Nursing Science, Department of Public Health, Faculty of Medicine and Health Sciences, Ghent University, Ghent, Belgium.
Res Nurs Health. 2013 Oct;36(5):439-52. doi: 10.1002/nur.21557. Epub 2013 Aug 1.
To compare the effectiveness of multi-stage and one-stage alternating low-pressure air mattresses (ALPAM) and alternating pressure air mattress (APAM) overlays in preventing pressure ulcers among hospitalized patients, data were pooled (N = 617) from a study of patients allocated to multi-stage ALPAM (n = 252) or one-stage ALPAM (n = 264), and another study of patients allocated to APAM overlay (n = 101). Cumulative pressure ulcer incidence was 4.9% (n = 30) over 14 days. Fewer ulcers developed on multi-stage ALPAM compared with APAM overlay (OR = 0.33; 95% CI [0.11, 0.97]), but no difference was found between one-stage ALPAM and APAM overlay (OR = 0.40; 95% CI [0.14, 1.10]). Time to develop ulcers did not differ by mattress type.
为比较多阶段与单阶段交替式低压气垫（ALPAM）和交替压力气垫（APAM）垫对预防住院患者压疮的效果，对多阶段 ALPAM（n=252）、单阶段 ALPAM（n=264）和 APAM 垫（n=101）分配患者的研究数据进行了汇总。14 天内累计压疮发生率为 4.9%（n=30）。与 APAM 垫相比，多阶段 ALPAM 发生的溃疡更少（OR=0.33；95%CI [0.11, 0.97]），但单阶段 ALPAM 与 APAM 垫之间无差异（OR=0.40；95%CI [0.14, 1.10]）。两种气垫类型的溃疡发生时间无差异。
