{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,2,26]],"date-time":"2026-02-26T04:44:50Z","timestamp":1772081090273,"version":"3.50.1"},"reference-count":45,"publisher":"Wiley","issue":"19-20","license":[{"start":{"date-parts":[[2018,5,3]],"date-time":"2018-05-03T00:00:00Z","timestamp":1525305600000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"funder":[{"name":"Ege University Scientific Research Projects Fund","award":["2014.HYO.005."],"award-info":[{"award-number":["2014.HYO.005."]}]}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Journal of Clinical Nursing"],"published-print":{"date-parts":[[2018,10]]},"abstract":"<jats:sec><jats:title>Aims and objectives<\/jats:title><jats:p>To explore the effect of immobility on sacral tissue oxygen saturation in patients lying on a supporting surface in supine position.<\/jats:p><\/jats:sec><jats:sec><jats:title>Background<\/jats:title><jats:p>Guidelines in regard to preventing pressure ulcers recommend that patients lying on a standard bed should change their positions every 2\u00a0hr and that patients on a supporting surface should change their positions every 4\u00a0hr. But there is no strong evidence that justifies this practice.<\/jats:p><\/jats:sec><jats:sec><jats:title>Design<\/jats:title><jats:p>Quasi\u2010experimental.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>Data for the research were collected over the period October 2014\u2013March 2015 at Anesthesiology and Reanimation and Neurosurgery Clinic Intensive Care Units. A total of 46 patients matching the research criteria were left in the supine position for 4\u00a0hr without having a position change, during which time sacral tissue oxygen saturation was measured every hour on the hour. Sacral tissue oxygen saturation was measured with the InSpectra Tissue Oxygenation Monitor.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Mean sacral tissue oxygen saturation was 73.4% at baseline and was then measured as 74.9% at the first hour, 72.3% at the second hour, 71.9% at the third hour and 71.9% at the fourth hour. The changes observed between measuring times were not found to be statistically significant (<jats:italic>p<\/jats:italic>\u00a0=\u00a0.09).<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>No statistically significant differences were found between sacral tissue oxygen saturation values recorded over a period of 4\u00a0hr in immobile patients lying on a supporting surface in the supine position. However, it was observed that sacral tissue oxygen saturation values did not change significantly depending upon the type of supporting surface that was being used.<\/jats:p><\/jats:sec><jats:sec><jats:title>Relevance to clinical practice<\/jats:title><jats:p>The study outcome supports changing the position of a patient lying on a supporting surface every 4\u00a0hr and provides evidence that justifies the recommendation made in the guidelines.<\/jats:p><\/jats:sec>","DOI":"10.1111\/jocn.14218","type":"journal-article","created":{"date-parts":[[2017,12,8]],"date-time":"2017-12-08T08:28:47Z","timestamp":1512721727000},"page":"3641-3651","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":4,"title":["Examination of sacral tissue oxygen saturation among immobile patients"],"prefix":"10.1111","volume":"27","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-2602-8442","authenticated-orcid":false,"given":"Burcu","family":"Ceylan","sequence":"first","affiliation":[{"name":"Department of Fundamentals of Nursing Faculty of Health Sciences Izmir Katip Celebi University Cigli Izmir Turkey"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Ulku","family":"Yapucu Gunes","sequence":"additional","affiliation":[{"name":"Fundamentals of Nursing Department Faculty of Nursing Ege University Bornova Izmir Turkey"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Mehmet","family":"Uyar","sequence":"additional","affiliation":[{"name":"Anesthesia and Reanimation Department Medical Faculty Ege University Bornova Izmir Turkey"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2018,5,3]]},"reference":[{"issue":"1","key":"e_1_2_11_2_1","first-page":"S28","article-title":"Near infrared spectroscopy (NIRS) and its comparison with traditional parameters of oxygen delivery in septic intensive care patients","volume":"35","author":"Allan C.","year":"2009","journal-title":"Intensive Care Medicine"},{"issue":"1","key":"e_1_2_11_3_1","first-page":"S157","article-title":"Tissue oxygen saturation (StO2) in patients undergoing major bowel surgery predicts post operative complications","volume":"35","author":"Al\u2010Subaie N.","year":"2009","journal-title":"Intensive Care Medicine"},{"key":"e_1_2_11_4_1","doi-asserted-by":"publisher","DOI":"10.3109\/10903127.2010.493988"},{"key":"e_1_2_11_5_1","doi-asserted-by":"publisher","DOI":"10.12968\/jowc.2015.24.8.346"},{"key":"e_1_2_11_6_1","doi-asserted-by":"publisher","DOI":"10.1111\/jgs.12440"},{"issue":"2","key":"e_1_2_11_7_1","first-page":"24","article-title":"Pressure ulcers: Avoidable or unavoidable? Results of the national pressure ulcer advisory panel consensus conference","volume":"57","author":"Black J. M.","year":"2011","journal-title":"Ostomy\u2010Wound Management"},{"key":"e_1_2_11_8_1","doi-asserted-by":"publisher","DOI":"10.1111\/jan.12405"},{"key":"e_1_2_11_9_1","doi-asserted-by":"publisher","DOI":"10.4037\/ccn2013985"},{"key":"e_1_2_11_10_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.ijnurstu.2004.05.013"},{"key":"e_1_2_11_11_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.ijnurstu.2015.06.006"},{"issue":"3","key":"e_1_2_11_12_1","first-page":"140","article-title":"The effect of perfusion values in the development of pressure ulcers","volume":"17","author":"Efteli E. U.","year":"2014","journal-title":"Journal of Anatolia Nursing and Health Sciences"},{"key":"e_1_2_11_13_1","doi-asserted-by":"publisher","DOI":"10.5152\/dcbybd.2013.03"},{"issue":"47","key":"e_1_2_11_14_1","doi-asserted-by":"crossref","first-page":"82","DOI":"10.1097\/00003643-201006121-00261","article-title":"Use of near\u2010infrared spectroscopy (NIRS) during a vascular occlusion test to assess the microcirculatory response during fluid responsiveness: 4AP6\u20132","volume":"27","author":"Futier E.","year":"2010","journal-title":"European Journal of Anaesthesiology"},{"issue":"4","key":"e_1_2_11_15_1","first-page":"CD009958","article-title":"Repositioning for pressure ulcer prevention in adults","author":"Gillespie B. M.","year":"2014","journal-title":"Cochrane Database of Systematic Reviews"},{"key":"e_1_2_11_16_1","first-page":"199","volume-title":"Medical physiology","author":"Guyton A. C.","year":"1996"},{"key":"e_1_2_11_17_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jtv.2007.10.001"},{"key":"e_1_2_11_18_1","doi-asserted-by":"publisher","DOI":"10.3928\/0098-9134-20041101-13"},{"key":"e_1_2_11_19_1","doi-asserted-by":"publisher","DOI":"10.1111\/jocn.12723"},{"key":"e_1_2_11_20_1","unstructured":"InSpectra StO2. Retrieved fromhttp:\/\/www.htibiomeasurement.com\/_asset\/5hfz05\/5018006I-StO2-Booket_SHARE.pdf"},{"key":"e_1_2_11_21_1","doi-asserted-by":"publisher","DOI":"10.1177\/1099800414540515"},{"key":"e_1_2_11_22_1","doi-asserted-by":"publisher","DOI":"10.12968\/jowc.2006.15.5.26908"},{"key":"e_1_2_11_23_1","doi-asserted-by":"publisher","DOI":"10.1179\/2045772313Y.0000000093"},{"key":"e_1_2_11_24_1","doi-asserted-by":"publisher","DOI":"10.1007\/s11517-011-0775-6"},{"key":"e_1_2_11_25_1","doi-asserted-by":"publisher","DOI":"10.1046\/j.0283-9318.2003.00250.x"},{"key":"e_1_2_11_26_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00134-014-3424-3"},{"key":"e_1_2_11_27_1","doi-asserted-by":"publisher","DOI":"10.1046\/j.1475-097X.2003.00508.x"},{"key":"e_1_2_11_28_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jtv.2015.04.001"},{"key":"e_1_2_11_29_1","first-page":"28","volume-title":"Prevention and treatment of pressure ulcers: Quick reference guide","author":"National pressure ulcer advisory panel, European pressure ulcer advisory panel and pan pacific pressure injury alliance","year":"2014"},{"key":"e_1_2_11_30_1","first-page":"14","volume-title":"Pressure ulcers: Prevention and management of pressure ulcers: NICE clinical guideline 179","author":"NICE","year":"2014"},{"key":"e_1_2_11_31_1","unstructured":"NIRS and the InSpectraTM StO2Oxygenation Monitor. Retrieved fromhttp:\/\/www.htibiomeasurement.com\/technology\/nirs_and_the_inspectra_sto2\/"},{"key":"e_1_2_11_32_1","unstructured":"Nursing best practice guideline shaping the future of nursing risk assessment & prevention of pressure ulcers. (2011). Retrieved fromhttp:\/\/rnao.ca\/sites\/rnao-ca\/files\/Risk_Assessment_and_Prevention_of_Pressure_Ulcers.pdf"},{"key":"e_1_2_11_33_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.iccn.2004.07.005"},{"key":"e_1_2_11_34_1","unstructured":"Perry D. Borchert K. Burke S. Chick K. Johnson K. Kraft . \u2026Thompson S.(2012).Institute for Clinical Systems Improvement Pressure Ulcer Prevention and Treatment Protocol p.32."},{"key":"e_1_2_11_35_1","doi-asserted-by":"publisher","DOI":"10.1682\/JRRD.2012.03.0040"},{"key":"e_1_2_11_36_1","first-page":"651","volume-title":"Foundations of clinical research: Applications to practice","author":"Portney L. G.","year":"1993"},{"key":"e_1_2_11_37_1","unstructured":"Prevention and treatment of pressure ulcers: Quick reference guide. Retrieved fromhttp:\/\/www.epuap.org\/wp-content\/uploads\/2016\/10\/quick-reference-guide-digital-npuap-epuap-pppia-jan2016.pdf"},{"key":"e_1_2_11_38_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1524-475X.2010.00644.x"},{"key":"e_1_2_11_39_1","doi-asserted-by":"publisher","DOI":"10.1682\/JRRD.2010.05.0102"},{"key":"e_1_2_11_40_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jamcollsurg.2012.12.001"},{"key":"e_1_2_11_41_1","doi-asserted-by":"publisher","DOI":"10.1097\/00152192-200307000-00005"},{"key":"e_1_2_11_42_1","first-page":"1181","volume-title":"Fundamentals of nursing the art and science of nursing care","author":"Taylor C.","year":"2008"},{"key":"e_1_2_11_43_1","doi-asserted-by":"publisher","DOI":"10.1177\/0884533614539016"},{"key":"e_1_2_11_44_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0168-8278(09)60771-6"},{"key":"e_1_2_11_45_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1365-2648.2006.04060.x"},{"key":"e_1_2_11_46_1","unstructured":"WHO Global Database on Body Mass Index. Retrieved fromhttp:\/\/apps.who.int\/bmi\/index.jsp?introPage=intro3.html"}],"container-title":["Journal of Clinical Nursing"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/api.wiley.com\/onlinelibrary\/tdm\/v1\/articles\/10.1111%2Fjocn.14218","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1111\/jocn.14218","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2023,9,17]],"date-time":"2023-09-17T13:51:04Z","timestamp":1694958664000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1111\/jocn.14218"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2018,5,3]]},"references-count":45,"journal-issue":{"issue":"19-20","published-print":{"date-parts":[[2018,10]]}},"alternative-id":["10.1111\/jocn.14218"],"URL":"https:\/\/doi.org\/10.1111\/jocn.14218","archive":["Portico"],"relation":{},"ISSN":["0962-1067","1365-2702"],"issn-type":[{"value":"0962-1067","type":"print"},{"value":"1365-2702","type":"electronic"}],"subject":[],"published":{"date-parts":[[2018,5,3]]},"assertion":[{"value":"2017-11-29","order":1,"name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}},{"value":"2018-05-03","order":2,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}]}}