30°角翻身垫预防骨科卧床患者压疮的效果观察

Observation on effect of 30° angle turn-over pad in preventing pressure sores in bedridden orthopedic patients

目的探讨30°角翻身垫配合翻身在骨科卧床患者中的护理效果。方法选取2013年1月至2014年10月玉田县医院骨科收治的有运动功能障碍,长期卧床而不能主动活动的患者88例作为研究对象,随机分为对照组和观察组各为44例,对照组患者给予常规枕头配合翻身护理,观察组患者给予30°角翻身垫配合翻身护理,比较2组患者护理后的效果。结果观察组患者受压迫的腰骶部皮肤潮湿感、皮肤完整性受损及发红临床体征总发生率为6.82%,明显低于对照组临床体征总发生率75.00%,差异有统计学意义(P<0.01)。观察组患者在使用翻身垫时体位移动及翻身垫变形各发生1例,无1例压疮发生;对照组患者使用翻身垫体位移动32例,翻身垫变形38例,发生压疮6例,差异有统计学意义(P<0.05)。结论 30°角翻身垫应用于骨科患者配合翻身活动,效果显著,值得临床借鉴应用。

Objective To investigate the nursing effect of the 30°; angle turn‐over pad in the bedridden ortho‐pedic patients .Methods 88 orthopedic patients with dyskinesia and long‐term bedridden unable to conduct the active movement in our hospital from January 2013 to October 2014 were selected as the research subjects and randomly di‐vided into the control group and the observation group ,44 cases in each group .The control group was given the con‐ventional pillows coordinated with the turn‐over nursing ,while the observation group was given the 30＆#176; angle turn‐o‐ver pad coordinated with the turn‐over nursing .The effects after nursing were compared between the two groups .Re‐sults The total occurrence rate of the signs of oppressed lumbosacral skin moist sensation ,skin integrity damage and redness in the observation group was 6 .82% ,which was significantly lower than 75 .00% in the control group ,the difference was statistically significant（P 〈 0 .01） .1 case of body position movement during using the turn‐over pad and 1 case of turn‐over pad deformation occurred respectively in the observation group without no case of pressure sore ;but 32 cases of body position movement during using the turn‐over pad ,38 cases of turn‐over pad deformation and 6 cases of pressure sore occurred in the control group ,the differences were statistically significant（P 〈0 .05） . Conclusion The application of 30 °; angle turn‐over pad in the turn‐over activity in the orthopedic patients has obvi‐ous effect and deserves to be clinically applied as clinical reference .