改良可调式防压疮下肢体位垫的应用研究效果

Application Research Effect of Improved Adjustable Lower Limb Position Cushion for Preventing Pressure Sore

目的:探究改良可调式防压疮下肢体位垫在临床中的应用效果。方法:选取于2021年1—6月中国科学院大学深圳医院(光明)收治的80例需住院消肿的下肢骨折患者作为研究对象,随机分为改良组和对照组,每组各40例。改良组予以改良可调式防压疮下肢体位垫,对照组予以传统下肢体位垫。以舒适度、压疮发生率、足跟受压情况、患肢肿胀消退情况等指标对患者使用情况予以评价,并进行统计学分析。结果:患者使用改良可调式防压疮下肢体位垫的舒适率为97.5%,明显高于对照组的67.5%,差异有统计学意义(χ^(2)=10.476,P<0.05)。改良组的压疮发生率为5.0%,明显低于对照组的25.0%,差异有统计学意义(χ^(2)=4.806,P<0.05)。改良组的足跟受压发生率为2.5%,明显低于对照组的20.0%,差异有统计学意义(χ^(2)=4.507,P<0.05)。入院第3天及第6天的患肢肿胀消退情况对比,改良组患者的肿胀消退情况整体优于对照组。结论:改良可调式防压疮下肢体位垫可显著提高患者舒适度、降低压疮风险指数、减少足跟受压现象、加快患肢肿胀消退,促进患者快速康复,值得临床上全面推广及广泛使用。

Objective: To explore the clinical application effect of the improved adjustable lower limb posture cushion for preventing pressure ulcers. Methods: From January to June of 2021, 80 patients with lower limb fractures who need to be hospitalized to reduce swelling were selected as the research objects and randomly divided into improved group and control group, with 40 cases in each group. The improved group was given improved adjustable lower limb position pad for preventing pressure sores, while the control group was given traditional lower limb position pad. The use of patients was evaluated and statistically analyzed by indicators such as comfort, incidence of pressure ulcers, heel compression, and swelling and subsidence of affected limbs. Results: The comfort rate of patients using the modified adjustable lower extremity posture cushion for preventing pressure ulcers was 97.5%,which was significantly higher than 67.5% of the control group, and the difference was statistically significant(χ^(2)=10.476, P<0.05). The incidence of pressure ulcers in the modified group was 5.0%, which was significantly lower than the 25.0% in the control group, the difference was statistically significant(χ^(2)=4.806, P<0.05). The incidence of heel compression in the modified group was 2.5%, which was significantly lower than the 20.0% in the control group, and the difference was statistically significant(χ^(2)=4.507, P<0.05). In the comparison of the swelling and subtraction of the affected limb on the 3 rd and 6 th day of admission, the swelling and subtraction of the posture cushion patients in the modified group was better than that of the control group. Conclusion: The improved adjustable lower extremity posture cushion for preventing pressure ulcers can significantly improve patient comfort, reduce pressure ulcer risk index, reduce heel pressure, speed up the swelling of the affected limb, and promote rapid recovery of patients. It is worthy of comprehensive clinical promotion and widespread use.