摘要
背景:减轻骶尾部压力是预防骶尾部早期压力性损伤的最直接有效的方法,目前市场上材料多种多样,但是对于临床正确选用减压床垫的证据仍有不足。目的:测量健康人持续平卧于3种材质床垫在不同时段骶尾部的压力值、骶尾部皮肤温度值以及皮肤颜色改变,旨在探索一种减压效果较优的医用床垫。方法:选择广州中医药大学第一附属医院健康受试者33名,年龄18-35岁,体质量指数为18.5-23.9 kg/m2,于试验的第1,2,3天分别平卧于乳胶床垫、静态防压疮床垫及普通床垫上,在设定的时间点(0,0.5,1.0,1.5,2.0 h)分别检测受试者骶尾部压力值、骶尾部受压前后颜色及受压部位皮肤温度。结果与结论:(1)试验0.5-2 h时,乳胶床垫组受试者骶尾部压力值均低于静态防压疮床垫组、普通床垫组(P<0.05);(2)试验0-0.5 h时,3种床垫组受试者受压部位温度值比较差异无显著性意义(P=0.587);试验0.5-2.0 h时,乳胶床垫组受试者受压部位温度值低于静态防压疮床垫组、普通床垫组(P<0.05);(3)试验0.5-1.5 h时,3种床垫组受试者骶尾部受压部位均未发生颜色改变;试验1.5-2.0 h时,乳胶床垫组受试者骶尾部受压部位未发生颜色变化,静态防压床垫组1例发生颜色变化,普通床垫组2例发生颜色变化;(4)结果表明,与其他两种床垫相比,乳胶床垫可有效减轻骶尾部压力且具有良好散热透气性能,对早期压力性损伤起到有效预防作用。
BACKGROUND:Reduction of sacrococcygeal pressure is the most direct and effective method to prevent the early sacrococcygeal pressure injury.Currently,there are a variety of materials in the market,but there is still insufficient evidence for the correct selection of pressure-relieving mattress in clinical practice.OBJECTIVE:To measure the sacrococcygeal pressure value,sacrococcygeal skin temperature value and observe the change of skin color of healthy people lying supine on three kinds of mattresses at different periods,in order to explore a medical mattress with better decompression effect.METHODS:Totally 33 healthy subjects were selected from First Affiliated Hospital of Guangzhou University of Chinese Medicine aged 18 to 35 years old,body mass index of 18.5-23.9 kg/m2.At 1,2,and 3 days of the experiment,subjects were recumbent in latex mattresses,static pressure ulcers prevention mattresses,and ordinary mattress.At set time points(0,0.5,1.0,1.5,2.0 hours),the sacral pressure value,the tail in the cauda equina compression of color,and skin temperature were detected.RESULTS AND CONCLUSION:(1)After 0.5-2 hours of test,the sacrotail pressure of latex mattress group was lower than that of static pressure ulcers prevention mattresses group and ordinary mattress group(P<0.05).(2)There was no significant difference in the temperature values of the compression parts of the three mattress groups during 0-0.5 hours(P=0.587).During 0.5-2.0 hours of the test,the temperature of pressure position in latex mattress group was lower than that in static pressure ulcers prevention mattresses group and ordinary mattress group(P<0.05).(3)During 0.5-1.5 hours of the test,the color of the sacrococcygeal compression parts of the subjects in the three mattress groups did not change.During the experiment of 1.5-2.0 hours,the color of the sacrococcygeal compression site of the subjects in the latex mattress group did not change,while that of the static pressure ulcers prevention mattresses group altered in one case,and that of the ordin
作者
杨亚兰
钟淑贤
石佳卉
周俊丽
王小俊
Yang Yalan;Zhong Shuxian;Shi Jiahui;Zhou Junli;Wang Xiaojun(School of Public Health and Health,Guangzhou Huaxia Vocational College,Guangzhou 510935,Guangdong Province,China;School of Health,Zhuhai College,Jilin University,Zhuhai 519041,Guangdong Province,China;School of Nursing,Guangzhou University of Chinese Medicine,Guangzhou 510720,Guangdong Province,China;Rehabilitation Nursing Center,First Affiliated Hospital of Guangzhou University of Chinese Medicine,Guangzhou 510405,Guangdong Province,China)
出处
《中国组织工程研究》
CAS
北大核心
2022年第21期3375-3380,共6页
Chinese Journal of Tissue Engineering Research
基金
广州华夏职业学院科研项目(ZK20200110),项目名称:基于SMART模式的慢性伤口健康教育处方模板的建立与效果评价,项目负责人:杨亚兰
广州中医药大学第一附属医院创新强院项目基金(2019ZWB04),项目名称:五种减压床垫对人体不同卧姿压力分布影响的差异性研究,项目负责人:王小俊,广州中医药大学第一附属医院院级护理科研课题(2016HL07),项目名称:体感音乐振动疗法在压疮高危患者预防中的应用,项目参与者:王小俊。
关键词
床垫
骶尾部
压力性损伤
预防
乳胶
压疮
mattress
sacral tail
stress injury
prevention
latex
pressure sore
