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Kurt Y, Kaşikçi M, Malaska R. Nursing interventions to prevent pressure injury among open heart surgery patients: A systematic review. Nurs Crit Care 2024. [PMID: 38965753 DOI: 10.1111/nicc.13117] [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: 02/13/2024] [Revised: 05/20/2024] [Accepted: 06/15/2024] [Indexed: 07/06/2024]
Abstract
BACKGROUND Nurses are vital in identifying and preventive pressure injuries (PIs) in hospitalized patients undergoing open heart surgery. Interventions to prevent PIs are crucial for every critical patient, and it's essential to recognize that preventing PIs involves a complex intervention. AIM To examine the nursing interventions for the prevention of PI in patients with open heart surgery. METHOD A systematic review study. Web of Science, Science Direct, PubMed, Scopus, MEDLINE Ultimate, CINAHL Ultimate, ULAKBIM, Cochrane Library, Google Scholar and university library databases were scanned. The initial search performed in the databases was updated on 4 February 2023, and on 7 April 2024, for potential publications included in that period. Data between February 2013 and April 2024 were scanned. The databases were searched with the keywords 'pressure injury', 'nursing interventions' and 'open heart surgery'. The systematic compilation process was carried out in accordance with the guidelines in the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) guide. RESULTS Seventeen studies were examined using nursing interventions that applied to the selected study population. Care packages included an inflatable head pad, a pressure sensor mattress cover, multi-layer silicone foam, pressure-reducing coatings, endotracheal tube (ETT) repositioning and cuff pressure regulation. Interventions to reduce PI in open heart surgery patients are applied in the preadmission, perioperative and postoperative periods. CONCLUSION It was concluded that care packages, inflatable head pads, pressure sensor bedspreads, multi-layered silicone foam, pressure-reducing covers, ETT repositioning and cuff pressure regulation were effective in all nursing interventions. The strength of the available evidence was rated from strong to weak. RELEVANCE TO CLINICAL PRACTICE These findings reveal an efficient combination of multi-component nursing interventions for preventing PIs in planning patient care in the intensive care. The interventions that are used throughout the patient's entire care process are crucial for the prevention of PIs.
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Affiliation(s)
- Yeter Kurt
- Faculty of Health Sciences, Fundamentals of Nursing Department, Karadeniz Technical University, Trabzon, Turkey
| | - Mağfiret Kaşikçi
- Fundamentals of Nursing Department, Head of the Nursing Faculty, Atatürk University, Erzurum, Turkey
| | - Reezena Malaska
- Nursing Professional Development Specialist, Gulf Coast Medical Center Lee Memorial, Fort Myers, Florida, USA
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Ni TF, Wang JL, Chen CK, Shih DF, Wang J. Can a prolonged healing pressure injury be benefited by using an AI mattress? A case study. BMC Geriatr 2024; 24:307. [PMID: 38566023 PMCID: PMC10986049 DOI: 10.1186/s12877-024-04900-x] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/14/2023] [Accepted: 03/18/2024] [Indexed: 04/04/2024] Open
Abstract
BACKGROUND Pressure injuries are a common and serious issue for bedridden residents in long-term-care facilities. Areas of bony prominences, such as the scapula, sacrum, and heels, are more likely to develop pressure injuries. The management of pressure injury wounds include dressing changes, repositioning, away from moisture, decreasing the occurrence of friction and shear, and more. Some supportive surfaces are also used for pressure injury cases such as gel pads, alternating pressure air mattresses, and air-fluidized beds. The aim of this case study was to determine whether the use of an artificial intelligent mattress can improve a nursing home resident with prolonged pressure injury. CASE PRESENTATION A retrospective study design was conducted for this case study. A 79-year-old male developed a pressure injury in the sacrum. His pressure injury was initially at stage 4, with a score of 12 by the Braden scale. The PUSH score was 16. During 5.5 months of routine care plus the use of the traditional alternative air mattress, in the nursing home, the wound stayed in stage 3 but the PUSH score increased up to 11. An artificial intelligence mattress utilizing 3D InterSoft was used to detect the bony prominences and redistribute the external pressure of the skin. It implements a color guided schematic of 26 colors to indicate the amount of pressure of the skin. RESULTS The wound size was decreased and all eczema on the resident's back diminished. The PUSH score was down to 6, as the artificial intelligent mattress was added into the routine care. The staff also reported that the resident's quality of sleep improved and moaning decreased. The hemiplegic side is at greater risk of developing pressure injury. CONCLUSIONS This novice device appeared to accelerate wound healing in this case. In the future, more cases should be tested, and different care models or mattress can be explored.
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Affiliation(s)
- Tung Fang Ni
- Chang Gung Memorial Hospital, Nursing home, Taoyuan, Taiwan
| | - Jyh-Liang Wang
- Department of Electronic Engineering, Ming Chi University of Technology, New Taipei city, Taiwan
| | - Chih-Kuang Chen
- Department of Physical Medicine and Rehabilitation, Chang Gung Memorial Hospital at Taoyuan, Taoyuan, Taiwan
- School of Medicine, Chang Gung University, Taoyuan, Taiwan
| | - De Fen Shih
- eBio Technology Inc, New Taipei city, Taiwan
| | - Jeng Wang
- Geriatric & Long-term Care Research Center, Chang Gung University of Science and Technology, 261 Wen-Hwa 1 Rd, Kwei-Shan, Tao-Yuau, Taoyuan, 333, Taiwan.
- Chang Gung Memorial Hospital, Keelung, Taiwan.
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Taghiloo H, Ebadi A, Saeid Y, Jalali Farahni A, Davoudian A. Prevalence and factors associated with pressure injury in patients undergoing open heart surgery: A systematic review and meta‐analysis. Int Wound J 2022. [DOI: 10.1111/iwj.14040] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/30/2022] [Accepted: 11/16/2022] [Indexed: 12/05/2022] Open
Affiliation(s)
- Hamed Taghiloo
- Department of Operating Room and Anesthesiology School of Nursing and Midwifery, Zanjan University of Medical Sciences Zanjan Iran
| | - Abbas Ebadi
- Behavioral Sciences Research Centre Life Style Institute, School of Nursing, Baqiyatallah University of Medical Sciences Tehran Iran
| | - Yaser Saeid
- Trauma Research Center and Faculty of Nursing Baqiyatallah University of Medical Sciences Tehran Iran
| | | | - Atefeh Davoudian
- Deputy of Research and Technology Zanjan University of Medical Sciences Zanjan Iran
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Hu T, Du S, Li X, Yang F, Zhang S, Yi J, Xiao B, Li T, He L. Establishment of a model for predicting the outcome of induced labor in full-term pregnancy based on machine learning algorithm. Sci Rep 2022; 12:19063. [PMID: 36351938 PMCID: PMC9646791 DOI: 10.1038/s41598-022-21954-2] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/19/2022] [Accepted: 10/06/2022] [Indexed: 11/11/2022] Open
Abstract
To evaluate and establish a prediction model of the outcome of induced labor based on machine learning algorithm. This was a cross-sectional design. The subjects were divided into primipara and multipara, and the risk factors for the outcomes of induced labor were assessed by multifactor logistic regression analysis. The outcome model of labor induced with oxytocin (OT) was constructed based on the four machine learning algorithms, including AdaBoost, logistic regression, naive Bayes classifier, and support vector machine. Factors, such as accuracy, recall, precision, F1 value, and receiver operating characteristic curve, were used to evaluate the prediction performance of the model, and the clinical application of the model was verified. A total of 907 participants were included in this study. Logistic regression algorithm obtained better results in both primipara and multipara groups compared to the other three models. The accuracy of the model for the prediction of "successful induction of labor" was 94.24% and 96.55%, and that of "failed induction of labor" was 65.00% and 66.67% in the primipara and the multipara groups, respectively. This study established a prediction model of OT-induced labor based on the Logistic regression algorithm, with rapid response, high accuracy, and strong extrapolation, which was critical for obstetric clinical nursing.
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Affiliation(s)
- Tingting Hu
- People’s Hospital of Deyang City, Deyang, 618000 Sichuan China
| | - Sisi Du
- grid.268099.c0000 0001 0348 3990School of Nursing, Wenzhou Medical University, Wenzhou, 325035 Zhejiang China
| | - Xiaoyan Li
- People’s Hospital of Deyang City, Deyang, 618000 Sichuan China
| | - Fang Yang
- People’s Hospital of Deyang City, Deyang, 618000 Sichuan China
| | - Shanshan Zhang
- People’s Hospital of Deyang City, Deyang, 618000 Sichuan China
| | - Jingjing Yi
- People’s Hospital of Deyang City, Deyang, 618000 Sichuan China
| | - Birong Xiao
- People’s Hospital of Deyang City, Deyang, 618000 Sichuan China
| | - Tingting Li
- grid.414906.e0000 0004 1808 0918The First Affiliated Hospital of Wenzhou Medical University, Wenzhou, 325000 Zhejiang China
| | - Lin He
- People’s Hospital of Deyang City, Deyang, 618000 Sichuan China
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Karahan E, Ayri AU, Çelik S. Evaluation of pressure ulcer risk and development in operating rooms. J Tissue Viability 2022; 31:707-713. [PMID: 36153203 DOI: 10.1016/j.jtv.2022.09.001] [Citation(s) in RCA: 8] [Impact Index Per Article: 4.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/01/2021] [Revised: 08/31/2022] [Accepted: 09/05/2022] [Indexed: 10/14/2022]
Abstract
AIM This study aimed to determine the risk and development of pressure ulcers in operating rooms. MATERIALS AND METHODS The sample of the study included a total of 250 patients. In the study, the risk of pressure ulcers was assessed before the operation, and the development of pressure ulcers was evaluated within 24 h after the operation. RESULTS The risk of pressure ulcers was low before the operation, and Stage I pressure ulcer developed in 12.8% of the patients within 24 h after the operation. The patients had pressure ulcers mostly in their sacrum. Their mean 3S Intraoperative Risk Assessment Scale of Pressure Sore score was 15.68 ± 4.84, suggesting that they were not at risk of developing pressure ulcers. Having a chronic disease (OR = 8.986; 95% CI = 3.697-21.845), undergoing general anesthesia (OR = 3.084; 95% CI = 1.323-7.194), and orthopedic surgery (OR = 10.172; 95% CI = 3.121-33.155) were statistically significant risk factors for pressure ulcers (p < 0.001). Additionally, moderately edematous skin (OR = 3.838; 95% CI = 1.024-14.386), overweight/underweight (OR = 16.333; 95% CI = 3.779-70.602), intraoperative bleeding greater than 800 ml (OR = 13.000; 95% CI = 3.451-48.969), operation time longer than 5 h (OR = 21.667; 95% CI = 2.122-221.223), moderate intraoperative stress (OR = 4.917; 95% CI = 0.425-56.916), body temperature higher than 38.3 °C or lower than 36.1 °C (OR = 5.462; 95% CI = 2.161-13.805), and intraoperative prone position (OR = 3.354; 95% CI = 1.386-8.115) were statistically significant risk factors for the development of pressure ulcers. CONCLUSION According to our preoperative pressure ulcer risk assessment, it is very important to take additional protective measures both during and after surgical operations to prevent pressure ulcers.
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Affiliation(s)
- Elif Karahan
- Department of Nursing, Faculty of Health Sciences, Bartın University, Bartın, Turkey.
| | - Aysun Uslu Ayri
- Sancaktepe Şehit Prof. Dr. İlhan Varank Training and Research Hospital, İstanbul, Turkey.
| | - Sevim Çelik
- Department of Nursing, Faculty of Health Sciences, Bartın University, Bartın, Turkey.
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Kim SR, Lee S, Kim J, Kim E, Kil HJ, Yoo JH, Oh JH, Jeon J, Lee EI, Jeon JW, Jeon KH, Lee JH, Park JW. A fabric-based multifunctional sensor for the early detection of skin decubitus ulcers. Biosens Bioelectron 2022; 215:114555. [PMID: 35863135 DOI: 10.1016/j.bios.2022.114555] [Citation(s) in RCA: 5] [Impact Index Per Article: 2.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/02/2022] [Revised: 07/04/2022] [Accepted: 07/07/2022] [Indexed: 11/28/2022]
Abstract
Monitoring biosignals at the skin interface is necessary to suppress the potential for decubitus ulcers in immobile patients confined to bed. We develop conformally contacted, disposable, and breathable fabric-based electronic devices to detect skin impedance, applied pressure, and temperature, simultaneously. Based on the experimental evaluation of the multifunctional sensors, a combination of robust AgNW electrodes, soft ionogel capacitive pressure sensor, and resistive temperature sensor on fabric provides alarmed the initiation of early-stage decubitus ulcers without signal distortion under the external stimulus. For clinical verification, an animal model is established with a pair of magnets to mimic a human decubitus ulcers model in murine in vivo. The evidence of pressure-induced ischemic injury is confirmed with the naked eye and histological and molecular biomarker analyses. Our multifunctional integrated sensor detects the critical time for early-stage decubitus ulcer, establishing a robust correlation with the biophysical parameters of skin ischemia and integrity, including temperature and impedance.
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Affiliation(s)
- Seung-Rok Kim
- Department of Materials Science and Engineering, Yonsei University, 50 Yonsei-ro, Seodaemun-gu, Seoul, 03722, South Korea
| | - Soyeon Lee
- Department of Materials Science and Engineering, Yonsei University, 50 Yonsei-ro, Seodaemun-gu, Seoul, 03722, South Korea; Asen Company, 50 Yonsei-ro, Seodaemun-gu, Seoul, 03722, South Korea
| | - Jihee Kim
- Department of Dermatology, Severance Hospital, Cutaneous Biology Research Institute, College of Medicine, Yonsei University, Seoul, 03722, South Korea; Scar Laser and Plastic Surgery Center, Yonsei Cancer Hospital, College of Medicine, Yonsei University, Seoul, 03722, South Korea; Department of Dermatology, Yongin Severance Hospital, Yongin, 16995, South Korea
| | - Eunbin Kim
- Department of Dermatology, Severance Hospital, Cutaneous Biology Research Institute, College of Medicine, Yonsei University, Seoul, 03722, South Korea; Scar Laser and Plastic Surgery Center, Yonsei Cancer Hospital, College of Medicine, Yonsei University, Seoul, 03722, South Korea
| | - Hye-Jun Kil
- Department of Materials Science and Engineering, Yonsei University, 50 Yonsei-ro, Seodaemun-gu, Seoul, 03722, South Korea
| | - Ju-Hyun Yoo
- Department of Materials Science and Engineering, Yonsei University, 50 Yonsei-ro, Seodaemun-gu, Seoul, 03722, South Korea
| | - Je-Heon Oh
- Department of Materials Science and Engineering, Yonsei University, 50 Yonsei-ro, Seodaemun-gu, Seoul, 03722, South Korea
| | - Jiwan Jeon
- Department of Materials Science and Engineering, Yonsei University, 50 Yonsei-ro, Seodaemun-gu, Seoul, 03722, South Korea
| | - Ey-In Lee
- Department of Materials Science and Engineering, Yonsei University, 50 Yonsei-ro, Seodaemun-gu, Seoul, 03722, South Korea
| | - Jun-Woo Jeon
- Department of Materials Science and Engineering, Yonsei University, 50 Yonsei-ro, Seodaemun-gu, Seoul, 03722, South Korea
| | - Kun-Hoo Jeon
- Department of Materials Science and Engineering, Yonsei University, 50 Yonsei-ro, Seodaemun-gu, Seoul, 03722, South Korea
| | - Ju Hee Lee
- Department of Dermatology, Severance Hospital, Cutaneous Biology Research Institute, College of Medicine, Yonsei University, Seoul, 03722, South Korea; Scar Laser and Plastic Surgery Center, Yonsei Cancer Hospital, College of Medicine, Yonsei University, Seoul, 03722, South Korea.
| | - Jin-Woo Park
- Department of Materials Science and Engineering, Yonsei University, 50 Yonsei-ro, Seodaemun-gu, Seoul, 03722, South Korea; Asen Company, 50 Yonsei-ro, Seodaemun-gu, Seoul, 03722, South Korea.
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7
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Zhou H, Liu B, Liu Y, Huang Q, Yan W. Ultrasonic Intelligent Diagnosis of Papillary Thyroid Carcinoma Based on Machine Learning. JOURNAL OF HEALTHCARE ENGINEERING 2022; 2022:6428796. [PMID: 35047154 PMCID: PMC8763541 DOI: 10.1155/2022/6428796] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 11/09/2021] [Revised: 12/03/2021] [Accepted: 12/11/2021] [Indexed: 11/17/2022]
Abstract
Thyroid diseases are divided into papillary carcinoma and nodular diseases, which are very harmful to the human body. Ultrasound is a common diagnostic method for thyroid diseases. In the process of diagnosis, doctors need to observe the characteristics of ultrasound images, combined with professional knowledge and clinical experience, to give the disease situation of patients. However, different doctors have different clinical experience and professional backgrounds, and the diagnosis results lack objectivity and consistency, so an intelligent diagnosis technology for thyroid diseases based on the ultrasound image is needed in clinic, which can give objective and reliable diagnosis opinions on thyroid diseases by extracting the texture, shape, and other information of the image and assist doctors in clinical diagnosis. This paper mainly studies the intelligent ultrasonic diagnosis of papillary thyroid cancer based on machine learning, compares the ultrasonic characteristics of PTMC diagnosed by using the new ultrasound technology (CEUS and UE), and summarizes the differential diagnosis effect and clinical application value of the two technology methods for PTMC. In this paper, machine learning, diffuse thyroid image features, and RBM learning methods are used to study the ultrasonic intelligent diagnosis of papillary thyroid cancer based on machine learning. At the same time, the new contrast-enhanced ultrasound (CEUS) technology and ultrasound elastography (UE) technology are used to obtain the experimental phenomena in the experiment of ultrasonic intelligent diagnosis of papillary thyroid cancer. The results showed that 90% of the cases were diagnosed by contrast-enhanced ultrasound and confirmed by postoperative pathology. CEUS and UE have reliable practical value in the diagnosis of PTMC, and the combined application of CEUS and UE can improve the sensitivity and accuracy of PTMC diagnosis.
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Affiliation(s)
- Heng Zhou
- Ultrasound Department, Hubei Provincial Hospital of TCM, Wuhan 430061, China
| | - Bin Liu
- Network and Computing Center, Huazhong University of Science and Technology, Wuhan 430000, China
| | - Yang Liu
- Ultrasound Department, Hubei Provincial Hospital of TCM, Wuhan 430061, China
| | - Qunan Huang
- Department of Ultrasound Diagnosis, Central Theater General Hospital of the Chinese People's Liberation Army, Wuhan 430000, China
| | - Wei Yan
- Ultrasound Department, Hubei Provincial Hospital of TCM, Wuhan 430061, China
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Yao B, Wang H, Shao M, Chen J, Wei G. Evaluation System of Smart Logistics Comprehensive Management Based on Hospital Data Fusion Technology. JOURNAL OF HEALTHCARE ENGINEERING 2022; 2022:1490874. [PMID: 35035810 PMCID: PMC8759850 DOI: 10.1155/2022/1490874] [Citation(s) in RCA: 2] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 11/05/2021] [Revised: 11/14/2021] [Accepted: 11/18/2021] [Indexed: 12/18/2022]
Abstract
With the acceleration of the informatization process, but because of the late start of the informatization construction of logistics management, the current digital system construction of logistics management has not been popularized, and the intelligent logistics integrated management evaluation system is also extremely lacking. In order to solve the lack of existing intelligent logistics comprehensive management evaluation system, this paper introduces the research of intelligent logistics comprehensive management evaluation system based on hospital data fusion technology. This paper analyzes and utilizes the Kalman filter and adaptive weighted data fusion technology in data fusion technology and then analyzes the evaluation index and system design principles of the intelligent logistics comprehensive management evaluation system and then designs the application layer from the application layer. Design the application layer from the application layer. Then design the framework of the intelligent logistics comprehensive management evaluation system at the network layer and the data layer. The system is finally tested, and the test results show that the evaluation accuracy of the system reaches 80%.
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Affiliation(s)
- Biwen Yao
- Stomatological Hospital Affiliated to Zhejiang University School of Medicine, Hangzhou 310006, China
| | - Huiming Wang
- Stomatological Hospital Affiliated to Zhejiang University School of Medicine, Hangzhou 310006, China
| | - Mingliang Shao
- Stomatological Hospital Affiliated to Zhejiang University School of Medicine, Hangzhou 310006, China
| | - Jian Chen
- Stomatological Hospital Affiliated to Zhejiang University School of Medicine, Hangzhou 310006, China
| | - Guo Wei
- Stomatological Hospital Affiliated to Zhejiang University School of Medicine, Hangzhou 310006, China
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Yao J, Zhao J, Chen T, Zeng X. Prevention Effects of Chain Management on Pressure Ulcers of Hospitalized Patients. JOURNAL OF HEALTHCARE ENGINEERING 2021; 2021:6368189. [PMID: 34931138 PMCID: PMC8684506 DOI: 10.1155/2021/6368189] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 11/04/2021] [Revised: 11/12/2021] [Accepted: 11/19/2021] [Indexed: 11/24/2022]
Abstract
The study focused on the preventive effects of the chain management model on pressure ulcers in the operating room. Sqoop big data collection module is used to collect patient information from various hospital information systems in a distributed manner. The data were from the clinical data center of the Zhongshan Hospital Xiamen University General Hospital, and 268 patients were selected as the research subjects. A chain management model is constructed, concerning the preventive measures, the management of each link, the perioperative pressure ulcer management, and the reporting of pressure ulcers. Then, the two groups were compared for the SAS and SDS scores before and after nursing, the pressure ulcer sites, pressure ulcer reporting rate, pressure ulcer staging, and nursing satisfaction. The results show that it is not that more collection modules will lead to better cluster performance and that the execution delay is caused by MapReduce requiring the JAVA virtual machine, and after reaching a certain point, the increase in the number of tasks will slow down the process, and as data size increases, DataNote has an expanded capability to analyze data. After nursing treatment, the SAS and SDS scores of the two groups of patients were significantly lower than before treatment (P < 0.05). The pressure ulcers were mainly distributed in the forehead, mandible, cheeks, front chest, and knees in the two groups, and the difference between the two groups was statistically significant (P < 0.05). The total satisfaction of the observation group was 93.28%, and the total satisfaction of the control group was 92.54%. The patients' satisfaction with the chain management model was higher than that of conventional nursing.
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Affiliation(s)
- Jiao Yao
- Zhongshan Hospital Xiamen University, Xiamen 361004, China
| | - Jie Zhao
- The First Affiliated Hospital of Xiamen University, Xiamen 361001, China
| | - Tao Chen
- Zhongshan Hospital Xiamen University, Xiamen 361004, China
| | - Xuehui Zeng
- Zhongshan Hospital Xiamen University, Xiamen 361004, China
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10
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Oh YS, Kim JH, Xie Z, Cho S, Han H, Jeon SW, Park M, Namkoong M, Avila R, Song Z, Lee SU, Ko K, Lee J, Lee JS, Min WG, Lee BJ, Choi M, Chung HU, Kim J, Han M, Koo J, Choi YS, Kwak SS, Kim SB, Kim J, Choi J, Kang CM, Kim JU, Kwon K, Won SM, Baek JM, Lee Y, Kim SY, Lu W, Vazquez-Guardado A, Jeong H, Ryu H, Lee G, Kim K, Kim S, Kim MS, Choi J, Choi DY, Yang Q, Zhao H, Bai W, Jang H, Yu Y, Lim J, Guo X, Kim BH, Jeon S, Davies C, Banks A, Sung HJ, Huang Y, Park I, Rogers JA. Battery-free, wireless soft sensors for continuous multi-site measurements of pressure and temperature from patients at risk for pressure injuries. Nat Commun 2021; 12:5008. [PMID: 34429436 PMCID: PMC8385057 DOI: 10.1038/s41467-021-25324-w] [Citation(s) in RCA: 45] [Impact Index Per Article: 15.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/18/2021] [Accepted: 07/27/2021] [Indexed: 02/03/2023] Open
Abstract
Capabilities for continuous monitoring of pressures and temperatures at critical skin interfaces can help to guide care strategies that minimize the potential for pressure injuries in hospitalized patients or in individuals confined to the bed. This paper introduces a soft, skin-mountable class of sensor system for this purpose. The design includes a pressure-responsive element based on membrane deflection and a battery-free, wireless mode of operation capable of multi-site measurements at strategic locations across the body. Such devices yield continuous, simultaneous readings of pressure and temperature in a sequential readout scheme from a pair of primary antennas mounted under the bedding and connected to a wireless reader and a multiplexer located at the bedside. Experimental evaluation of the sensor and the complete system includes benchtop measurements and numerical simulations of the key features. Clinical trials involving two hemiplegic patients and a tetraplegic patient demonstrate the feasibility, functionality and long-term stability of this technology in operating hospital settings.
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Affiliation(s)
- Yong Suk Oh
- Center for Bio-Integrated Electronics, Northwestern University, Evanston, IL, USA
- Department of Mechanical Engineering, Korea Advanced Institute of Science and Technology, Daejeon, Republic of Korea
| | - Jae-Hwan Kim
- Department of Electrical and Computer Engineering, University of Illinois at Urbana-Champaign, Urbana, IL, USA
- Department of Materials Science and Engineering, University of Illinois at Urbana Champaign, Urbana, IL, USA
- Querrey Simpson Institute for Bioelectronics, Northwestern University, Evanston, IL, USA
| | - Zhaoqian Xie
- State Key Laboratory of Structural Analysis for Industrial Equipment, Department of Engineering Mechanics, Dalian University of Technology, Dalian, People's Republic of China
- Ningbo Institute of Dalian University of Technology, Ningbo, People's Republic of China
| | - Seokjoo Cho
- Department of Mechanical Engineering, Korea Advanced Institute of Science and Technology, Daejeon, Republic of Korea
| | - Hyeonseok Han
- Department of Mechanical Engineering, Korea Advanced Institute of Science and Technology, Daejeon, Republic of Korea
| | - Sung Woo Jeon
- Department of Electrical and Computer Engineering, University of Illinois at Urbana-Champaign, Urbana, IL, USA
| | - Minsu Park
- Querrey Simpson Institute for Bioelectronics, Northwestern University, Evanston, IL, USA
| | - Myeong Namkoong
- Department of Biomedical Engineering, Texas A&M University, College Station, TX, USA
| | - Raudel Avila
- Department of Mechanical Engineering, Northwestern University, Evanston, IL, USA
| | - Zhen Song
- State Key Laboratory of Structural Analysis for Industrial Equipment, Department of Engineering Mechanics, Dalian University of Technology, Dalian, People's Republic of China
- Ningbo Institute of Dalian University of Technology, Ningbo, People's Republic of China
| | - Sung-Uk Lee
- Advanced 3D Printing Technology Development Division, Korea Atomic Energy Research Institute, Daejeon, Republic of Korea
| | | | | | - Je-Sang Lee
- Department of Rehabilitation Medicine, Gimhae Hansol Rehabilitation & Convalescent Hospital, Gimhae, Republic of Korea
| | - Weon Gi Min
- Department of Planning and Development, Gimhae Hansol Rehabilitation & Convalescent Hospital, Gimhae, Republic of Korea
| | - Byeong-Ju Lee
- Department of Rehabilitation Medicine, Pusan national university hospital, Busan, Republic of Korea
| | - Myungwoo Choi
- Department of Materials Science and Engineering, KAIST Institute for The Nanocentury (KINC), Korea Advanced Institute of Science and Technology, Daejeon, Republic of Korea
| | | | - Jongwon Kim
- Sibel Health Inc, Niles, IL, USA
- Department of Materials Science and Engineering, Northwestern University, Evanston, IL, USA
- Department of Mechanical Engineering, Kyung Hee University, Yongin, Republic of Korea
| | - Mengdi Han
- Department of Biomedical Engineering, College of Future Technology, Peking University, Beijing, People's Republic of China
| | - Jahyun Koo
- School of Biomedical Engineering, Korea University, Seoul, Republic of Korea
- Interdisciplinary Program in Precision Public Health, Korea University, Seoul, Republic of Korea
| | - Yeon Sik Choi
- Center for Bio-Integrated Electronics, Northwestern University, Evanston, IL, USA
- Querrey Simpson Institute for Bioelectronics, Northwestern University, Evanston, IL, USA
- Department of Materials Science and Engineering, Northwestern University, Evanston, IL, USA
| | - Sung Soo Kwak
- Querrey Simpson Institute for Bioelectronics, Northwestern University, Evanston, IL, USA
| | - Sung Bong Kim
- Department of Materials Science and Engineering, University of Illinois at Urbana Champaign, Urbana, IL, USA
- Querrey Simpson Institute for Bioelectronics, Northwestern University, Evanston, IL, USA
| | - Jeonghyun Kim
- Department of Electronic Convergence Engineering, Kwangwoon University, Seoul, Republic of Korea
| | - Jungil Choi
- School of Mechanical Engineering, Kookmin University, Seoul, Republic of Korea
| | - Chang-Mo Kang
- Department of Electrical and Computer Engineering, Northwestern University, Evanston, IL, USA
| | - Jong Uk Kim
- Querrey Simpson Institute for Bioelectronics, Northwestern University, Evanston, IL, USA
- School of Chemical Engineering, Sungkyunkwan University, Suwon, Republic of Korea
| | - Kyeongha Kwon
- School of Electrical Engineering, Korea Advanced Institute of Science and Technology, Daejeon, Republic of Korea
| | - Sang Min Won
- Department of Electrical and Computer Engineering, Sungkyunkwan University, Suwon, Republic of Korea
| | - Janice Mihyun Baek
- Department of Materials Science and Engineering, University of Illinois at Urbana Champaign, Urbana, IL, USA
| | - Yujin Lee
- Department of Materials Science and Engineering, University of Illinois at Urbana Champaign, Urbana, IL, USA
| | - So Young Kim
- Department of Materials Science and Engineering, University of Illinois at Urbana Champaign, Urbana, IL, USA
| | - Wei Lu
- Center for Bio-Integrated Electronics, Northwestern University, Evanston, IL, USA
| | - Abraham Vazquez-Guardado
- Center for Bio-Integrated Electronics, Northwestern University, Evanston, IL, USA
- Querrey Simpson Institute for Bioelectronics, Northwestern University, Evanston, IL, USA
| | - Hyoyoung Jeong
- Querrey Simpson Institute for Bioelectronics, Northwestern University, Evanston, IL, USA
| | - Hanjun Ryu
- Center for Bio-Integrated Electronics, Northwestern University, Evanston, IL, USA
| | - Geumbee Lee
- Center for Bio-Integrated Electronics, Northwestern University, Evanston, IL, USA
- Querrey Simpson Institute for Bioelectronics, Northwestern University, Evanston, IL, USA
- Department of Materials Science and Engineering, Northwestern University, Evanston, IL, USA
| | - Kyuyoung Kim
- Department of Mechanical Engineering, Korea Advanced Institute of Science and Technology, Daejeon, Republic of Korea
| | - Seunghwan Kim
- Department of Mechanical Engineering, Korea Advanced Institute of Science and Technology, Daejeon, Republic of Korea
| | - Min Seong Kim
- Department of Mechanical Engineering, Korea Advanced Institute of Science and Technology, Daejeon, Republic of Korea
| | - Jungrak Choi
- Department of Mechanical Engineering, Korea Advanced Institute of Science and Technology, Daejeon, Republic of Korea
| | - Dong Yun Choi
- Biomedical Manufacturing Technology Center, Korea Institute of Industrial Technology (KITECH), Yeongcheon, Republic of Korea
| | - Quansan Yang
- Querrey Simpson Institute for Bioelectronics, Northwestern University, Evanston, IL, USA
- Department of Materials Science and Engineering, Northwestern University, Evanston, IL, USA
| | - Hangbo Zhao
- Department of Aerospace and Mechanical Engineering, University of Southern California, Los Angeles, CA, USA
| | - Wubin Bai
- Department of Applied Physical Sciences, University of North Carolina at Chapel Hill, Chapel Hill, NC, USA
| | - Hokyung Jang
- Department of Electrical and Computer Engineering, University of Wisconsin-Madison, Madison, WI, USA
| | | | - Jaeman Lim
- Querrey Simpson Institute for Bioelectronics, Northwestern University, Evanston, IL, USA
| | - Xu Guo
- State Key Laboratory of Structural Analysis for Industrial Equipment, Department of Engineering Mechanics, Dalian University of Technology, Dalian, People's Republic of China
- Ningbo Institute of Dalian University of Technology, Ningbo, People's Republic of China
| | - Bong Hoon Kim
- Department of Organic Materials and Fiber Engineering, Soongsil University, Seoul, Republic of Korea
| | - Seokwoo Jeon
- Department of Materials Science and Engineering, KAIST Institute for The Nanocentury (KINC), Korea Advanced Institute of Science and Technology, Daejeon, Republic of Korea
| | - Charles Davies
- Carle Neuroscience Institute, Carle, Physician Group, Urbana, IL, USA
| | - Anthony Banks
- Center for Bio-Integrated Electronics, Northwestern University, Evanston, IL, USA
- Querrey Simpson Institute for Bioelectronics, Northwestern University, Evanston, IL, USA
| | - Hyung Jin Sung
- Department of Mechanical Engineering, Korea Advanced Institute of Science and Technology, Daejeon, Republic of Korea
| | - Yonggang Huang
- Center for Bio-Integrated Electronics, Northwestern University, Evanston, IL, USA.
- Department of Mechanical Engineering, Northwestern University, Evanston, IL, USA.
- Department of Materials Science and Engineering, Northwestern University, Evanston, IL, USA.
- Departments of Civil and Environmental Engineering, Northwestern University, Evanston, IL, USA.
| | - Inkyu Park
- Department of Mechanical Engineering, Korea Advanced Institute of Science and Technology, Daejeon, Republic of Korea.
| | - John A Rogers
- Center for Bio-Integrated Electronics, Northwestern University, Evanston, IL, USA.
- Querrey Simpson Institute for Bioelectronics, Northwestern University, Evanston, IL, USA.
- Department of Materials Science and Engineering, KAIST Institute for The Nanocentury (KINC), Korea Advanced Institute of Science and Technology, Daejeon, Republic of Korea.
- Department of Materials Science and Engineering, Northwestern University, Evanston, IL, USA.
- Department of Biomedical Engineering, Northwestern University, Evanston, IL, USA.
- Department of Neurological Surgery, Feinberg School of Medicine, Northwestern University, Chicago, IL, USA.
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