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两种减压床垫用于手术患者的便利性和舒适度评价
引用本文:蒋琪霞,苏纯音,管晓萍,陈月娟,刘莉,郭秀君,张瑞,贾静,柏素萍. 两种减压床垫用于手术患者的便利性和舒适度评价[J]. 护理管理杂志, 2013, 13(7): 512-514
作者姓名:蒋琪霞  苏纯音  管晓萍  陈月娟  刘莉  郭秀君  张瑞  贾静  柏素萍
作者单位:1. 南京军区南京总医院门诊部伤口护理中心,南京市,210002
2. 无锡第二人民医院护理部,无锡市,214002
3. 北京武警部队总医院护理部,北京市,100039
4. 常熟第二人民医院护理部,常熟市,215500
5. 江苏省中医院肛肠外科,南京市,210029
6. 南京市中医院护理部,210001
7. 广州武警总队医院护理部,广州市,510507
8. 镇江第一人民医院护理部,镇江市,212002
9. 江苏大学附属医院烧伤整形科,镇江市,212001
摘    要:目的评价静态和动态空气床垫用于手术患者预防压疮的便利性和舒适度,为临床优选减压床垫提供依据。方法选取12所医院的1074例术后患者为研究对象,其中562例使用静态空气床垫,512例使用动态空气床垫,其他护理措施相同,观察术后0~5d医院获得性压疮发生率和分期、护士操作便利性和患者舒适度。结果两组患者压疮发生率、护士评价两种减压床垫操作便利性和患者总体舒适度差异无统计学意义(P〉0.05);普通外科手术患者评价静态空气床垫的舒适度优于动态空气床垫(P〈0.01)。结论静态和动态空气床垫用于手术后患者预防压疮的便利性和舒适度接近,均可选择使用。但在缺乏电源时优选静态空气床垫,普通外科手术患者可优选静态空气床垫。

关 键 词:减压床垫  压疮  预防  手术患者

Evaluation of convenience and comfortable degree of two kinds of decompression mattresses used in surgical patients
JIANG Qi - xia,SU Chun - yin,GUAN Xiao - ping,CHEN Yue - juan,LIU Li,GUO Xiu - jun,ZHANG Rui,JIA Jing,BAI Su - ping,ZHU Ya - jun,WU Le-yann,XU Ling. Evaluation of convenience and comfortable degree of two kinds of decompression mattresses used in surgical patients[J]. Journal of Nursing Administration, 2013, 13(7): 512-514
Authors:JIANG Qi - xia  SU Chun - yin  GUAN Xiao - ping  CHEN Yue - juan  LIU Li  GUO Xiu - jun  ZHANG Rui  JIA Jing  BAI Su - ping  ZHU Ya - jun  WU Le-yann  XU Ling
Affiliation:1. Wound Care Center of Outpatient Clinic, Nanjing General Hospital of Nanjing Military Region, Nanjing 210002, China ; 2. Nursing Depart- ment, Wuxi Second Peopleb Hospital, Wuxi 214002, China ;3. Nursing Department, General Hospital of Armed Police Forces, Beijing 100039, China ; 4. Nursing Department, Changshu Second Peopleb Hospital, Changshu 215500, China ;5. Department of Anorectal Surgery, Jiangsu Province Hospital of TCM, Nanjing 210029, China ;6. Nursing Department, Nanjing Hospital of TCM, Nanjing 210001, China ;7. Nursing Department, General Hospital of Armed Police Forces in Guangdong Province, Guangzhou 510507, China ; 8. Nursing Department, Zhenjiang First People "s Hospital, Zhenjiang 212002, China;9. Department of Burn and Plastic Surgery, Affiliated Hospital of Jiangsu University, Zhenjiang 212001, China; 10. Nursing Depart- ment, Jingjiang People Hospital, Jingjiang 214500, China;ll. Department of Burn and Plastic Surgery, Fuzhou General Hospital of Nanjing Military Region, Fuzhou 350025, China ; 12. Nursing Department, Suqian TCM Hospital, Suqian 223800, China)
Abstract:Objective To evaluate the convenience and comfbrtable degree of static air mattress and dynamic air mattress in preventing pressure ulcer in surgical patients, so as to provide references for choosing mattress reasonably in clinical practice. Methods A total of 1 074 surgical patients were recruited from 12 hospitals and divided into the static air mattress group (n =562) and the dynamic air mattress group (n =512) ,other interventions were the same. Hospital - acquired pressure ulcer (HAPU) incidences and stages zero to five days after surgery ,convenience degree of nursing operation and patient comfortable degree were compared between the two groups. Results The incidences of HAPU, convenience degree of nursing operation and overall patient comfortable degree be-tween two groups showed no significant difference (P 〉 0.05 ). Comfortable degree of static air mattress evaluated by abdominal surgery inpatients was better than that of the dynamic air mattress group (P 〈 0.01 ). Conclusion The convenience and comfortable degree of preventing pressure ulcer in surgical inpatients with static air mattress and dynamic air mattress is similar. But the static air mattress is benefit when there is no power and for abdominal surgery patients.
Keywords:decompression mattress  pressure ulcer  prevention  surgical patient
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