Scientific research into the effect of Skincair

An extensive medical scientific study has been carried out into the effects of the specific properties of  the Skincair  medical  3D fitted  sheet among  112  residents  of  8 nursing  homes  with reduced mobility and  an increased risk  of  pressure ulcers. The effects of  Skincair have  been studied on incidence of pressure ulcers and dependence on care.

The  longitudinal  practice  study  was  led  by  Dr. Martin van Leen  with  co-authorship of Prof. Dr. Jos Schols of  the  CAPHRI  faculty  of  Maastricht  University. This research was  around  7  March 2022  published   in  the   magazine   Wounds International. The  participants  stayed  first  6 weeks on  their  standard   mattress   and  a  cotton sheet,  then  they  stayed  in  the  intervention period 6 weeks on the Skincair medical fitted sheet.

The observed effects and results were:

The residents’ self-reliance in bed increased considerably, and less care was required for changing positions and repositioning.

    1. The residents’ self-reliance in bed increased considerably, and less care was required
      for changing positions and repositioning. Many nursing actions could be performed
      by one nurse instead of two nurses.
    2. There was much less pressure ulcers on Skincair compared to the
      cotton sheet.

Due to the preventive use of Skincair, the skin condition demonstrably improved. As a result,
the commitment decreased of static and dynamic air mattresses after completion of the study.

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From: Wounds international, March 2022

Effects of a breathable silk-like, 3-layer ventilating
mattress sheet on self-repositioning, repositioning
support and pressure ulcer incidence;
a pragmatic observational study

Besides pressure relief by using special support surfaces and repositioning, pressure ulcer guidelines on prevention and treatment nowadays  also  advise  on  shear force  reduction and  regulation of  the microclimate by using silk-like mattress covers instead of cotton covers.

Skincair (Sense Textile), a newly developed breathable silk-like, 3-layer ventilating mattress sheet, reduces shear forces and is able to absorb  excess  fluid,  which  may result in better self-repositioning in bed, reduced nursing repositioning support and enhanced pressure ulcer (PU) prevention. Moreover, reducing the amount of fluid and improving the microclimate may result in lesser damage of the skin overall. A total of 112 residents of eight nursing homes at risk of PU development, participated in a 12-weeks observational study.

Residents were selected, based on the following criteria: age >65 year, Braden score <18, laying on standard cotton mattress cover around a preventive mattress and need of nursing support for repositioning. During the first  6  weeks,  all  112 residents  laid on  the cotton  sheet  (control period)  and  during  the  second  6  weeks all residents  laid  on  the  new  3-layer  ventilating  mattress sheet (intervention period) while receiving care as usual. There were no mattress changes during this 12-week period. On the cotton sheet all residents were unable to perform self-repositioning in bed and, therefore, needed nursing support for repositioning. At the end of the 6 weeks intervention period, 69.6% of the residents were able to change their position in bed without nursing support, implicating that the requirement of nursing support for repositioning decreased significantly.

The development of  pressure  ulcers  (PUs) was also monitored. In the control period, when residents were laying on the  cotton sheet, 22  residents developed 41 PUs (category 2). In the intervention  period, two residents developed a category 2 PU and one resident showed deterioration of a category 2 into a category 3 PU. This study showed that the use of the new breathable silk-like, 3-layer ventilating mattress sheet, which acts as the direct patient interface, improved self-repositioning of patients in bed and led to less need for nursing support during repositioning. Moreover, a lower PU incidence was observed.