自制翻身毯在预防患者压疮中的应用

Application of the self-made turnover blanket in the prevention of pressure ulcers among the patients

目的：探讨自制翻身毯在临床预防压疮护理中的应用效果。方法采用自身对照研究方法，选择Braden评分≤12分的高危压疮患者47例，先后用翻身毯翻身及传统翻身方法进行翻身，调查患者、护理人员对2种翻身方法的满意率，比较使用前后翻身总用时和保持体位时间的差异。结果患者对应用翻身毯翻身满意率为95．7％，陪护人员为92．1％，患者家属为92．0％，护士为93．7％，均高于传统翻身方法，差异有统计学意义（χ2值分别为39．272，8．168，14．107，7．101；P＜0．01）。使用自制翻身毯后翻身总用时为（121±15）s，患者翻身后的体位保持时间为（65±9．66）min，均优于传统翻身方法，差异有统计学意义（t值分别为4．726，3．880；P＜0．01）。结论自制翻身毯让患者感到舒适、规范，减少了护士的操作时间和体力消耗，增加了患者翻身后体位的保持时间，提高了患者及护理人员的满意率，符合优质护理服务的要求。

Objective To explore the effect of the self-made turnover blanket on the prevention of pressure ulcers.Methods Forty-seven patients with the high risk of pressure ulcers and the score of Braden less than 12 points were chosen in order to carry out the self control study.At first we used the raditional turnover method, and then we used the self-made turnover blanket.The satisfaction rates of patients and nurses were investigated, and the total time of turnover and the time of maintaining the body position were compared before and after the use of the turnover blanket.Results The satisfaction rates of patients, attendants, patients ’ families nurses were 95.7%,92.1%,92.0%,93.7%after the use of the self-made turnover blanket, and were higher than use the traditional turnover method, and the differences were statistically significant （χ2 =39.272, 8.168,14.107,7.101, respectively;P〈0.01）.The total time of turnover and the time of maintaining the body position were respectively （121 ±15） min, （65 ±9.66） min after the use, and were better than those in the traditional turnover method, and the differences were statistically significant （t=4.726,3.880, respectively;P〈0.01）.Conclusions The self-made turnover blanket makes patients feel comfortable and specification, and can reduce the operation time and energy consumption, and can increase the time of maintaining the body position after turning over, and can improve the satisfaction rates of patients and nurses, and is consistent with the requirement of high quality nursing service.