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Evidence Based Care، جلد ۱۵، شماره ۳، صفحات ۸۶-۹۸
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عنوان انگلیسی Prevalence of Pressure Ulcers in the ICUs of Iranian Hospitals: A Systematic Review and Meta-analysis
چکیده انگلیسی مقاله Background: Patient safety is a fundamental right and a core priority in healthcare systems, aiming to prevent harm during diagnosis and treatment. Pressure ulcers are a common problem in intensive care units (ICUs), causing significant physical, psychological, social, and financial burdens. Although several studies have been conducted in Iran, data remain fragmented and region-specific, preventing a comprehensive national estimate.Aim: This systematic review was conducted with aim to determine the prevalence of pressure ulcers in the ICUs of Iranian hospitals.Method: This study was conducted as a systematic review and meta-analysis following Gough’s nine-stage framework. Searches were performed in the international and national databases up to July 22, 2025, resulting in 16 eligible studies. Study quality was assessed using a modified Newcastle-Ottawa Scale. Statistical analyses were performed with Comprehensive Meta-Analysis software using a random-effects model.Results: After excluding studies with potential bias, the pooled prevalence of pressure ulcers in Iranian ICU patients was estimated at 6.6% (5.2%-8.4%; 95% CI). The highest prevalence was reported in the eastern provinces. Meta-regression showed a significant positive association between patient age and pressure ulcer prevalence, and an inverse association with sample size (p<0.05).Implications for Practice: Pressure ulcers pose serious physical, psychological, social, and financial challenges for ICU patients. Healthcare facilities must prioritize the implementation of effective prevention protocols tailored to at-risk patients. Regular, ongoing training and workshops for healthcare staff are essential to enhance knowledge and skills in pressure ulcer prevention. Additionally, educating patients and their families about risk factors and preventive measures is vital to reduce the incidence of pressure ulcers and improve overall patient care outcome
کلیدواژه‌های انگلیسی مقاله Hospital, incidence, Intensive Care Unit, Iran, pressure ulcers
نویسندگان مقاله | Parvaneh Isfahani
Department of Health Services Management, School of Public Health, Zabol University of Medical Sciences, Zabol, Iran


| Fatemeh Mohammadi
Master of Health Services Management, School of Public Health, Tehran University of Medical Sciences, Tehran, Iran


| Mohammad Sarani
Department of Public Health, School of Public Health, Zabol University of Medical Sciences, Zabol, Iran


| Faezeh Rasulkhani
Department of Health Services Management, School of Public Health, Zabol University of Medical Sciences, Zabol, Iran


| Mahdieh Poodineh Moghadam
Department of Nursing, School of Nursing and Midwifery, Zabol University of Medical Sciences, Zabol, Iran


| Aliyeh Bazi
Department of Clinical Pharmacy, School of Pharmacy, Zabol University of Medical Sciences, Zabol, Iran


| Hadiseh Shahreki
Department of Health Services Management, School of Public Health, Zabol University of Medical Sciences, Zabol, Iran


| Mahnaz Afshari
Social Determinants of Health Research Center, Saveh University of Medical Sciences, Saveh, Iran
نشانی اینترنتی https://ebcj.mums.ac.ir/article_26625.html
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