Grindley A, Acres J
Hospice of Our Lady and St John, Milton Keynes.
Br J Nurs. 1996;5(21):1303-10. doi: 10.12968/bjon.1996.5.21.1303.
Comfort is particularly important for patients with terminal illness where the priority is to maximize quality of life. Equally important is effective pressure area care, as such patients are at high risk of developing pressure sores because of their poor general condition (Bale and Regnard, 1995). The present randomized controlled study set in a hospice focused on the development of methodology for assessing patient comfort and quality of sleep and used this to compare two widely used, alternating air pressure mattresses (the Nimbus II and the Pegasus Airwave). The Nimbus II mattress performed consistently better than the Pegasus Airwave in terms of patient comfort and quality of sleep. Features of the Nimbus II that may explain its better performance include less extreme changes in pressure, lower peak inflation pressures and the ability to automatically vary the pressure to suit the patient's position and weight.
对于晚期疾病患者而言，舒适尤为重要，因为此时的首要任务是最大限度地提高生活质量。有效的受压部位护理同样重要，因为这类患者由于身体状况较差，发生压疮的风险很高（贝尔和雷纳德，1995年）。本项在临终关怀机构开展的随机对照研究聚焦于评估患者舒适度和睡眠质量方法的开发，并以此比较了两种广泛使用的交替充气压力床垫（Nimbus II和Pegasus Airwave）。在患者舒适度和睡眠质量方面，Nimbus II床垫的表现始终优于Pegasus Airwave。Nimbus II床垫表现更佳的原因可能包括压力变化较小、峰值充气压力较低以及能够根据患者的体位和体重自动调节压力。
