适时翻身替代定时翻身预防临终癌症患者压疮的探讨

Discussion on Preventing Pressure Ulcers in Terminal Cancer Patients by Replacing Regular Body-turning with Timely body-turning

目的探讨适时翻身替代定时翻身预防临终癌症患者压疮效果的异同。方法调查及分析临终癌症患者采用定时翻身(2 h/次)与适时翻身(<6 h/次)的患者各40例,比较两组患者出现不适感、压疮发生率、对翻身满意度等。结果与定时翻身相比,延长翻身间隔时间为6 h内,患者出现疼痛、胸闷、呼吸困难、睡眠不足、烦躁等不适感明显下降(P<0.0001);但压疮的发生率并未增加(P>0.05);患者及家属的满意度明显高于定时翻身组(P<0.05)。结论传统的定时翻身原则不利于临终癌症患者对翻身的耐受,且不符合该类患者的治疗原则,应根据具体情况,在适当的时间给予临终癌症患者翻身。

Objective To explore the differences and similarities between regular body-turning and timely body-turning. Methods 80 terminal cancer patients were evenly divided into two groups：40 were cared by regular body-turning （2 times per hour） and the other 40 by timely body-turning （less than 6 hours per time）. Their discomfortness, the occurrence of pressure ulcer and satisfactory rate were compared. Results Compared with regular body-turning, the interval for timely body-turning was prolonged to less than 6 hours. The uncomfortable manifestations like pain, stuffy chest, dyspnea, insufficient sleep and upset decreased significantly in timely body-turning group （P〈0.0001）, the rate of pressure ulcers didn＇t increase （P〉0.05）, and the satisfactory rate of them and their families was higher than that in the regular turning group （P〈0.05）. Conclusion Conventional regular body-turning goes beyond terminal cancer patients＇ pain tolerance and against the treating principle. It is necessary to perform timely body-turning at the right time according to real situation.