Lee Chang Dae, Cooper Rosemarie, Cooper Rory A
Human Engineering Research Laboratories, US Department of Veterans Affairs Pittsburgh Healthcare System and University of Pittsburgh, Pittsburgh, Pennsylvania, USA.
Department of Occupational Therapy, Indiana University Indianapolis, Indianapolis, Indiana, USA.
J Spinal Cord Med. 2025 Jul;48(4):710-717. doi: 10.1080/10790268.2024.2364381. Epub 2024 Jun 14.
CONTEXT/OBJECTIVE: Hard-shell toilet seats may compromise safety and hinder the participation of individuals at risk for pressure injuries (PIs) when using these facilities away from home in public, hotel, or family/friend restrooms. Moreover, people often add "wash-cloths" for additional padding for comfort, and to reduce the risk of PIs due to pressure or shearing on their wheelchairs surfaces. This study investigated the utilization of portable pads, initially designed for toilet use but adaptable to various places and contexts, while examining pad usability.
A cross-sectional descriptive survey design.
Inpatient care, outpatient care, and community setting.
45 individuals at risk of PIs.
Participants extended the use of these pads beyond toilets, employing them as wheelchair armrest and leg rest pads in other settings. Feedback from a customized questionnaire indicated high levels of usefulness (8.5/10) and ease of use (9.1/10) attributed to the pads. Among the features, the top three favored were ease of use, comfort/cushioning, and function. Participants expressed a desire for a variety of sizes and colors to enable versatile usage and suggested incorporating a pocket for storing small items.
Individuals at risk of PIs require cushioning not only on hard-shell toilet seats, but also for additional padding, protection and enhancing the use of wheelchairs. Rehabilitation professionals can play a crucial role in educating and training both clients and caregivers to understand PI prevention, enabling them to effectively leverage the pads in appropriate situations, thereby enhancing their comfort in their wheelchairs during social engagement.
背景/目的:硬壳马桶座圈可能会影响安全性,并且当有发生压疮(PI)风险的人在公共场所、酒店或家庭/朋友的卫生间使用这些设施时,会妨碍他们的参与。此外,人们经常会添加“毛巾”以增加舒适度,并降低因轮椅表面压力或剪切力导致压疮的风险。本研究调查了最初设计用于马桶但可适应各种场所和环境的便携式坐垫的使用情况,同时考察了坐垫的可用性。
横断面描述性调查设计。
住院护理、门诊护理和社区环境。
45名有发生压疮风险的个体。
参与者将这些坐垫的使用范围扩展到马桶之外,在其他环境中将它们用作轮椅扶手和腿靠垫。一份定制问卷的反馈表明,这些坐垫的实用性(8.5/10)和易用性(9.1/10)都很高。在这些特性中,最受欢迎的三项是易用性、舒适度/缓冲性和功能。参与者表示希望有各种尺寸和颜色以便能有多种用途,并建议设置一个口袋来存放小物品。
有发生压疮风险的个体不仅在硬壳马桶座圈上需要缓冲,在轮椅上也需要额外的衬垫、保护并提升其使用体验。康复专业人员在教育和培训客户及护理人员了解压疮预防方面可以发挥关键作用,使他们能够在适当情况下有效利用这些坐垫,从而在社交活动中提高他们在轮椅上的舒适度。