Table 9 Effect of Specialized Clinics on Pressure injury Prevention

Author Year

Country

Research Design

Sample Size

Methods Outcome

Kennedy et al. 2003

United Kingdom

Cohort

N=50

Population: Mean age=16-74 yr; Gender: males=37, females=13.

Intervention: Postural assessment took place while the individual adopted their usual posture in the wheelchair. Physical alignment was documented and correct positioning of adjustable parts of the chair was checked. Any abnormal posture was then checked for correct alignment and the set-up of the seating was adjusted where required.

Outcome Measures: Skin management subscale of the Needs Assessment Checklist (NAC) to assess skin management abilities.

1.     Significant differences were identified between group 1 & 3 at both NAC 1 (p<0.05) and NAC 2 (p<0.01).

2.     Skin management “to be achieved” scores were significantly lower for patients who had attended specialized seating assessment clinic (SSA) before their first NAC at both time points.

3.     Significant differences were also observed between the skin management “to be achieved” scores at the first & second NAC within all groups: Group 1 (p<0.0001), Group 2 (p<0.01) & Group 3 (p<0.01)

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