两种减压床垫结合不同翻身频度预防压疮效果比较  

A comparison of two kinds of decompression scheme to prevent pressure ulcer

作　　者：张玉红[1] 蒋琪霞[2] 

机构地区：[1]南京中医药大学护理学院,江苏南京210046 [2]南京军区南京总医院门诊部伤口护理中心

出　　处：《护理学杂志》2015年第17期36-38,共3页

基　　金：南京军区南京总医院面上课题(2010M012)

摘　　要：目的比较两种减压床垫结合不同翻身频度在ICU患者压疮预防中的应用效果和可行性,为临床减压床垫的选择及确定相应的翻身频度提供参考。方法将156例ICU压疮危险患者随机分为气垫组和凝胶组各78例,气垫组使用气垫床结合2h翻身1次,凝胶组使用凝胶海绵床垫结合4h翻身1次预防压疮,观察7d,比较两组压疮发生率及护士对操作便利性的评价。结果两组压疮发生率比较,差异无统计学意义（P〉0.05）;干预后第3~7天,凝胶组Braden评分显著高于气垫组（均P〈0.05）;凝胶组护士对操作便利性评价显著高于气垫组（P〈0.01）。结论两种方案均能有效预防压疮,使用凝胶海绵床垫可以延长翻身时间至每4小时1次,减轻护士工作量。Objective To evaluate effectiveness and feasibility of two kinds of decompression scheme applied among intensive care patients,to provide evidence for clinical selection of appropriate mattress and determine the optimal repositioning frequency.Methods A total of 156 ICU patients at high risk of pressure ulcer were recruited.They were divided into two groups randomly,of which 78 cases used the dynamic air mattress and wre repositioned every 2h,and the other 78 cases used gel mattress and were repositioned at an interval of 4h.The incidence of pressure ulcer and the nurses′comment on the convenience were observed.Results No significant difference was observed in the incidence of pressure ulcer between the two groups.Gel mattress with 4hturning scheme showed advantages in convenience evaluation compared to the other scheme（P〈0.01）.Conclusion Both schemes can effectively prevent pressure ulcers.The repositioning interval can be extended to four hours for patients lying on gel mattress,which can decrease the workload of nursing staff.

关 键 词：压疮 ICU 凝胶海绵床垫 气垫床垫 翻身 压疮护理 

分 类 号：R472.4[医药卫生—护理学]