摘要
目的比较侧卧30°与90°皮肤压红面积及生命体征的变化情况,找出适合老年卧床患者翻身的方法。方法选择10例长期卧床的高龄患者,分别观察侧卧30°和90°的卧位2 h后皮肤发红部位、面积及侧卧前、侧卧10 min3、0 min6、0 min后生命体征的变化。结果侧卧90°皮肤受压发红部位数及发红平均面积数均大于侧卧30°(P<0.05)。侧卧前与侧卧后10 min、30 min比较,心率、血压均有所升高(P<0.05),但侧卧前与其它侧卧时间比较,差异无显著意义,脉氧饱和度比较,差异无显著意义(P>0.05)。结论侧卧30°对皮肤受压部位预防压疮的效果优于侧卧90°。应加强对长期卧床老年患者改变体位时生命体征的观察。
Objective To compare and analyze the effects on the areas of lateral decubitus and the vital signs be tween 30 degree and 90 degree, and find out the best lateral decubitus position fitting the elderly patients. Method 10 advanced aged bedridden patients were enrolled. The number and areas of site in which skin became red in lateral decubitus 90 degree and 30 degree was observed. Result The number and areas of sites whose skins becoming red in the 90 degree are more than those in the 30 degree （P〈0. 05）. The heart rate and blood pressure increased in the 10 minute after the lateral decubitus, compared with those before the lateral decubitus （P〈0. 05）, but there was no difference among the different body position in the oxygen saturation （P〉0. 05）. Conclusion There are better effects in the 30 degree than in the 90 degree to prevent the decubital necrosis.
出处
《护士进修杂志》
北大核心
2009年第7期581-583,共3页
Journal of Nurses Training
基金
军队老年保健基金课题
课题号:2008WZBH10
关键词
压疮
侧卧
老年患者
生命体征
Decubital necrosis Lateral decubitus The elderly Vital signs
