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健康志愿者手术台上减压垫界面压力和主观舒适度比较。

Comparison of Interface Pressures and Subjective Comfort of Pressure-Relieving Overlays on the Operating Table for Healthy Volunteers.

机构信息

Kyungpook National University Hospital, Daegu 41944, Korea.

Department of Nursing, University of Ulsan, Ulsan 44610, Korea.

出版信息

Int J Environ Res Public Health. 2021 Mar 5;18(5):2640. doi: 10.3390/ijerph18052640.

DOI:10.3390/ijerph18052640
PMID:33807963
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC7967407/
Abstract

(1) Background: Pressure ulcers in the hospital setting occurring within 72 h after surgery are called perioperative pressure injuries. The aim of this study was to provide data for the prevention of perioperative pressure injuries following the use of pressure-relieving overlays by measuring the interface pressures and subjective comfort. (2) Methods: This study is based on a repeated measures design. The subjects included 30 healthy volunteers aged 18 to 57 years. Interface pressures of the sacrum and both heels were measured in the supine position, and the subjective comfort was evaluated with visual analog scale after applying polyurethane foam, gel pad, and egg crate foam for relief. (3) Results: The pressures in the sacrum and both heels were the lowest with polyurethane foam, and the subjective comfort was the highest. (4) Conclusions: Inexpensive polyurethane foam with satisfactory pressure relief is recommended as an overlay for surgical patients.

摘要

(1)背景:术后 72 小时内发生于医院环境中的压力性溃疡称为围手术期压力性损伤。本研究旨在通过测量界面压力和主观舒适度为使用减压覆盖物预防围手术期压力性损伤提供数据。

(2)方法:本研究基于重复测量设计。纳入了 30 名年龄在 18 至 57 岁之间的健康志愿者。在仰卧位时测量了骶骨和双侧足跟的界面压力,并在使用聚氨酯泡沫、凝胶垫和蛋盒泡沫缓解后,用视觉模拟评分评估了主观舒适度。

(3)结果:聚氨酯泡沫的骶骨和双侧足跟压力最低,主观舒适度最高。

(4)结论:推荐使用价格低廉且减压效果令人满意的聚氨酯泡沫作为手术患者的覆盖物。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1b9d/7967407/0ce9516be8be/ijerph-18-02640-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1b9d/7967407/0ce9516be8be/ijerph-18-02640-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1b9d/7967407/0ce9516be8be/ijerph-18-02640-g001.jpg

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本文引用的文献

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A randomized controlled trial to compare the interface pressures of alternating pressure overlay with gel pad versus gel pad alone during prolonged surgery.一项随机对照试验,比较长时间手术期间交替压力垫与凝胶垫联合使用和单独使用凝胶垫时的界面压力。
J Tissue Viability. 2021 May;30(2):222-230. doi: 10.1016/j.jtv.2021.02.003. Epub 2021 Feb 6.
2
High body mass index is a strong predictor of intraoperative acquired pressure injury in spinal surgery patients when prophylactic film dressings are applied: A retrospective analysis prior to the BOSS Trial.高身体质量指数是脊柱手术患者术中获得性压力性损伤的强烈预测因子,当预防性贴膜敷料应用时:BOSS 试验前的回顾性分析。
Int Wound J. 2020 Jun;17(3):660-669. doi: 10.1111/iwj.13287. Epub 2020 Feb 17.
3
Pressure ulcers: Pathophysiology, epidemiology, risk factors, and presentation.压力性溃疡:病理生理学、流行病学、风险因素和表现。
J Am Acad Dermatol. 2019 Oct;81(4):881-890. doi: 10.1016/j.jaad.2018.12.069. Epub 2019 Jan 18.
4
Alternating Pressure Overlay for Prevention of Intraoperative Pressure Injury.用于预防术中压力性损伤的交替压力垫
J Wound Ostomy Continence Nurs. 2019 Jan/Feb;46(1):13-17. doi: 10.1097/WON.0000000000000497.
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Pressure Ulcer and Nutrition.压疮与营养
Indian J Crit Care Med. 2018 Apr;22(4):283-289. doi: 10.4103/ijccm.IJCCM_277_17.
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The Efficacy of a Viscoelastic Foam Overlay on Prevention of Pressure Injury in Acutely Ill Patients: A Prospective Randomized Controlled Trial.一种粘弹性泡沫敷料预防急性病患者压力性损伤的疗效:一项前瞻性随机对照试验。
J Wound Ostomy Continence Nurs. 2017 Sep/Oct;44(5):440-444. doi: 10.1097/WON.0000000000000359.
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Back to Basics: Preventing Perioperative Pressure Injuries.回归基础:预防围手术期压力性损伤
AORN J. 2017 Jan;105(1):92-99. doi: 10.1016/j.aorn.2016.10.018.
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A Nurse-Initiated Perioperative Pressure Injury Risk Assessment and Prevention Protocol.一项由护士发起的围手术期压力性损伤风险评估与预防方案。
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