昏迷患者使用喷气式褥疮垫翻身时间探讨

Tossing and turning time of the stuporous patients while using the bedsore mat blowing out gas

目的探讨昏迷患者使用喷气式褥疮垫时的翻身时间。方法2002年3月～2004年8月两所市级教学甲、乙医院及附属医院的内科昏迷患者,甲院45例患者为对照组,采用常规护理方法;乙院17例患者为2h试验组(每2h翻身1次);附院的100例患者随机分为4h试验组(每4h翻身1次)和6h试验组(每6h翻身1次)各50例。试验组均使用喷气式褥疮垫,翻身后的护理方法同对照组。比较4组患者的褥疮发生率。结果褥疮发生率对照组为4.44%,2h试验组为0%,4h试验组为4%,6h试验组为22%。对照组、2h试验组和4h试验组间的褥疮发生率无显著性差异,6h试验组与2h试验组、4h试验组之间的褥疮发生率有非常显著性差异(P<0.01)。结论昏迷患者使用喷气式褥疮垫的翻身时间以4h为宜。

Objective To investigate the tossing and turning time of the stuporous patients while using the bedsore mat blowing out gas. Methods 45 cases were as the control group and treated with routine nursing. 117 cases were as the test group, in them, 17 cases were tossed and turned once every 2 hours, 50 cases tossed and turned once every 4 hours and 50 cases tossed and turned once every 6 hours. The patients of the test group were nursed with the bedsore mat blowing out gas as well as routine nursing. The rates of bedsore of two groups were compared. Results The bedsore rate of the control group was 4.44 %, 2 hours group was 0 %, 4 hours group was 4% and 6 hours group was 22% ; there was no significant difference among the control group, 2 hours group and 4 hours group, but there was a significant difference between 2 hours group, 4 hours group and 6 hours group （ P〈0.01）. Conclusion 4 hours is suitable for the stuporous patients to toss and turn while using the bedsore mat blowing out gas.