Scott Ronald G, Thurman Kristen M
The Wound Care Center, The Medical Center of Plano , Plano, Texas .
Wellsense USA, Inc. , Nashville, Tennessee.
Adv Wound Care (New Rochelle). 2014 May 1;3(5):376-382. doi: 10.1089/wound.2013.0519.
To evaluate the effectiveness of a new bedside pressure mapping technology for patient repositioning in a long-term acute care hospital. Bedside caregivers repositioned patients to the best of their abilities, using pillows and positioning aids without the visual feedback from a continuous bedside pressure mapping (CBPM) system. Once positioned, caregivers were shown the image from the CBPM system and allowed to make further adjustments to the patient position. Data from the CBPM device, in the form of visual screenshots and peak pressure values, were obtained after each repositioning phase. Caregivers provided feedback on repositioning with and without the CBPM system. Screenshots displayed lower pressures when the visual feedback from the CBPM systems was utilized by caregivers. Lower peak pressure measurements were also evident when caregivers utilized the image from the CBPM systems. Overall, caregivers felt the system enabled more effective patient positioning and increased the quality of care they provided their patients. This is the first bedside pressure mapping device to be continuously used in a clinical setting to provide caregivers and patients visual, instant feedback of pressure, thereby enhancing repositioning and offloading practices. With the visual feedback from the pressure mapping systems, caregivers were able to more effectively reposition patients, decreasing exposure to damaging high pressures.
评估一种新型床边压力映射技术在长期急性护理医院中用于患者重新定位的有效性。床边护理人员在没有连续床边压力映射（CBPM）系统视觉反馈的情况下，尽最大能力使用枕头和定位辅助工具为患者重新定位。定位完成后，向护理人员展示CBPM系统的图像，并允许他们对患者位置进行进一步调整。在每个重新定位阶段后，以视觉截图和峰值压力值的形式获取来自CBPM设备的数据。护理人员提供了有和没有CBPM系统时重新定位的反馈。当护理人员利用CBPM系统的视觉反馈时，截图显示压力较低。当护理人员利用CBPM系统的图像时，较低的峰值压力测量结果也很明显。总体而言，护理人员认为该系统能实现更有效的患者定位，并提高了他们为患者提供护理的质量。这是首个在临床环境中持续使用的床边压力映射设备，可为护理人员和患者提供压力的视觉即时反馈，从而加强重新定位和减压措施。借助压力映射系统的视觉反馈，护理人员能够更有效地为患者重新定位，减少暴露于有害高压的情况。
