改良式床单在重症医学科病房的应用研究

Study on application of modified bed sheets in intensive care unit

目的观察改良式床单在重症医学科病房(ICU)的应用效果。方法 32例ICU患者给予床笠式床单(对照1组)、传统式床单(对照2组)及改良式床单(观察组)分别在ICU应用1周,比较三组床单使用后24 h床单平整情况、有人床整理床单次数、单次有人床更换床单时间、床头抬高合格率及使用后的护士倾向反馈调查结果。结果观察组床单的24 h平整床位率为96.43%,单次有人床更换床单时间为(3.3±1.1)min优于对照1组的87.05%、(5.6±1.8)min,差异有统计学意义(P<0.05)。观察组24 h平整床位率为96.43%、床头抬高合格率为79.91%优于对照2组的30.80%、50.45%,差异有统计学意义(P<0.05)。观察组1周有人床整理床单次数101次<对照1组的122次<对照2组的592次,差异均有统计学意义(P<0.05)。结论改良式床单在ICU的应用,床单平整度提高,床头抬高合格率有提高,有人床整理床单次数减少,单次有人床更换床单时间缩短,能有效减少护士工作量、节省体力。改良式床单更受护理人员欢迎,改良式床单更符合在ICU病房使用,临床效果明显,值得推广。

Objective To observe the application effect of modified bed sheets in intensive care unit （ICU）. Methods There were 32 ICU patients received fitted style sheets （control group A）, traditional style sheets （control group B） and modified bed sheets （observation group） for 1 week in ICU. Comparison were made on 24 h sheet flatness, bedmaking times of occupied bed, single sheets changing time of occupied bed, qualified rate of elevating bedside and feedback results of nurses＇ tendency in three groups. Results The observation group had 24 h flat sheets rate as 96.43%, single sheets changing time of occupied bed as （3.3 ± 1.1） min, which were all better than 87.05% and （5.6 ± 1.8） rain in control group A, and their difference had statistical significance （P〈0.05）. The observation group had 24 h flat sheets rate as 96.43%, qualified rate of elevating bedside as 79.91%, which were all better than 30.80% and 50.45% in control group B, and their difference had statistical significance （P〈0.05）. The observation group had bedmaking time of occupied bed in 1 week as 101 times, which was less than 122 and 592 times in control group A and control group B, and their difference had statistical significance （P〈0.05）. Conclusion Application of modified bed sheets in ICU can increase sheets flatness, qualified rate of elevating bedside, reduce bedmaking times of occupied bed, shorten single sheets changing time of occupied bed, and effectively reduce th.e nurses＇ workload, save their energy. Modified bed sheets is more popular with the nursing staff, and it is more suitable for ICU ward with obvious clinical effect. So it is worthy of promoting.