Latimer Sharon, Chaboyer Wendy, Gillespie Brigid M
Griffith University School of Nursing and Midwifery Meadowbrook Queensland Australia.
Griffith University NHMRC Research Centre for Excellence in Nursing Interventions (NCREN) Gold Coast Queensland Australia.
Nurs Open. 2015 Jul 14;2(2):85-93. doi: 10.1002/nop2.20. eCollection 2015 Jul.
To determine the frequency of patient repositioning across three consecutive nursing shifts (day, evening and night) and to identify predictors of repositioning frequency.
Patient repositioning is a frequently implemented pressure injury prevention strategy. Yet, little is known about how often it should be implemented, or the frequency of movement among hospitalized patients with reduced mobility.
An observational prospective study.
Chart audits were used to gather clinical and demographic data. Semi-structured observations were conducted every 30 minutes for a continuous 24-hour period. Observational data included the patient's body position, the frequency of repositioning, assistance require to reposition and the use of support surfaces.
Patients were repositioned frequently during the day and evening and least at night time. Elevation of the head of the bed (1-45°) was the most frequently adopted position. The independent predictors of repositioning frequency were age and gender, with older patients and males repositioned less frequently.
确定连续三个护理班次（日班、晚班和夜班）期间患者重新安置的频率，并确定重新安置频率的预测因素。
患者重新安置是一种经常实施的预防压疮策略。然而，对于应该多久实施一次，或者行动不便的住院患者的移动频率，人们知之甚少。
一项观察性前瞻性研究。
通过图表审核收集临床和人口统计学数据。在连续24小时内，每30分钟进行一次半结构化观察。观察数据包括患者的身体位置、重新安置的频率、重新安置所需的协助以及支撑面的使用情况。
患者在白天和晚上经常被重新安置，而在夜间最少。床头抬高（1-45°）是最常采用的体位。重新安置频率的独立预测因素是年龄和性别，老年患者和男性的重新安置频率较低。
