俯卧位用于呼吸窘迫综合征患者预防皮肤并发症的护理干预

The nursing care to prevent skin complications in ARDS patients treated with prone positioning

目的探讨防止俯卧位用于呼吸窘迫综合征患者皮肤并发症的危险因素和护理干预措施。方法对14例俯卧位用于呼吸窘迫综合征患者采取有效的护理下预措施，包括头部垫高15°-30°，每4h更换体位一次，科学地调整腹部及上下肢的位置，每次患者俯卧位时间不超过6h。结果14例患者均未发生皮肤并发症。结论俯卧位用于呼吸窘迫综合征患者采取有效的护理干预措施，可大大减少皮肤并发症的发生。

Objective To investigate the high risk factors and the nursing care in preventing skin complications in 14 ICU ARDS patients who were treated with prone potitioning. Methods The nursing care protocol included： head raising 15°-30°, change position every 4 hours, adjust positions of the abdomen and low extrimities properly,limit the prone position less than 6 hours. Results All 14 ARDS patients treated with prone positioning had no skin complications. Conclusion The scientific and efficient nursing care for the ARDS patients treated with prone pgsitioning can significantly decrease assortated skin complications.