长期卧气垫床高龄患者延长夜间翻身间隔的研究  

Study on the effect of prolonging repositioning time interval during night-time for long-term bedridden elderly patients

作　　者：张静瑜[1] 王凤娟[2] ZHANG Jingyu;WANG Fengjuan(Department of Burn and Plastic Surgery,The First Affiliated Hospital of Xiamen University,Xiamen,Fujian,361003;Department of Healthcare,The First Affiliated Hospital of Xiamen University,Xiamen,Fujian,361003)

机构地区：[1]厦门大学附属第一医院烧伤整形科,福建厦门361003 [2]厦门大学附属第一医院干部保健科,福建厦门361003

出　　处：《中西医结合护理（中英文）》2020年第6期116-118,共3页Journal of Clinical Nursing in Practice

摘　　要：目的探讨长期卧气垫床高龄患者的翻身间隔时间对压力性损伤发生率的影响。方法选取2017年9月-2019年9月收治的长期卧气垫床的高龄患者200例,随机分为对照组和观察组,各100例。对照组采用常规2h翻身间隔,观察组翻身间隔定为日间(06:00~18:00)每2h翻身1次和夜间(18:00~次日06:00)每4h翻身1次。观察2组干预15d后压力性损伤的发生情况。记录2组每日护理翻身工作量。结果观察组发生1期压力性损伤2(2.00%)例,对照组未发生压力性损伤,2组比较差异无统计学意义(P>0.05)。观察组日平均翻身时间(17.20±6.90)min,短于对照组的(23.50±7.80)min,差异有统计学意义(P<0.05)。结论长期卧气垫床无法自主翻身的高龄患者,采用日间2h、夜间4h翻身间隔有一定的可行性和临床实用性,能有效减少夜班护理工作量,有助于减轻护理人员工作压力。Objective To investigate the effect of prolonging repositioning time interval during night-time for long-term bedridden elderly patients.Methods Using the convenient sampling method to select elderly patients who meet the inclusion criteria.Totally 200 cases were divided into the control group and the experimental group according to the random number table method.In the control group,a routine repositioning time interval was adopted(turning patients over once every two hours).In the observation group,the repositioning time interval was prolonged during night-time(turning patients over once every two hours between 06:00 and 18:00;once every four hours between 18:00 to next day 06:00).The incidence of pressure injuries at 15 days after intervention was observed.The nursing workload of turning patients over was recorded.Results There was no case of pressure injuries in the control group,and 2 cases of stage 1 pressure injuries occurred in the observation group(P>0.05).The average daily repositioning time of the observation group was(17.20±6.90)min,which was significantly shorter than(23.50±7.80)min of the control group(P<0.05).Conclusion For those long-term bedridden elderly patients who are unable to turn themselves over,a repositioning time interval of every 2 h at day-time and 4 h at night-time is potentially effective in prevention of pressure injuries.Prolonging repositioning time interval would help to reduce the nurse’s workload and working stress.

关 键 词：高龄患者 压力性损伤 翻身间隔 长期卧床 气垫床 皮肤 

分 类 号：R473[医药卫生—护理学]