Parkview Health System, 11109 Parkview Plaza Drive, Fort Wayne, IN 46845 USA.
Parkview Research Center, 3948 A New Vision Drive, Fort Wayne, IN 46845 USA.
Intensive Crit Care Nurs. 2020 Aug;59:102847. doi: 10.1016/j.iccn.2020.102847. Epub 2020 Mar 27.
Frequent 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.
The 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.
The 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.
The 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.
频繁的患者处理活动给医护人员带来了诸多挑战。有多种产品可用于协助患者进行卧床体位调整，但很少有比较研究来确定翻身效果。
本研究旨在比较两种翻身设备（带楔形物的空气动力定位系统与带枕头的天花板吊具）在卧床体位调整和翻身效果方面的差异。该研究在美国中西部的一家大型社区医院进行，采用前瞻性、四组交叉研究设计来比较设备。
两个翻身组在任何人口统计学变量上均无显著差异。使用带楔形物的空气动力定位系统可实现更大的翻身角度，并在 1 小时后保持该角度的翻身效果优于带枕头的提升设备。两组均未发生医院获得性压力性损伤。
所使用的设备在翻身角度和 1 小时后保持翻身的能力方面存在显著差异。未来的研究需要进一步阐明最佳翻身方法，并比较设备以确定最佳实践和设备。一种有效的翻身方法将整合易用性和实现最佳翻身角度的能力，以预防医院获得性压力性损伤，同时减少护理人员受伤。
