College of Nursing, University of Utah, Salt Lake City, Utah, USA.
J Patient Saf. 2010 Jun;6(2):68-75. doi: 10.1097/PTS.0b013e3181cb439a.
In this study, we evaluated the clinical safety of the floor mat, a device intended to reduce severity of injury in falls from the bed or at the bedside.
Fifteen participants with a range of gaits and fall risk were video-recorded as they approached and entered a hospital bed and then as they exited and walked away. For 10 participants, a 1-inch-thick floor mat with a beveled edge was used as a fall protection device at the bedside. The videos were coded and analyzed for the purpose of determining the mechanisms by which the floor mat affected balance and gait while participants ambulated to and from the bed. Permission has been received from all patients.
The bedside floor mat caused elderly patients with impaired and normal gaits to lose balance and, in some cases, stumble while ambulating onto the floor mat. Eight of 10 patients had difficulty exiting the bed because they placed their heels on the beveled edge of the mat closest to the bed, which shifted their center of gravity back as they were attempting to stand. Furthermore, walkers and mobile intravenous stands maneuvered onto the floor mat were unbalanced and unstable, further jeopardizing patient safety.
The bevel-edged, bedside floor mat is a potential hazard for ambulatory patients, especially those with impaired gaits, using walkers and pushing mobile intravenous stands.
本研究评估了床边地垫这种装置的临床安全性，该装置旨在降低从床上或床边跌落的严重程度。
15 名步态和跌倒风险不同的参与者被录像，记录他们接近并进入医院病床，以及离开并离开病床的过程。对于 10 名参与者，在床边使用了 1 英寸厚带有斜边的地垫作为防跌倒装置。对视频进行编码和分析，目的是确定当参与者从床到床之间移动时，地垫如何影响平衡和步态。已获得所有患者的许可。
床边地垫使步态受损和正常的老年患者在行走到地垫上时失去平衡，在某些情况下会绊倒。由于他们将脚放在靠近床的斜边的地垫上，10 名患者中的 8 名在试图站立时，重心向后移动，导致他们难以从床上下来。此外，在行走器和移动静脉输液架上的患者失去平衡和不稳定，进一步危及患者安全。
斜边床边地垫是使用行走器和推动移动静脉输液架的活动患者，特别是步态受损患者的潜在危险。
