自制转移带在颈段脊髓损伤患者中的应用

Application of self-made transfer band in patients with cervical spinal cord injury

目的制作一种体位转移带用于颈段脊髓损伤患者的体位转移,减少和预防因传统方法转移引起的相应护理问题.方法选取病区2017年1-6月收治的44例颈段脊髓损伤患者应用传统方法进行体位转移为对照组,2017年7-12月收治的48例颈段脊髓损伤患者应用自制转移带进行体位转移为观察组.结果因转移致皮肤损伤,观察组0例,对照组有4例,2组比较差异有统计学意义(χ^2=1.91,P=0.049);因转移致跌倒,观察组0例,对照组有5例,2组比较差异有统计学意义(χ^2=2.39,P=0.026);减少的照顾者人数,观察组(1.21±0.08)人,对照组(0.86±0.09)人,2组比较差异有统计学意义(t=2.905,P=0.005);观察组照顾人员有46人占95.8%认为转移带方便了对患者实施转移,47人占97.9%认为转移带使用后更安全、更省力,47人占97.9%认为患者出院回家后会继续使用转移带进行转移.结论采用自制转移带方便照顾者对颈段脊髓损伤患者进行体位转移,有效预防了皮肤损伤、跌倒等护理问题的发生,提高了照顾者的照顾质量和照顾体验,值得推广.

Objective To make a postural transfer belt for patients with cervical spinal cord injury,to reduce and prevent the corresponding nursing problems with traditional methods of transfer Methods 44 patients with cervical spinal cord injury admitted to the ward from January to June 2017 were selected as the control group by traditional methods of postural metastasis,and 48 patients with cervical spinal cord injury admitted to the ward from July to December 2017 were selected as the observation group by using self-made transfer belt.Results Number of the skin injury caused by transfer in observation group was 0 cases,in control group was four cases,and there was significant difference(χ^2=1.91,P=0.049).Falls occur due to metastasis:there were 0 cases in the observation group and five cases in the control group,there was significant difference(χ^2=2.39,P=0.026).The number of caregivers in the observation group decreased on average(1.21±0.08),and the number of caregivers in the control group decreased on average(0.86±0.09).The differences between the two groups are statistically significant(t=2.905,P=0.005).The results of the investigation on the escorts in the observation group showed that 46(95.8%)people believed that the transfer belt was convenient for patients.47 people believed that the transfer belt was safer and more labor-saving to use,accounting for 97.9%,and 47 people believed that the transfer belt would continue to be used when they went home,who occupied 97.9%.Conclusion The self-made transfer belt is convenient for the caregivers to carry the patients with cervical spinal cord injury,which effectively prevents the occurrence of skin injury,falls and other nursing problems,and improves the quality and experience of the caregivers.This technology is worthwhile to spread.