改良俯卧位通气病人头面部压力性损伤可视化预防装置的设计与应用  

Design and application of a visual prevention device for head and face pressure injuries in patients undergoing improved prone position ventilation

作　　者：尹海 张苗 赵向阳 吴大玮 李志 庞雪莲 张丽丽 王艳 郭熙 YIN Hai;ZHANG Miao;ZHAO Xiangyang;WU Dawei;LI Zhi;PANG Xuelian;ZHANG Lili;WANG Yan;GUO Xi(Qilu Hospital of Shandong University(Qingdao),Shandong 266000 China)

机构地区：[1]山东大学齐鲁医院(青岛),山东266000

出　　处：《护理研究》2025年第7期1184-1187,共4页Chinese Nursing Research

基　　金：山东大学齐鲁医院(青岛)院内科研启动基金项目,编号:QDKY2019HL02。

摘　　要：目的:探讨俯卧位通气可视化预防装置在急性呼吸窘迫综合征(ARDS)俯卧位通气病人头面部压力性损伤预防中的应用价值,为ARDS俯卧位通气病人头面部压力性损伤的预防提供有效措施。方法:选取山东省某三级甲等医院综合重症监护室的24例俯卧位通气病人为研究对象,采用随机数字表法将其分为试验组和对照组,试验组放置头面部压力性损伤预防装置于病人头面部,对照组放置软枕于俯卧位通气病人头面部,比较两组病人俯卧位通气前后压力性损伤发生率、镇痛药物使用量、镇静药物使用量、俯卧位通气操作时间、气道压力及头面部观察难度。结果:对照组头面部压力性损伤发生率(12.50%)高于试验组(2.27%);试验组镇痛药物使用剂量[(5.00±1.00)mL/h]少于对照组[(7.54±2.70) mL/h];镇静药物使用剂量试验组[(6.00±1.67) mL/h]低于对照组[(8.46±1.45)mL/h];试验组俯卧位通气操作时间[(5.45±0.82)min]短于对照组[(8.69±0.75) min];呼吸机气道压力[(2.33±0.28)kPa]低于对照组[(2.88±0.39)kPa];头面部观察难度[(1.09±0.30)分]低于对照组[(4.23±1.01)分],差异均有统计学意义(P<0.05)。结论:可视化压力性损伤预防装置可降低俯卧位通气病人头面部压力性损伤的发生率,减少镇痛、镇静药物使用剂量,缩短医务人员俯卧位通气操作时间,降低头面部皮肤观察难度,为临床操作提供便利。Objective:To explore the application value of the visual prevention device for prone ventilation in the prevention of head and facial pressure injuries in patients with acute respiratory distress syndrome(ARDS) undergoing prone ventilation,and to provide effectiveprevention measures for them.Methods:A total of 24 patients with prone position ventilation in the comprehensive intensive care unit ofa tertiary grade A hospital in Shandong province were selected as the research subjects.They were randomly divided into experimentalgroup and control group using a random number table method.The test group was placed with a designed head and face pressure injuryprevention device on the patients' head and face,while the control group was placed with a soft pillow on the patients' head and facebefore and after prone position ventilation.The incidence of pressure injury,the amount of analgesic drugs used,the amount of sedativedrugs used,the duration of prone position ventilation operation,airway pressure,and the difficulty of observing head and face angle werecompared between the two groups of patients before and after prone position ventilation.Results:The incidence of head and facialpressure injuries in the control group(12.50%) was higher than that in the test group(2.27%);The dosage of analgesic drugs used in theexperimental group[(5.00±1.00)mL/h] was lower than that in the control group[(7.54±2.70) mL/h];The dosage of sedatives usedin the experimental group was[(6.00±1.67)mL/h],which was lower than that in the control group[(8.46±1.45)mL/h];the durationof prone position ventilation operation in the test group was(5.45±0.82) minutes,which was shorter than that in the control group(8.69±0.75) minutes;The airway pressure of the ventilator[(2.33±0.28)kPa] was lower than that in the control group[(2.88±0.39)kPa];The difficulty of observing the head and face(1.09±0.30) was lower than that in the control group(4.23±1.01),and thedifferences were statistically significant(P<0.05).Conclusion:The visual pressure injury p

关 键 词：急性呼吸窘迫综合征 俯卧位通气 可视化装置 压力性损伤 护理 

分 类 号：R47[医药卫生—护理学]