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Rêgo ADS, Furtado GE, Bernardes RA, Santos-Costa P, Dias RA, Alves FS, Ainla A, Arruda LM, Moreira IP, Bessa J, Fangueiro R, Gomes F, Henriques M, Sousa-Silva M, Pinto AC, Bouçanova M, Sousa VIF, Tavares CJ, Barboza R, Carvalho M, Filipe L, Sousa LB, Apóstolo JA, Parreira P, Salgueiro-Oliveira A. Development of Smart Clothing to Prevent Pressure Injuries in Bedridden Persons and/or with Severely Impaired Mobility: 4NoPressure Research Protocol. Healthcare (Basel) 2023; 11:1361. [PMID: 37239647 PMCID: PMC10218695 DOI: 10.3390/healthcare11101361] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/07/2023] [Revised: 04/25/2023] [Accepted: 05/06/2023] [Indexed: 05/28/2023] Open
Abstract
Pressure injuries (PIs) are a major public health problem and can be used as quality-of-care indicators. An incipient development in the field of medical devices takes the form of Smart Health Textiles, which can possess innovative properties such as thermoregulation, sensing, and antibacterial control. This protocol aims to describe the process for the development of a new type of smart clothing for individuals with reduced mobility and/or who are bedridden in order to prevent PIs. This paper's main purpose is to present the eight phases of the project, each consisting of tasks in specific phases: (i) product and process requirements and specifications; (ii and iii) study of the fibrous structure technology, textiles, and design; (iv and v) investigation of the sensor technology with respect to pressure, temperature, humidity, and bioactive properties; (vi and vii) production layout and adaptations in the manufacturing process; (viii) clinical trial. This project will introduce a new structural system and design for smart clothing to prevent PIs. New materials and architectures will be studied that provide better pressure relief, thermo-physiological control of the cutaneous microclimate, and personalisation of care.
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Affiliation(s)
- Anderson da Silva Rêgo
- Health Sciences Research Unit: Nursing (UICISA: E), Nursing School of Coimbra (ESEnfC), 3000-232 Coimbra, Portugal; (G.E.F.); (R.A.B.); (P.S.-C.); (L.F.); (L.B.S.); (J.A.A.); (P.P.); (A.S.-O.)
| | - Guilherme Eustáquio Furtado
- Health Sciences Research Unit: Nursing (UICISA: E), Nursing School of Coimbra (ESEnfC), 3000-232 Coimbra, Portugal; (G.E.F.); (R.A.B.); (P.S.-C.); (L.F.); (L.B.S.); (J.A.A.); (P.P.); (A.S.-O.)
- Polytechnic Institute of Coimbra, Applied Research Institute, Rua da Misericórdia, Lagar dos Cortiços–S. Martinho do Bispo, 3045-093 Coimbra, Portugal
| | - Rafael A. Bernardes
- Health Sciences Research Unit: Nursing (UICISA: E), Nursing School of Coimbra (ESEnfC), 3000-232 Coimbra, Portugal; (G.E.F.); (R.A.B.); (P.S.-C.); (L.F.); (L.B.S.); (J.A.A.); (P.P.); (A.S.-O.)
| | - Paulo Santos-Costa
- Health Sciences Research Unit: Nursing (UICISA: E), Nursing School of Coimbra (ESEnfC), 3000-232 Coimbra, Portugal; (G.E.F.); (R.A.B.); (P.S.-C.); (L.F.); (L.B.S.); (J.A.A.); (P.P.); (A.S.-O.)
| | - Rosana A. Dias
- International Iberian Laboratory of Nanotechnology (INL), 4715-330 Braga, Portugal; (R.A.D.); (F.S.A.); (A.A.)
| | - Filipe S. Alves
- International Iberian Laboratory of Nanotechnology (INL), 4715-330 Braga, Portugal; (R.A.D.); (F.S.A.); (A.A.)
| | - Alar Ainla
- International Iberian Laboratory of Nanotechnology (INL), 4715-330 Braga, Portugal; (R.A.D.); (F.S.A.); (A.A.)
| | - Luisa M. Arruda
- Fibrenamics, Institute of Innovation on Fibre-Based Materials and Composites, University of Minho, 4800-058 Guimaraes, Portugal; (L.M.A.); (I.P.M.); (J.B.); (R.F.)
- Centre for Textile Science and Technology (2C2T), University of Minho, 4800-058 Guimaraes, Portugal; (R.B.); (M.C.)
| | - Inês P. Moreira
- Fibrenamics, Institute of Innovation on Fibre-Based Materials and Composites, University of Minho, 4800-058 Guimaraes, Portugal; (L.M.A.); (I.P.M.); (J.B.); (R.F.)
- Centre for Textile Science and Technology (2C2T), University of Minho, 4800-058 Guimaraes, Portugal; (R.B.); (M.C.)
| | - João Bessa
- Fibrenamics, Institute of Innovation on Fibre-Based Materials and Composites, University of Minho, 4800-058 Guimaraes, Portugal; (L.M.A.); (I.P.M.); (J.B.); (R.F.)
- Centre for Textile Science and Technology (2C2T), University of Minho, 4800-058 Guimaraes, Portugal; (R.B.); (M.C.)
| | - Raul Fangueiro
- Fibrenamics, Institute of Innovation on Fibre-Based Materials and Composites, University of Minho, 4800-058 Guimaraes, Portugal; (L.M.A.); (I.P.M.); (J.B.); (R.F.)
- Centre for Textile Science and Technology (2C2T), University of Minho, 4800-058 Guimaraes, Portugal; (R.B.); (M.C.)
| | - Fernanda Gomes
- CEB—Centre of Biological Engineering, LIBRO—Laboratório de Investigação em Biofilmes Rosário Oliveira, University of Minho, 4710-057 Braga, Portugal; (F.G.); (M.H.); (M.S.-S.); (A.C.P.)
- LABBELS—Associate Laboratory, 4710-057 Braga, Portugal
| | - Mariana Henriques
- CEB—Centre of Biological Engineering, LIBRO—Laboratório de Investigação em Biofilmes Rosário Oliveira, University of Minho, 4710-057 Braga, Portugal; (F.G.); (M.H.); (M.S.-S.); (A.C.P.)
- LABBELS—Associate Laboratory, 4710-057 Braga, Portugal
| | - Maria Sousa-Silva
- CEB—Centre of Biological Engineering, LIBRO—Laboratório de Investigação em Biofilmes Rosário Oliveira, University of Minho, 4710-057 Braga, Portugal; (F.G.); (M.H.); (M.S.-S.); (A.C.P.)
- LABBELS—Associate Laboratory, 4710-057 Braga, Portugal
| | - Alexandra C. Pinto
- CEB—Centre of Biological Engineering, LIBRO—Laboratório de Investigação em Biofilmes Rosário Oliveira, University of Minho, 4710-057 Braga, Portugal; (F.G.); (M.H.); (M.S.-S.); (A.C.P.)
- LABBELS—Associate Laboratory, 4710-057 Braga, Portugal
| | - Maria Bouçanova
- Impetus Portugal-Têxteis Sa (IMPETUS), 4740-696 Barcelos, Portugal;
| | - Vânia Isabel Fernande Sousa
- Physics Center of Minho and Porto Universities (CF-UM-PT), Campus of Azurém, University of Minho, 4804-533 Guimarães, Portugal; (V.I.F.S.); (C.J.T.)
| | - Carlos José Tavares
- Physics Center of Minho and Porto Universities (CF-UM-PT), Campus of Azurém, University of Minho, 4804-533 Guimarães, Portugal; (V.I.F.S.); (C.J.T.)
| | - Rochelne Barboza
- Centre for Textile Science and Technology (2C2T), University of Minho, 4800-058 Guimaraes, Portugal; (R.B.); (M.C.)
| | - Miguel Carvalho
- Centre for Textile Science and Technology (2C2T), University of Minho, 4800-058 Guimaraes, Portugal; (R.B.); (M.C.)
| | - Luísa Filipe
- Health Sciences Research Unit: Nursing (UICISA: E), Nursing School of Coimbra (ESEnfC), 3000-232 Coimbra, Portugal; (G.E.F.); (R.A.B.); (P.S.-C.); (L.F.); (L.B.S.); (J.A.A.); (P.P.); (A.S.-O.)
| | - Liliana B. Sousa
- Health Sciences Research Unit: Nursing (UICISA: E), Nursing School of Coimbra (ESEnfC), 3000-232 Coimbra, Portugal; (G.E.F.); (R.A.B.); (P.S.-C.); (L.F.); (L.B.S.); (J.A.A.); (P.P.); (A.S.-O.)
| | - João A. Apóstolo
- Health Sciences Research Unit: Nursing (UICISA: E), Nursing School of Coimbra (ESEnfC), 3000-232 Coimbra, Portugal; (G.E.F.); (R.A.B.); (P.S.-C.); (L.F.); (L.B.S.); (J.A.A.); (P.P.); (A.S.-O.)
| | - Pedro Parreira
- Health Sciences Research Unit: Nursing (UICISA: E), Nursing School of Coimbra (ESEnfC), 3000-232 Coimbra, Portugal; (G.E.F.); (R.A.B.); (P.S.-C.); (L.F.); (L.B.S.); (J.A.A.); (P.P.); (A.S.-O.)
| | - Anabela Salgueiro-Oliveira
- Health Sciences Research Unit: Nursing (UICISA: E), Nursing School of Coimbra (ESEnfC), 3000-232 Coimbra, Portugal; (G.E.F.); (R.A.B.); (P.S.-C.); (L.F.); (L.B.S.); (J.A.A.); (P.P.); (A.S.-O.)
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Rêgo AS, Filipe L, Dias RA, Alves FS, Queiroz J, Ainla A, Arruda LM, Fangueiro R, Bouçanova M, Bernardes RA, de Sousa LB, Santos-Costa P, Apóstolo JA, Parreira P, Salgueiro-Oliveira A. End-User Assessment of an Innovative Clothing-Based Sensor Developed for Pressure Injury Prevention: A Mixed-Method Study. INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH 2023; 20:4039. [PMID: 36901051 PMCID: PMC10001934 DOI: 10.3390/ijerph20054039] [Citation(s) in RCA: 1] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 12/02/2022] [Revised: 02/19/2023] [Accepted: 02/22/2023] [Indexed: 06/01/2023]
Abstract
This study aimed to evaluate a clothing prototype that incorporates sensors for the evaluation of pressure, temperature, and humidity for the prevention of pressure injuries, namely regarding physical and comfort requirements. A mixed-method approach was used with concurrent quantitative and qualitative data triangulation. A structured questionnaire was applied before a focus group of experts to evaluate the sensor prototypes. Data were analyzed using descriptive and inferential statistics and the discourse of the collective subject, followed by method integration and meta-inferences. Nine nurses, experts in this topic, aged 32.66 ± 6.28 years and with a time of profession of 10.88 ± 6.19 years, participated in the study. Prototype A presented low evaluation in stiffness (1.56 ± 1.01) and roughness (2.11 ± 1.17). Prototype B showed smaller values in dimension (2.77 ± 0.83) and stiffness (3.00 ± 1.22). Embroidery was assessed as inadequate in terms of stiffness (1.88 ± 1.05) and roughness (2.44 ± 1.01). The results from the questionnaires and focus groups' show low adequacy as to stiffness, roughness, and comfort. The participants highlighted the need for improvements regarding stiffness and comfort, suggesting new proposals for the development of sensors for clothing. The main conclusions are that Prototype A presented the lowest average scores relative to rigidity (1.56 ± 1.01), considered inadequate. This dimension of Prototype B was evaluated as slightly adequate (2.77 ± 0.83). The rigidity (1.88 ± 1.05) of Prototype A + B + embroidery was evaluated as inadequate. The prototype revealed clothing sensors with low adequacy regarding the physical requirements, such as stiffness or roughness. Improvements are needed regarding the stiffness and roughness for the safety and comfort characteristics of the device evaluated.
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Affiliation(s)
- Anderson S. Rêgo
- Health Sciences Research Unit: Nursing (UICISA: E), Nursing School of Coimbra (ESEnfC), 3000-232 Coimbra, Portugal
| | - Luísa Filipe
- Health Sciences Research Unit: Nursing (UICISA: E), Nursing School of Coimbra (ESEnfC), 3000-232 Coimbra, Portugal
| | - Rosana A. Dias
- International Iberian Laboratory of Nanotechnology (INL), 4715-330 Braga, Portugal
| | - Filipe S. Alves
- International Iberian Laboratory of Nanotechnology (INL), 4715-330 Braga, Portugal
| | - José Queiroz
- International Iberian Laboratory of Nanotechnology (INL), 4715-330 Braga, Portugal
| | - Alar Ainla
- International Iberian Laboratory of Nanotechnology (INL), 4715-330 Braga, Portugal
| | - Luísa M. Arruda
- Fibrenamics, Institute of Innovation on Fibre-Based Materials and Composites, University of Minho, 4800-058 Guimaraes, Portugal
- Centre for Textile Science and Technology (2C2T), University of Minho, 4800-058 Guimaraes, Portugal
| | - Raul Fangueiro
- Fibrenamics, Institute of Innovation on Fibre-Based Materials and Composites, University of Minho, 4800-058 Guimaraes, Portugal
- Centre for Textile Science and Technology (2C2T), University of Minho, 4800-058 Guimaraes, Portugal
| | - Maria Bouçanova
- Impetus Portugal-Têxteis Sa (IMPETUS), 4740-696 Barcelos, Portugal
| | - Rafael A. Bernardes
- Health Sciences Research Unit: Nursing (UICISA: E), Nursing School of Coimbra (ESEnfC), 3000-232 Coimbra, Portugal
| | - Liliana B. de Sousa
- Health Sciences Research Unit: Nursing (UICISA: E), Nursing School of Coimbra (ESEnfC), 3000-232 Coimbra, Portugal
| | - Paulo Santos-Costa
- Health Sciences Research Unit: Nursing (UICISA: E), Nursing School of Coimbra (ESEnfC), 3000-232 Coimbra, Portugal
| | - João A. Apóstolo
- Health Sciences Research Unit: Nursing (UICISA: E), Nursing School of Coimbra (ESEnfC), 3000-232 Coimbra, Portugal
| | - Pedro Parreira
- Health Sciences Research Unit: Nursing (UICISA: E), Nursing School of Coimbra (ESEnfC), 3000-232 Coimbra, Portugal
| | - Anabela Salgueiro-Oliveira
- Health Sciences Research Unit: Nursing (UICISA: E), Nursing School of Coimbra (ESEnfC), 3000-232 Coimbra, Portugal
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Sé ACS, Oliveira RCESD, Trivino GDS, Lobato IDS, Medeiros FDM, Gonçalves RCDS, Pestana LC, Gonçalves EF, Tonini T, Figueiredo NMAD. ADHESION OF ASSISTANCE PROTOCOL ON NASOENTERAL CATHETER FIXATION. ESTIMA 2022. [DOI: 10.30886/estima.v20.1165_in] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/06/2022] Open
Abstract
Objective: To verify the adherence of the nursing team to a care protocol for the fixation of a nasoenteral catheter, after a health education action. Methods: Quantitative, cross-sectional, field, observational and descriptive study in a hospital in the city of Rio de Janeiro. It consisted of two stages: health education action on a nasoenteral catheter fixation protocol and data collection after health education action, in the form of non-participant observation, using an instrument containing information regarding the presence of fixation, type of fixation, record of the date of the procedure and conditions of fixation of the nasoenteral catheter. Results: Health education actions encompassed the participation of 133 nursing professionals. Of the 123 patients observed, 100% had fixation, the most prevalent being nasal fixation (60.16%/n = 74). In 68.29% (n = 84) there was no date record, 95.93 (n=118) and 87.80% (n = 108) had good cleaning and adherence conditions, respectively. Conclusion: A satisfactory result was not achieved regarding adherence to the type of fixation and registration of the date of the procedure. Despite the unsatisfactory adherence, there was a high positive correlation between the professionals’ adherence to the education actions and the correctness ratio of the type of fixation.
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Sé ACS, Oliveira RCESD, Trivino GDS, Lobato IDS, Medeiros FDM, Gonçalves RCDS, Pestana LC, Gonçalves EF, Tonini T, Figueiredo NMAD. ADESÃO DE PROTOCOLO ASSISTENCIAL SOBRE FIXAÇÃO DE CATETER NASOENTERAL. ESTIMA 2022. [DOI: 10.30886/estima.v20.1165_pt] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/06/2022] Open
Abstract
Objetivo:Verificar a adesão da equipe de enfermagem a um protocolo assistencial de fixação de cateter nasoenteral, após ação de educação em saúde. Método: Estudo quantitativo, transversal, de campo, observacional e descritivo, em um hospital no município do Rio de Janeiro. Constituiu-se de duas etapas: ação de educação em saúde sobre um protocolo de fixação de cateter nasoenteral e coleta de dados após ação de educação em saúde, sob a forma de observação não participante, com a utilização de instrumento contendo informações referentes à presença de fixação, tipo de fixação, registro da data do procedimento e condições da fixação do cateter nasoenteral. Resultados: As ações de educação em saúde abrangeram a participação de 133 profissionais de enfermagem. Dos 123 pacientes observados, 100% possuíam fixação, sendo a mais prevalente a fixação nasal (60,16% / n = 74). Em 68,29% (n = 84) não havia registro de data, 95,93% (n = 118) e 87,80% (n = 108) apresentavam boas condições de limpeza e aderência, respectivamente. Conclusão: Não se atingiu um resultado satisfatório quanto à adesão ao tipo de fixação e registro da data do procedimento. Apesar da adesão insatisfatória, houve alta correlação positiva entre a adesão dos profissionais nas ações de educação e razão de acerto do tipo de fixação
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Cavalcante EDO, Kamada I. MEDICAL DEVICE-RELATED PRESSURE INJURY: FREQUENCY AND ASSOCIATED FACTORS. ESTIMA 2022. [DOI: 10.30886/estima.v20.1146_in] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/06/2022] Open
Abstract
Objective: to analyze the occurrence of pressure injuries related to medical devices in patients admitted to an intensive care unit. Method: quantitative, observational, descriptive, prospective cohort study, carried out with 171 patients, from May 15 to August 31, 2018 in the intensive care units of a public hospital in the Federal District. Results: the main risk factors were the presence of pressure injuries at admission, with a significant association for the formation of pressure injuries related to medical devices (p=0.002), and patients who progressed to death, with an association for the formation of pressure injuries related to medical devices (p=0.012); medical device-related pressure injury incidence rate of 40.35%. Conclusion: the use of medical devices has grown, as well as the appropriation of these technologies in the critical care environment. The multidisciplinary team should be aware of the formation of pressure injuries related to medical devices that can affect hospitalized patients.
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Cavalcante EDO, Kamada I. LESÃO POR PRESSÃO RELACIONADA A DISPOSITIVOS MÉDICOS: FREQUÊNCIA E FATORES ASSOCIADOS. ESTIMA 2022. [DOI: 10.30886/estima.v20.1146_pt] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/06/2022] Open
Abstract
Objetivo:analisar a ocorrência de lesões por pressão relacionadas a dispositivos médicos em pacientes internados em unidade de terapia intensiva. Método: estudo quantitativo, de caráter observacional descritivo, do tipo coorte prospectivo, realizado com 171 pacientes, no período de 15 de maio a 31 de agosto de 2018 nas unidades de terapia intensiva de um hospital público do Distrito Federal. Resultados: os principais fatores de risco foram presença de lesões por pressão na admissão, com associação significativa para a formação de lesão por pressão relacionada a dispositivos médicos (p=0,002), e pacientes que evoluíam ao desfecho óbito, com associação para formação de lesão por pressão relacionada a dispositivos médicos (p=0,012); taxa de incidência de lesão por pressão relacionada a dispositivos médicos de 40,35%. Conclusão: o uso de dispositivo médico tem crescido, bem como a apropriação dessas tecnologias no ambiente de cuidados críticos. A equipe multiprofissional deve ficar atenta para a formação das lesões por pressão relacionadas a dispositivos médicos que podem acometer os pacientes internados.
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