Application of Improved Position Pad in Reducing the Incidence of Pressure Injury in Prone Position

Bin SHAO; Zhi-wei TANG; Jing ZHANG; Pei-xian DONG; Yun-ping CHAO

doi:10.12259/j.issn.2095-610X.S20210727

Volume 42 Issue 7

Jul. 2021

Turn off MathJax

Article Contents

Article Navigation > Journal of Kunming Medical University > 2021 > 42(7): 161-165

Bin SHAO, Zhi-wei TANG, Jing ZHANG, Pei-xian DONG, Yun-ping CHAO. Application of Improved Position Pad in Reducing the Incidence of Pressure Injury in Prone Position[J]. Journal of Kunming Medical University, 2021, 42(7): 161-165. doi: 10.12259/j.issn.2095-610X.S20210727

Citation:

Bin SHAO, Zhi-wei TANG, Jing ZHANG, Pei-xian DONG, Yun-ping CHAO. Application of Improved Position Pad in Reducing the Incidence of Pressure Injury in Prone Position[J]. Journal of Kunming Medical University, 2021, 42(7): 161-165. doi: 10.12259/j.issn.2095-610X.S20210727

Citation:

PDF( 625 KB)

Application of Improved Position Pad in Reducing the Incidence of Pressure Injury in Prone Position

doi: 10.12259/j.issn.2095-610X.S20210727

1.
Dept. of Anesthesiology
2.
Dept. of Neurosurgery，The 1st Affiliated Hospital of Kunming Medical University，Kunming Yunnan 650032，China

Received Date: 2021-05-11
Publish Date: 2021-07-25

Abstract

Abstract

Objective To study the effect of modified position pad on reducing the occurrence of stress injury in prone position of neurosurgery. Methods From September 2017 to March 2019, 58 patients diagnosed as posterior fossa tumor in the first Department of Neurosurgery, the First Affiliated Hospital of Kunming Medical University were selected as the research objects. According to the exclusion criteria, 14 patients who did not meet the research principles were excluded, and 44 patients were included as the research objects. From September 2017 to June 2018, 21 patients with posterior fossa tumor resection in prone position were selected as the control group. They were treated in traditional prone position, and their heads were fixed with three nails. From June 2018 to March 2019, 23 patients with posterior fossa tumor resection who were operated in prone position were selected as the experimental group. On the basis of the control group, the experimental group used the improved body position pad to turn over in prone position. The number of cases, the incidence, the number of parts （the number of patients with PI） and the degree of stress injury were compared between the two groups. Results In the observation group, there were 9 cases of PI, the incidence rate was 42.85%, and the number of occurrence parts was 54, of which 18 cases were concentrated in the anterior chest wall area, and 1 case was > NPUAP stage I; in the experimental group, there were 2 cases of PI, the incidence rate was 8.69%, the occurrence site was 11, and 0 case was > NPUAP stage Ⅰ. Conclusion The improved body position pad uses a silk like synthetic fabric technology to significantly reduce the incidence of pressure injury, which is worthy of clinical application.
- Modified position pad,
- Neurosurgical posterior fossa surgery,
- Prone position,
- Pressure injury（PI）

FullText(HTML)

References(22)

References

[1]	刘艳玲,唐文珍. 手术室体位护理对手术室脑瘤患者长时间手术手术压疮形成的影响[J]. 中华养生保健,2021,39(4):134-136.
[2]	Edsberg L E,Blank J M,Goldbegr M,et al. Revised national pressure ulcer advisory panel pressure injure staging system[J]. Wound Ostomy Continence Nurs,2016,43(6):585-597. doi: 10.1097/WON.0000000000000281
[3]	樊柳宁,苏芳. 主动护理干预对俯卧位手术压力性损伤的预防效果及满意度影响观察[J]. 临床医药文献电子杂志,2020,20(23):3997-3999.
[4]	贾伟红,岳艳丽,张博. Donabedian结构-过程-结果三维质量评价模式构建手术室压力性损伤护理质量评价指标体系[J]. 齐鲁护理杂志,2021,27(8):133-135. doi: 10.3969/j.issn.1006-7256.2021.08.053
[5]	闫凯凯,付秀荣,董妞,等. 神经外科术中患者俯卧位压力性损伤发生的原因分析及对策探讨[J]. 实用临床护理学电子杂志,2018,39(5):70-71. doi: 10.3969/j.issn.2096-2479.2018.05.059
[6]	许艳,马波,姚媛媛,等. 改良式俯卧位降低俯卧位通气患者压力性损伤发生率的临床研究[J]. 中国实用护理杂志,2019,35(9):663-667.
[7]	任之珺,夏欣华,程安琪,等. 力学因素致压力性损伤的预防新进展[J]. 护理研究,2017,31(10):1167-1170. doi: 10.3969/j.issn.1009-6493.2017.10.005
[8]	李海霞. 压疮的护理进展[J]. 医学美学美容,2017,4(15):185-186.
[9]	戴芳,徐晓蕾,刘舒. 手术室患者中压力性损伤危险因素分析及护理对策[J]. 齐鲁护理杂志,2021,27(2):93-95.
[10]	褚万立,郝岱峰. 美国国家压疮咨询委员会2016年压力性损伤的定义和分期解读[J]. 中华损伤与修复杂志,2018,18(1):64-68.
[11]	易平. 脊柱外科患者术中俯卧位发生压力性损伤的危险因素分析[J]. 当代护士,2020,27(7):149-152.
[12]	李安,万拥军. 儿童髓母细胞瘤的治疗研究进展[J]. 中国小儿血液与肿瘤杂志,2020,25(3):178-181. doi: 10.3969/j.issn.1673-5323.2020.03.013
[13]	吕红梅. 神经外科手术中压力性损伤的发生原因与对策[J]. 中国继续医学教育,2019,11(26):153-155. doi: 10.3969/j.issn.1674-9308.2019.26.066
[14]	王莉梅,沈蕾,杨夏林,等. 自制记忆海绵枕垫在全麻俯卧位手术中的运用[J]. 海南医学,2016,20(22):170-180.
[15]	庒秋风,肖世极,周秀花,等. 重症监护病房院内获得压力性损伤的危险因素分析[J]. 护理学杂志,2021,31(3):53-56. doi: 10.3870/j.issn.1001-4152.2021.03.053
[16]	Coladonato J,Smith A,Watson N,et al. Prospective,nonrandomized controlled trial to compare the effect of a silk-like fabric to standard hospital linens on the rate of hospital-acquired pressure ulcers[J]. Ostomy Wound Manage,2012,58(10):14-31.
[17]	陈英,袁丽,李饶,等. 糖尿病足患者压力性损伤危险现状调查及影响因素分析[J]. 基础医学与临床,2021,41(2):254-256. doi: 10.3969/j.issn.1001-6325.2021.02.019
[18]	刘会玲,赵滨,成琰,等. 基于柯氏模型的医联体二级医院压力损伤护理培训效果评价[J]. 河北医科大学学报,2021,42(2):235-239.
[19]	黄笑,邓瑛瑛,黄丛,等. 有针对性护理在预防颅脑手术患者术后压力性损伤中的运用效果[J]. 当代医药论丛,2020,18(14):256-258. doi: 10.3969/j.issn.2095-7629.2020.14.165
[20]	沈娜,闫堂中,张玉梅. 浴巾翻身法在预防神经外科护士职业性腰背疼的效果研究[J]. 实用医药杂志,2016,33(6):548-549.
[21]	鲁林. 不同俯卧位摆放方法在脊柱手术中的比较研究[J]. 护士进修杂志,2014,22(13):2099-2100.
[22]	赵景慧,关楠. 循证护理在预防俯卧位摆放并发症中的运用[J]. 中国继续医学教育,2019,11(27):177-179.

Relative Articles(20)

Relative Articles

[1]	Yao HOU, Nan KONG, Yuqin WU, Lin WANG, Ting WANG. Effects and Efficacy Evaluation of Modified Prone Ventilation Combined with Bronchoscopic Alveolar Lavage on Respiratory Mechanics and Hemodynamics in Children with ARDS. Journal of Kunming Medical University, 2024, 46(): 1-6.
[2]	Xiaona ZHAI, Lin FANG, Yong LI, Fang YU, Qiuyan PEI, Ping WANG, Zuoming YANG. Role of Postural Reduction and Rehabilitation Guidance in the Treatment of Vertebral Osteoporotic Fractures by Vertebroplasty. Journal of Kunming Medical University, 2022, 43(6): 105-109. doi: 10.12259/j.issn.2095-610X.S20220602
[3]	Liu-zheng LI, Wei-wen SHEN, Xue WANG, Lei-sheng XU, Jia-wei FENG, Jun-feng WANG. Clinical Application of Modified Beger Operation. Journal of Kunming Medical University, 2021, 42(2): 113-117. doi: 10.12259/j.issn.2095-610X.S20210231
[4]	Wan DENG, Yu-e ZHOU, Yan-Zheng YANG, Gui LIAO. Effect of Intermittent Prone Position on Neonatal Respiratory Distress Syndrome. Journal of Kunming Medical University, 2021, 42(6): 166-169. doi: 10.12259/j.issn.2095-610X.S20210646
[5]	Qi Jun Hui , Luo Lin , Yu Ze Ran , Shi Zhen Jiang , Zhuang Yong Hui , Dai Cheng Guo . . Journal of Kunming Medical University, 2020, 41(02): 54-58.
[6]	Zhou Yu E , Yin Li Juan , Yang Hui Bo . . Journal of Kunming Medical University, 2020, 41(02): 168-170.
[7]	Luo Wei , Wang Shun Jun , Fang Ke Wei , Chen Tao , Chen Rong Qiong , Wang Hui Tao , Yang Bo Wei , Guo Hai Xiang , Zhang Hai Yan , Li Pei , Ke Chang Xing , Liu Jian He . . Journal of Kunming Medical University, 2019, 40(12): 124-129.
[8]	Wang Ling Ling , Ma Wei Qing , Li Zhi Gui , Li Na , Huang Zhi Guo . Effect of Acute Hypervolemic Hemodilution on Hemodynamics in Patients Undergoing Lumbar Surgery. Journal of Kunming Medical University, 2019, 40(03): 83-86.
[9]	Zhang Ying , Li Hong Yan , Chen Si Fang , Liao Rui Xue . . Journal of Kunming Medical University, 2019, 40(12): 146-149.
[10]	Yan Yue Xin , Xu Mian , Yang De Xing , Liu Ya Ming , Zhou Feng Gao , Xu Cheng , Liu Rong . Effects of Dead Space Fraction on Prone Position Ventilation in ARDS Patients. Journal of Kunming Medical University, 2017, 38(07): 64-68.
[11]	Guo Hong Wei . Clinical Observation of 50 Cases of Intracranial Infection after Neurosurgery. Journal of Kunming Medical University,
[12]	Li Liu Zheng . . Journal of Kunming Medical University,
[13]	Wang Can Zhi . . Journal of Kunming Medical University,
[14]	Liu Rong . . Journal of Kunming Medical University,
[15]	Zhang Lei . . Journal of Kunming Medical University,
[16]	Jiao Shu Lan . . Journal of Kunming Medical University,
[17]	Yang Dong Mei . . Journal of Kunming Medical University,
[18]	. The Application of Damage Control Operation in Ultrasound interventional treatment of Bile Duct Injury. Journal of Kunming Medical University,
[19]	Sun Tao . . Journal of Kunming Medical University,
[20]	. . Journal of Kunming Medical University,