European Pressure Ulcer Advisory Panel and National Pressure Ulcer Advisory Panel. Prevention and treatment of pressure ulcers: quick reference guide. Washington DC: National Pressure Ulcer Advisory Panel; 2009. (Çev. Yara Ostomi İnkontinans Hemşireleri Derneği). Basınç Ülserlerini Önleme: Hızlı Başvuru Kılavuzu. Aralık 2010, Ankara.
  • [33] Ö. Uzun, “Cerrahi hastalarda basınç ülserlerinin önlenmesi,” Fırat Sağlık Hizmetleri Dergisi, vol. 5(15), pp. 113-127, 2010.
  • [34] L.A. Krapfl, M. Gray, “Does regular repositioning prevent pressure ulcers?” J Wound Ostomy Continence Nurs, vol. 35(6), pp.571-577, 2008.
  • [35] R.J. Shannon, L. Brown, D. Chakravarthy, “Pressure ulcer prevention program study: a randomized, controlled prospective comparative value evaluation of pressure ulcer prevention strategies in nursing and rehabilitation centers,” Advances in Skin & Wound Care, vol.25(10), pp.450-64, 2012.
  • [36] B. Gündüz, “Bası yaralarının önlenmesi,” Turkiye Klinikleri Journal of Internal Medical Sciences, vol.3(45), pp. 25-31, 2007.
  • [37] B.M. Gillespie, W.P. Chaboyer, E. McInnes, B. Kent, J. A. Whitty, L. Thalib. “Repositioning for pressure ulcer prevention in adults,” Cochrane Database Syst Rev, 4, 2014.
  • [38] S. Ajami , L. Khaleghi, “A review on equipped hospital beds with wireless sensor networks for reducing bedsores,” J Res Med Sci vol.20, pp1007-15,2015.
Year 2021, Volume: 12 Issue: 5, 719 - 728, 31.12.2021
https://doi.org/10.24012/dumf.1051333

Abstract

References

  • [1] G.Ö. Aydın, N. Turan N, H. Kaya, “Malnutrition in Long-Term Hospitalized Patients,” Kafkas J Med Sci, vol. 6(1), pp.58-61, 2016.
  • [2] S. Coleman, C. Gorecki, E.A Nelson, et al, “Patient risk factors for pressure ulcer development: systematic review,” International Journal of Nursing Studies, vol. 50 (7), pp. 974-1003, 2013.
  • [3] E. İnözü, H.R. Özakpınar, M. Durgun, “Geriatrik hastalarda bası yaralarına yaklaşım,” Dicle Tıp Dergisi, vol.39(3), pp.408-412, 2012.
  • [4] S. Bergquist, “Pressure ulcer prediction in older adults receiving home health care: implications for use with the OASIS,” ADV Skin Wound Care, vol.16(1), pp.132-9, 2003.
  • [5] P. Papanikolaou, P. Lyne, D. Anthony, “Risk assessment scales for pressure ulcers: a methodological review,” International Journal of Nursing Studies, vol. 44, pp. 285-296, 2007.
  • [6] S. Şahin, F. Akçiçek, “Yaşlı hastada bası yaraları önleme, tanı ve tedavisi,” Akademik Geriatri Dergisi, pp. 1308-5115, 2009.
  • [7] A. Sönmez, “Bası Yaraları,” Türkiye Aile Hekimliği Dergisi, vol. 7(2), pp. 57-62, 2007.
  • [8] G. Bennet, C. Dealey, J. Posnett, “The Cost of Pressure Ulcers in The Uk,” Age Ageing. vol. 33(3), pp. 230-5, 2004.
  • [9] C. Gorecki, J.M. Brown, E. A. Nelson, et al, “Impact of pressure ulcers on quality of life in older patients: a systematic review,” Journal of the American Geriatrics Society, vol. 57(7), pp. 1175-1183, 2009.
  • [10] F.K. Hülya, S. Gülten, “Basınç Yarası Değerlendirilmesinde Sık Kullanılan Ölçekler,” JAREN, vol. 3(1), pp. 49-54, 2017.
  • [11] F. Çınar, Ş.S. Kula, A.F. Eti, “Yoğun Bakım Ünitesi’nde Basınç Yarasının Önlenmeye Yönelik Türkiye’de Yapılmış Çalışmaların İncelenmesi; Sistematik Derleme,” Balıkesir Sağlık Bilimleri Dergisi, vol. 7 (1), pp. 42-50, 2018.
  • [12] S. Sayar, S. Turgut, H. Doğan, Et Al, “Incidence Of Pressure Ulcers in Intensive Care Unit Patients At Risk According To The Waterlow Scale And Factors Influencing The Development Ulcers”, J.Clin Nurs. vol.18(5), pp.765-74, 2009.
  • [13] L. Schoonhoven, J.R. Haalboom, M.T. Bousema, A. Algra, D.E. Grobbee, M.H. Grypdonck, et al. “The prevention and pressureulcer risk score evaluation study. Prospective cohort study of routine use of risk assessment scales for prediction of pressure ulcers,” BMJ, pp. ; 325-797, 2002.
  • [14] J. Agostin, D. Baker, S. Bogardus, “Making Health Care Safer: A Critical Analysis of Patient Safety Practices,” Rockville, MD: Agency for Healthcare Research and Quality, Chapter 27. Prevention of Pressure Ulcers in Older Patients, 2001.
  • [15] C. Dealey, J. Posnett, A. Walker, “The cost of pressure ulcers in the United Kingdom,” Journal of Wound Care, vol. 21(6), pp. 261–266, 2012.
  • [16] L. Demarré, A. V. Lancker, A. V. Hecke, S. Verhaeghe, M. Grypdonck, J. Lemey, D. Beeckman, “The cost of prevention and treatment of pressure ulcers: A systematic review,” International Journal of Nursing Studies, vol. 52(11), pp. 1754–1774,2015.
  • [17] B. Ceylan, “Basınç Yaralarının Önlenmesinde Pozisyon Değiştirme Sıklığının Doku Oksijenlenmesi Üzerine Etkisi”, Ege Üniversitesi Sağlık Bilimleri Enstitüsü, Doktora tezi, 109s, İzmir, 2016.
  • [18] D.T. Bereded, M.H. Salih & A.E. Abebe, “Prevalence and risk factors of pressure ulcer in hospitalized adult patients; a single center study from Ethiopia”, BMC Res Notes 11, 847, 2018.
  • [19] H.C. Wann, P. Hagell, A. Willman, “Risk factors and prevention among patients with hospitalacquired and pre-existing pressure ulcers in an acute care hospital,” Journal of Clinical Nursing, vol. 17, pp. 1718-1727, 2008.
  • [20] A. Mitchell, “Adult pressure area care: preventing pressure ulcers,” British Journal of NursingVol. 27, No. 18, 2018.
  • [21] G. Özgenel, R. Kahveci, S. Akın, S. Özbek, M. Özcan, “Bası Yaralarında Tedavi Prensiplerimiz ve Sonuçlarımız,” Uludağ Üniversitesi Tıp Fakültesi Dergisi, vol. 28 (2), pp. 27-32, 2002.
  • [22] R.Yousefi, S. Ostadabbas, M. Faezipour, M. Nourani, V. Ng, L.Tamil, A. Bowling, D. Behan, M. Pompeo, “A Smart Bed Platform for Monitoring & Ulcer Prevention, 4th International Conference on Biomedical Engineering and Informatics (BMEI), pp.1362-1366, 2011.
  • [23] L. Khaleghi, “A Review on Equipped Hospital Beds with Wireless Sensor Networks for Reducing, Bedsores,” J Nur Healthcare, vol. 3(3), pp.1-8, 2018.
  • [24] K. Ulrika, E.Maria, B. Sara, E. Anna-Christina, F. Mats, L. Lars-Göran, L. Margareta Lindgren, The Effects of Different Lying Positions on Interface Pressure, Skin Temperature, and Tissue Blood Flow in Nursing Home Residents, Biological Research For Nursing, Vol. 17(2), pp. 142-151, 2014.
  • [25] S. Joshua, M.D. Mervis,J.Tania. M.D. Phillips, “Pressure ulcers: Prevention and management,” Journal of the American Academy of Dermatology, Vol. 81(4), pp. 893-902, 2019.
  • [26] N. Cullum, J. Deeks, T. A. Sheldon, F. Song, A.W. Fletcher, “Beds, mattresses and cushions for pressure söre prevention and treatment (Cochrane Review). In: The Cochrane Library”, Oxford: Update Software, Issue 4, 2000.
  • [27] H. James, “Preventing pressure sores in patients’ homes,” Prof Nurse, vol. 12(6), pp.12-4, 1997.
  • [28] A.J.P.B. Keller AJPB, J.Wille, V.B. Ramshorst, V.D.C.Werken, “Pressureulser in intensive care patients: A review of risk and prevention,” Intensive Care Med, vol. 28(10), pp. 1379-88, 2002.
  • [29] G.B. Zachary, “Design And Control Of A Smart Bed For Pressure Ulcer Prevention,” Master Thesis, 2013; The University of Texas.
  • [30] M. Akitsugu, I. Kyoko, T. Shin-ichiro, W. Mika, F. Shuji, F. Masutaka, “Body Pressure Sensing Mattress for Bedsore Prevention,” Sei Technical Review, vol. 78, pp.95-99, 2014.
  • [31] E. Gürçay, “Spinal kord yaralanmalı hastalarda bası yaraları,” Marmara Medical Journal, vol.22(2), pp.162-168, 2009.
  • [32] European Pressure Ulcer Advisory Panel and National Pressure Ulcer Advisory Panel. Prevention and treatment of pressure ulcers: quick reference guide. Washington DC: National Pressure Ulcer Advisory Panel; 2009. (Çev. Yara Ostomi İnkontinans Hemşireleri Derneği). Basınç Ülserlerini Önleme: Hızlı Başvuru Kılavuzu. Aralık 2010, Ankara.
  • [33] Ö. Uzun, “Cerrahi hastalarda basınç ülserlerinin önlenmesi,” Fırat Sağlık Hizmetleri Dergisi, vol. 5(15), pp. 113-127, 2010.
  • [34] L.A. Krapfl, M. Gray, “Does regular repositioning prevent pressure ulcers?” J Wound Ostomy Continence Nurs, vol. 35(6), pp.571-577, 2008.
  • [35] R.J. Shannon, L. Brown, D. Chakravarthy, “Pressure ulcer prevention program study: a randomized, controlled prospective comparative value evaluation of pressure ulcer prevention strategies in nursing and rehabilitation centers,” Advances in Skin & Wound Care, vol.25(10), pp.450-64, 2012.
  • [36] B. Gündüz, “Bası yaralarının önlenmesi,” Turkiye Klinikleri Journal of Internal Medical Sciences, vol.3(45), pp. 25-31, 2007.
  • [37] B.M. Gillespie, W.P. Chaboyer, E. McInnes, B. Kent, J. A. Whitty, L. Thalib. “Repositioning for pressure ulcer prevention in adults,” Cochrane Database Syst Rev, 4, 2014.
  • [38] S. Ajami , L. Khaleghi, “A review on equipped hospital beds with wireless sensor networks for reducing bedsores,” J Res Med Sci vol.20, pp1007-15,2015.
There are 38 citations in total.

Details

Primary Language English
Journal Section Articles
Authors

Behçet Kocaman This is me 0000-0002-1432-0959

Volkan Akgöl 0000-0002-5240-8732

Publication Date December 31, 2021
Submission Date October 4, 2021
Published in Issue Year 2021 Volume: 12 Issue: 5

Cite

IEEE B. Kocaman and V. Akgöl, “Design And Control of Patient Bed For Prevention Pressure Ulcers in Long-Term Inpatients”, DUJE, vol. 12, no. 5, pp. 719–728, 2021, doi: 10.24012/dumf.1051333.
DUJE tarafından yayınlanan tüm makaleler, Creative Commons Atıf 4.0 Uluslararası Lisansı ile lisanslanmıştır. Bu, orijinal eser ve kaynağın uygun şekilde belirtilmesi koşuluyla, herkesin eseri kopyalamasına, yeniden dağıtmasına, yeniden düzenlemesine, iletmesine ve uyarlamasına izin verir. 24456