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针对患有新型冠状病毒肺炎急性呼吸窘迫综合征的孕妇患者,一款支撑性枕头的舒适性及可用性的概念验证研究

A Proof of Concept Study on the Comfort and Usability of a Supportive Pillow for Pregnant Patients with COVID-19 Acute Respiratory Distress Syndrome.

作者信息

Habana Maria Antonia E, Germar Maria Julieta V, Aguilar Angela S, Danao Louis Angelo M, Padua Mary Ruth A, Albay Albert B

机构信息

Department of Obstetrics and Gynecology, College of Medicine and Philippine General Hospital, University of the Philippines Manila.

Department of Mechanical Engineering, College of Engineering, University of the Philippines Diliman.

出版信息

Acta Med Philipp. 2024 Jun 28;58(11):13-21. doi: 10.47895/amp.v58i11.8593. eCollection 2024.

Abstract

BACKGROUND

The prone position has been seen to benefit patients experiencing acute respiratory distress syndrome. However, performing this position in pregnant patients has been difficult and raises safety concerns.

OBJECTIVE

The current study aimed to test the use of a supportive pillow (Prone Pillow for Pregnant Patients or 4P) to address concerns regarding pregnant patients in prone position.

METHODS

The study prospectively evaluated the use of the prone pillow for patient comfort and usability among healthcare workers with qualitative and quantitative measures.

RESULTS

A total of three patients were recruited alongside 16 healthcare workers assisting pregnant patients to the prone position. Overall, awake pregnant patients found the pillow to be comfortable while healthcare workers perceived the pillow to be useful in improving quality of care among awake and intubated pregnant patients.

CONCLUSION

The 4P is a potentially useful and beneficial product in placing pregnant patients in the prone position during episodes of acute respiratory distress. However, due to the limited sample size, more clinical trials are needed to evaluate the impact of this innovation in improving patient and healthcare worker safety.

摘要

背景

俯卧位已被证明对急性呼吸窘迫综合征患者有益。然而,让孕妇采取这种体位一直很困难,并且引发了安全方面的担忧。

目的

本研究旨在测试一种支撑枕(孕妇俯卧枕或4P枕)在解决孕妇俯卧位相关问题方面的应用。

方法

该研究通过定性和定量方法,前瞻性评估了俯卧枕在医护人员中对患者舒适度和可用性的影响。

结果

共招募了3名患者以及16名协助孕妇采取俯卧位的医护人员。总体而言,清醒的孕妇觉得该枕头很舒适,而医护人员认为该枕头有助于提高清醒和插管孕妇的护理质量。

结论

4P枕在急性呼吸窘迫发作期间让孕妇采取俯卧位方面可能是一种有用且有益的产品。然而,由于样本量有限,需要更多的临床试验来评估这一创新在改善患者及医护人员安全方面的影响。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f501/11239996/645e9bfa8d8b/AMP-58-11-8593-g001.jpg

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