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IRCT20200825048515N12 IRCT 2020-11-11 Esfahan University of Medical Sciences Evaluation of the effect of a care program on the progression of impaired skin integrity following an open-heart surgery Evaluation of the effect of a care program on the frequency of occurrence and progression of impaired skin integrity in one-month to six-year-old children following an open-heart surgery 2018-08-23 anticipated 80 Complete https://irct.ir/trial/52071 interventional Randomization: Not randomized, Blinding: Single blinded, Placebo: Not used, Assignment: Parallel, Purpose: Supportive, Blinding description: In the present study, because in the control group only routine nursing care is provided for the child and in the other group, in addition to routine care, care in accordance with the care program taught to nurses will be performed, so the intervention is performed by awareness. But the child will not be aware of group therapy due to a lack of knowledge about the types of care, and the assessor who comes to collect information about the child in the next follow-up will not be aware of the intervention of the two groups. 3 congenital heart disease. Intervention 1: Control group: In the control group, training is not given to nurses and children are subjected to routine (daily) interventions by nurses, including position change, moisture management and nutrition. Also, skin protection products are used systematically according to the surgeon in order to prevent and treat skin injuries. Intervention 2: Intervention group: In the intervention group, child care in the operating room was such that the cotton would be placed on pressure points such as the sacrum, iliac bone, elbow, and back of the child's head to prevent the pressure. Trained by an anesthesiologist every hour during head surgery; The position will be changed while maintaining safe conditions. After surgery, the position will be changed every two hours in bed to prevent abrasion of the scalp and the whole body of children, due to the stability of vital signs. Using a pillow or glove full of water under the heel and small pillows behind the head and between the legs will remove and reduce the amount of pressure. Care and prevention measures will be used using skin protection products such as sprays, foam dressings, and gels. No - There is not a plan to make this available Justification or reason for not sharing IPD is There is no further information
public Ahmadreza Yazdannik
Department of Critical Care Nursing, Chamran Hospital
Isfahan Iran (Islamic Republic of) 8166173414 +98 31 3260 0961 Yazdannik@nm.mui.ac.ir Esfahan University of Medical Sciences scientific Ahmadreza Yazdannik
Department of Critical Care Nursing, Chamran Hospital
Isfahan Iran (Islamic Republic of) 8166173414 +98 31 3260 0961 Yazdannik@nm.mui.ac.ir Esfahan University of Medical Sciences Iran (Islamic Republic of) Children who are candidates for open-heart surgery No wounds in the area under pressure of the body Parents' consent for the child's participation in the study Age range 1 month to 6 years 1 month 6 years Both History of skin disease History of allergies History of food and drug allergies Hemodynamic instability Respiratory Distress Syndrome Q24.9 Congenital malformation of heart, unspecified N/A Treatment - Other Control group: In the control group, training is not given to nurses and children are subjected to routine (daily) interventions by nurses, including position change, moisture management and nutrition. Also, skin protection products are used systematically according to the surgeon in order to prevent and treat skin injuries. Intervention group: In the intervention group, child care in the operating room was such that the cotton would be placed on pressure points such as the sacrum, iliac bone, elbow, and back of the child's head to prevent the pressure. Trained by an anesthesiologist every hour during head surgery; The position will be changed while maintaining safe conditions. After surgery, the position will be changed every two hours in bed to prevent abrasion of the scalp and the whole body of children, due to the stability of vital signs. Using a pillow or glove full of water under the heel and small pillows behind the head and between the legs will remove and reduce the amount of pressure. Care and prevention measures will be used using skin protection products such as sprays, foam dressings, and gels. PUSH score. Timepoint: The first day and the last day of the intervention. Method of measurement: Pressure Ulcer Scale for Healing (PUSH). Braden Q Scale score. Timepoint: The first day and the last day of the intervention. Method of measurement: Braden Q Scale. Isfahan University of Medical Sciences Approved 2019-07-09 Ethics committee of Isfahan University of Medical Sciences Hezar Jarib Ave, Azadi Square. Isfaha Isfehan Iran (Islamic Republic of)