Young T, Haughton B, Williams C
University of Wales.
Br J Nurs. 1998;7(12):702-8. doi: 10.12968/bjon.1998.7.12.5659.
Pressure area care for patients who have undergone a hip replacement is extremely difficult as patients' mobility tends to be restricted because of fear of dislocation. Orthopaedic surgeons influence the positional changes and techniques utilized by nurses in the postoperative period. This article reviews factors that prevent early rehabilitation and highlights methods of pressure relief for this patient group. Alternating-pressure mattresses are a main source of pressure-relieving equipment. A pilot study using the Nimbus II mattress was carried out to establish the role of alternating-pressure mattresses in the postoperative management of patients undergoing elective/emergency hip replacement surgery. None of the patients in the pilot study suffered prosthetic dislocation and 87% did not develop pressure sores. Three patients did develop a grade 2 pressure sore postoperatively. The results reinforce the use of alternating-pressure mattresses in the postoperative management of patients undergoing hip replacement surgery.
对于接受髋关节置换手术的患者而言，进行受压部位护理极为困难，因为患者因担心关节脱位而行动往往受限。骨科医生会影响护士在术后所采用的体位改变和护理技巧。本文回顾了阻碍早期康复的因素，并着重介绍了针对该患者群体的减压方法。交替式压力床垫是减压设备的主要来源。开展了一项使用Nimbus II床垫的初步研究，以确定交替式压力床垫在择期/急诊髋关节置换手术患者术后管理中的作用。初步研究中的患者均未发生假体脱位，87%的患者未出现压疮。有3名患者术后确实出现了2级压疮。这些结果进一步证明了交替式压力床垫在髋关节置换手术患者术后管理中的应用价值。
