老年卧床病人使用减压床垫翻身间隔时间的系统评价  

Systematic evaluation of turn over time interval of decompression mattress in elderly bedridden patients

作　　者：王凤娟[1] 荆小奚 许冰蕊[1] 颜环菊 肖燕萍 WANG Fengjuan;JING Xiaoxi;XU Bingrui;YAN Huanju;XIAO Yanping(The First Affiliated Hospital of Xiamen University,Fujian 361003 China)

机构地区：[1]厦门大学附属第一医院,福建361003

出　　处：《循证护理》2022年第21期2852-2856,共5页Chinese Evidence-Based Nursing

摘　　要：目的:通过系统评价探讨减压床垫使用期间老年卧床病人最佳翻身间隔时长。方法:计算机检索the Cochrane Library、PubMed、EMbase、蚂蚁图书馆、中国知网(CNKI)、万方(WanFang Database)、维普(VIP)、中国生物医学文献数据库(CBM)中关于研究减压床垫延长老年病人翻身间隔时间的中英文文献,检索时限为建库至2020年7月1日。由2名研究员独立筛选符合纳入标准的文献,提取文献资料,根据Cochrane循证医学中心的标准进行文献质量评价,采用RevMan 5.1软件进行数据分析。结果:最终筛选出符合标准的文献共9篇,涉及样本量2554例。结果显示:使用翻身床垫的老年卧床病人4 h翻身间隔时间最佳;4 h翻身间隔时间组每天护理工作量和总护理工作量显著低于2 h翻身间隔时间组(P<0.05),满意率高于2 h翻身间隔时间组,差异有统计学意义(P<0.05)。2 h、3 h、4 h翻身间隔时间组相关并发症发生率差异无统计学意义。结论:现有证据表明,长期卧床老年病人使用减压床垫时最佳翻身间隔时间为4 h。Objective:Based on the results of systematic evaluation to explore the best turning interval time for elderly bedridden patients during the use of decompression mattress.Methods:By using computer searched the Chinese and English literature on the study of decompression mattress to prolong the turning interval of elderly patients,the time was from inception to July 1,2020 in the Cochrane Library、PubMed、EMbase、CNKI、WanFang Database、VIP、CBM database.NoteExpress software was used to remove duplicate and review documents.Two researchers independently screened the documents that meet the inclusion criteria,extracted the documents,evaluated the quality of the documents according to the standards of Cochrane Evidence-based Medicine Center,and used RevMan 5.1 software for data analysis.Results:A total of 9 papers were screened out and 2554 research samples were extracted from the selected papers.The result showed that the 4 h turn-over interval of elderly bedridden patients who used the turn-over mattress was the best.The daily nursing workload and total nursing workload of the 4 h turn-over interval group were significantly lower than those of the 2 h turn-over group(P<0.05),and the satisfaction rate was higher than that of the 2 h turn-over interval,with a statistically significant difference(P<0.05).There was no significant difference in the incidence of complications related to the interval between turning over at 2 h,3 h and 4 h.Conclusion:Current evidence shows that the best turning frequency for long-term bedridden elderly patients when using decompression mattress is once every 4 hours.

关 键 词：老年病人 减压床垫 压力性损伤 翻身间隔时间 META分析 

分 类 号：R473[医药卫生—护理学]