折叠式可调节角度侧卧位固定架在危重患者体位护理中的应用效果研究  

Clinical efficacy of the folding lateral position fixation frame with adjustable angles in the postural nursing of critically ill patients

作　　者：高佳[1] 杨雪芬[1] 刘云[2] Gao Jia;Yang Xuefen;Liu Yun(Nursing Department,Jinhu People′s Hospital/Huai′an Rehabilitation Hospital,Huai′an 211600,China;Department of Intensive Care Unit,Jinhu People′s Hospital/Huai′an Rehabilitation Hospital,Huai′an 211600,China)

机构地区：[1]江苏省淮安市康复医院金湖县人民医院护理部,211600 [2]江苏省淮安市康复医院金湖县人民医院ICU,211600

出　　处：《中国实用护理杂志》2020年第21期1658-1661,共4页Chinese Journal of Practical Nursing

摘　　要：目的:探讨折叠式可调节角度侧卧位固定架的应用效果。方法:选取2019年1—6月入住ICU,意识障碍或镇静状态、不能自主翻身的患者60例,按照计算机产生随机数字法分为试验组和对照组各30例。试验组患者取侧卧位80°后使用固定架支撑,对照组患者取侧卧位80°后使用海绵三角枕支撑。2 h后使用三量数显角度尺测量2组患者躯干和床垫平面的角度,计算2组患者维持侧卧位的有效率;观察2组患者受压皮肤压疮发生情况。结果:试验组维持侧卧位的有效率为93.3%(28/30),对照组为33.3%(10/30),2组比较差异有统计学意义( χ2值为23.25, P<0.001)。2组患者受压皮肤均无压疮发生。 结论:折叠式可调节角度侧卧位固定架可维持有效侧卧位,达到引流痰液、减少通气血流比例失调、增加氧合、预防肺部感染的作用;相比海绵三角枕承重力强,适用于不同体质量患者;小巧可折叠易于收纳;方便清洗消毒;性价比高;可满足临床治疗需要。Objective To investigate the clinical efficacy of the folding lateral position fixation frame with adjustable angles.Methods A total of 60 patients from the Department of Intensive Care Unit(ICU)between January and June in 2019 with consciousness disorder or sedation and no ability to change postures on their own were selected and randomized into treatment group(n=30)and control group(n=30).Patients in the treatment group were backed by the fixation fame in lateral position of 80 degrees,while those in the control group were backed by sponge triangle pillow in lateral position of 80 degrees.After 2 hours,the angles of the mattress surface and the body of patients in two groups were measured with a SanNiang digital angle ruler.The efficacy rates of maintaining lateral positions of patients in both groups were calculated.The occurrence rates of skin ulcers in both groups were observed as well.Results The efficacy rate of maintaining a lateral position was 93.3%(28/30)in the treatment group and 33.3%(10/30)in the control group.The differences between two groups were statistically significant(χ2 value was 23.25,P=0.000).No skin ulcers were observed in patients in the two groups.Conclusion The folding lateral position fixation frame with adjustable angles helps to maintain the lateral position efficiently,which can smooth sputum drainage,reduce the imbalance between ventilation and blood flow,increase oxygenation and prevent pulmonary infection.Compared with sponge triangle pillow,the frame can bear more weights,which is suitable for patients with varying weights.Beside,the frame is small in size and foldable,which is convenient for storing and sterilizing.It is highly cost effective and can meet different clinical needs.

关 键 词：固定架 侧卧位 危重患者 体位护理 

分 类 号：R472.2[医药卫生—急诊医学]