Comparing a patient positioning system to an overhead LIFT with pillows for impact on turning effectiveness期刊界 All Journals 搜尽天下杂志传播学术成果专业期刊搜索期刊信息化学术搜索

Comparing a patient positioning system to an overhead LIFT with pillows for impact on turning effectiveness

Affiliation:	1. Parkview Health System, 11109 Parkview Plaza Drive, Fort Wayne, IN 46845 USA;2. Parkview Research Center, 3948 A New Vision Drive, Fort Wayne, IN 46845 USA;1. Skane University Hospital, Clinical Departments of Childrens Surgery, Heart Surgery and Neonatology, PICU, Getingev. 4, SE-221 85 Lund, Sweden;2. Malmo University, Faculty of Health and Society, Institution of Care Science, Jan Waldenstroms Gata 25, SE-205 06 Malmo, Sweden;3. Department of Clinical Sciences Lund, Lund University, SE-221 00 Lund, Sweden;1. Department of Nursing, University Hospital, Kyoto Prefectural University of Medicine, 465 Kajii-cho, Kawaramachi Hirokouji-agaru Kamigyo-ku, Kyoto 602-8566, Japan;2. Department of Emergency and Critical Care Medicine, Graduate School of Biomedical and Health Sciences, Hiroshima University, 1-2-3 Kasumi, Minami-ku, Hiroshima 734-8551, Japan;3. Department of Pain Management and Palliative Care Medicine, Kyoto Prefectural University of Medicine, 465 Kajii-cho, Kawaramachi Hirokouji-agaru Kamigyo-ku, Kyoto 602-8566, Japan;4. Department of Biostatistics, Graduate School of Medicine, Hokkaido University, Kita 8, Nishi 5, Kita-ku, Sapporo, Hokkaido 060-8638, Japan;1. Department of Pediatric Surgery, West China Hospital, Sichuan University, PO Box 610041, No. 37 Guo Xue Street, Chengdu, Sichuan Province, PR China;2. West China School of Nursing, Sichuan University, PO Box 610041, No. 37 Guo Xue Street, Chengdu, Sichuan Province, PR China;3. Department of Breast Surgery/Tumor Center, West China Hospital, Sichuan University, PO Box 610041, No. 37 Guo Xue Street, Chengdu, Sichuan Province, PR China;4. Department of Radiology, West China Hospital, Sichuan University, PO Box 610041, No. 37 Guo Xue Street, Chengdu, Sichuan Province, PR China;1. Perioperative Medicine and Intensive Care Function, Karolinska University Hospital, Stockholm, Sweden;2. Faculty of Medicine and Health, School of Health Sciences, Örebro University, Örebro, Sweden;3. Department of Molecular Medicine and Surgery, Karolinska Institutet, Stockholm, Sweden

Abstract:	BackgroundFrequent patient handling activities present numerous challenges to healthcare workers. A variety of products are available to assist with in-bed positioning but few comparative studies have been completed to ascertain turning effectiveness.MethodsThe purpose of this study was to compare two turning devices (air-powered positioning system with wedges versus ceiling lift with pillows) for in-bed repositioning and turning effectiveness. The study took place at a large community hospital in the Midwestern USA and used a prospective, four-group crossover study design to compare devices.ResultsThe two turning groups were not significantly different for any of the demographic variables. The use of an air-powered positioning system with wedges achieved a greater degree of turn and maintained that turn after an hour better than the lift device with pillows. There were no hospital acquired pressure injuries in either group.ConclusionThe devices used demonstrated significant differences in turn angle achieved and ability to maintain the turn at one hour. Future studies need to further delineate the ideal method for turning and compare devices to identify best practice and equipment. An effective turning method would integrate ease of use with the ability to achieve an optimal degree of turn in order to prevent hospital acquired pressure injuries while also decreasing caregiver injuries.

Keywords:	Degree of turn Effectiveness Hospital acquired pressure injury In-bed positioning repositioning Lifts Safe patient handling Turning Turn and position system
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