Jennings Fiona L, Mitchell Marion L, Walsham James, Lockwood David Sr, Eley Robert M
Trauma Service, Princess Alexandra Hospital, Brisbane, Queensland, Australia.
Intensive Care Unit, Princess Alexandra Hospital, Brisbane, Queensland, Australia; Menzies Health Institute Queensland, Griffith University, Queensland, Australia.
Int J Orthop Trauma Nurs. 2022 Nov;47:100965. doi: 10.1016/j.ijotn.2022.100965. Epub 2022 Aug 10.
Cervical collars are used as standard care for neck immobilisation after cervical spine injury. Although evidence for the most effective type of collar is lacking, there is evidence regarding adverse patient outcomes when managed in a semi or rigid collar. In response to the evidence of complications and adverse effects when using a hard collar, a large Australian adult trauma hospital that specializes in spinal care, changed its policy from hard to soft collars when managing acute cervical spine injury.
The aim of this study was to investigate patients' experiences and outcomes when wearing a soft collar for acute cervical spine injury management in hospital.
A single centre mixed method sequential study design was used.
Medical records from 136 patients were examined and no adverse events resulting from collar use were recorded. Interviews with 20 patients revealed that they understood the value of wearing a soft collar. The soft collars were considered supportive and well tolerated, with good adherence to recommendations for use.
Understanding the patients' experiences informs better care management. This study suggests that soft collars are well tolerated, do not result in pressure injuries or other adverse events and are suitable for managing acute cervical spine injury.
颈椎损伤后，颈托被用作颈部固定的标准护理措施。尽管缺乏关于最有效颈托类型的证据，但有证据表明，使用半硬质或硬质颈托时患者会出现不良后果。为应对使用硬质颈托时出现并发症和不良反应的证据，一家专门从事脊柱护理的大型澳大利亚成人创伤医院，在处理急性颈椎损伤时将其政策从使用硬质颈托改为使用软质颈托。
本研究的目的是调查患者在医院佩戴软质颈托处理急性颈椎损伤时的体验和结果。
采用单中心混合方法序贯研究设计。
检查了136例患者的病历，未记录到因使用颈托导致的不良事件。对20例患者的访谈显示，他们理解佩戴软质颈托的价值。软质颈托被认为具有支撑性且耐受性良好，患者对使用建议的依从性良好。
了解患者的体验有助于更好地进行护理管理。本研究表明，软质颈托耐受性良好，不会导致压疮或其他不良事件，适用于处理急性颈椎损伤。
