护理学报 ›› 2022, Vol. 29 ›› Issue (8): 31-34.doi: 10.16460/j.issn1008-9969.2022.08.031
连续床边压力图监测系统预防压力性损伤的研究进展
陈可塑1, 蒋琪霞2
- 1.南京大学医学院,江苏 南京 210093;
2.东部战区总医院 烧伤整形科,江苏 南京 210002
摘要： 目的 对连续床边压力图监测系统在临床的应用进行评价与展望,为其临床的进一步推广提供参考。方法 通过对国内外文献进行综合分析,对床边压力图监测系统在临床中应用的现状进行概述,从压力与压力性损伤之间的关系、连续床边压力图监测系统的工作原理、预防压力性损伤的研究现状、对护理管理的启示、未来的研究方向和应用前景进行归纳总结。结果 连续床边压力图监测系统可以降低压力性损伤的发生率,提高医护人员及患者对压力性损伤预防的认知,提高患者翻身的依从性并为减压装置的选择提供依据。结论 目前国内对连续床边压力图监测系统的相关研究处于起步阶段,进一步的研究还需要评估该系统在更长的时间和多种护理环境下,对压力性损伤发生率的作用,以及评估该系统是否具有更广泛的临床实用性。本综述对上述的进一步研究,提供了有效的理论及实践文献参考。
中图分类号:
- R472
| [1] Behrendt R, Ghaznavi AM, Mahan M, et al.Continuous Bedside Pressure Mapping and Rates of Hospital-associated Pressure Ulcers in a Medical Intensive Care Unit[J]. Am J Crit Care, 2014, 23(2):127-133.DOI:10.4037/ajcc2014192. [2] Gunningberg L, Sedin IM, Andersson SR, et al.Pressure Mapping to Prevent Pressure Ulcers in a Hospital Setting: A Pragmatic Randomised Controlled Trial[J]. Int J Nurs Stud,2017, 72:53-59.DOI:10.1016/j.ijnurstu.2017.04.007. [3] Siddiqui A, Behrendt R, Lafluer M, et al.A Continuous Bedside Pressure Mapping System for Prevention of Pressure Ulcer Development in the Medical ICU: A Retrospective Analysis[J].Wounds, 2013, 25(12):333-339. [4] Scott RG, Thurman KM.Visual Feedback of Continuous Bedside Pressure Mapping to Optimize Effective Patient Repositioning[J]. Adv Wound Care (New Rochelle), 2014, 3(5):376-382.DOI:10.1089/wound.2013.0519. [5] Hultin L, Olsson E, Carli C, et al.Pressure Mapping in Elderly Care: A Tool to Increase Pressure Injury Knowledge and Awareness among Staff[J]. J Wound Ostomy Continence Nurs, 2017,44(2):142-147.DOI:10.1097/WON.0000000000000301. [6] European Pressure Ulcer Advisory Panel, National Pressure Injury Advisory Panel, Pan Pacific Pressure Injury Alliance. Prevention and Treatment of Pressure Ulcers/Injuries: Clinical Practice Guideline[J].The International Guideline, 2019:1-408. [7] Kirkland-Walsh H, Teleten O, Wilson M, et al. Pressure Mapping Comparison of Four OR Surfaces[J]. Aorn J, 2015, 102(1):61.e1-e9.DOI:10.1016/j.aorn.2015.05.012 [8] Mjg A, Clm B, Paw C, et al.Tissue Interface Pressure and Skin Integrity in Critically Ill, Mechanically Ventilated Patients-science Direct[J]. Intensive and Crit Care Nurs,2017, 38: 1-9. DOI:10.1016/j.iccn.2016.07.004. [9] Angmorterh SK, England A, Aboagye S, et al.An Experimental Intervention Study Assessing the Impact of a Thin Silicone Gel Surface Overlay on Interface Pressure[J]. Radiol Res Pract, 2020, 2020:3246531. DOI:10.1155/2020/3246531. [10] Han S, Kim J, Won S M, et al. Battery-free, Wireless Sensors for Full-body Pressure and Temperature Mapping[J]. Sci Transl Med, 2018, 10(435):eaan4950.DOI: 10.1126/scitranslmed.aan4950. [11] Lippoldt J, Pernicka E, Staudinger T.Interface Pressure at Different Degrees of Backrest Elevation with Various Types of Pressure-redistribution Surfaces[J]. Am J Crit Care,2014, 23(2):119-126.DOI:10.4037/ajcc2014670. [12] Bush TR, Leitkam S, Aurino M, et al.A Comparison of Pressure Mapping between Two Pressure-reducing Methods for the Sacral Region[J].J Wound Ostomy Continence Nurs,2015,42(4):338-345.DOI:10.1097/WON.0000000000000144. [13] Yoshikawa Y, Maeshige N, Sugimoto M, et al.Positioning Bedridden Patients to Reduce Interface Pressures Over the Sacrum and Great Trochanter[J]. J Wound Care, 2015,24(7):319-325. DOI:10.12968/jowc.2015.24.7.319. [14] Yesantharao PS, Eter LE, Javia V, et al.Using Pressure Mapping to Optimize Hospital-acquired Pressure Injury Prevention Strategies in the Burn Intensive Care Unit[J]. J Burn Care Res, 2021, 42(4):610-616.DOI:10.1093/jbcr/irab061. [15] Gunningberg L, Bååth C, Sving E.Staff’s Perceptions of a Pressure Mapping System to Prevent Pressure Injuries in a Hospital Ward: A Qualitative Study[J]. J Nurs Manag, 2018, 26(2):140-147.DOI:10.1111/jonm.12526. [16] McInnes E, Jammali-Blasi A, Bell-Syer SE, et al. Support Surfaces for Pressure Ulcer Prevention[J].Cochrane Database Syst Rev,2015, 2015(9):Cd001735.DOI:10.1002/14651858.CD001735.pub5. [17] García-Molina P, Casasus SR, Sanchis-Sánchez E, et al.Evaluation of Interface Pressure and Temperature Management in Five Wheelchair Seat Cushions and Their Effects on User Satisfaction[J]. J Tissue Viability, 2021,30(3):402-409. DOI:10.1016/j.jtv.2021.05.004. [18] Gunningberg L, Carli C.Reduced Pressure for Fewer Pressure Ulcers: Can Real-time Feedback of Interface Pressure Optimise Repositioning in Bed?[J]. Int Wound J, 2016, 13(5):774-779. DOI:10.1111/iwj.12374. [19] Gunningberg L, Pōder U,Carli C.Facilitating Student Nurses’ Learningby Real Time Feedback of Positioning to Avoid Pressure Ulcers—evaluation of Clinical Simulation[J]. J Nurs Educ Pract, 2016, 6(1):1-8. DOI:10.5430/jnep.v6n1p1. [20] Bergstrom N, Horn SD, Rapp M, et al.Preventing Pressure Ulcers: A Multisite Randomized Controlled Trial in Nursing Homes[J]. Ont Health Technol Assess Ser, 2014, 14(11): 1-32. [21] 蒋琪霞,李国宏,刘海英,等.凝胶海绵垫结合翻身预防重症患者压疮的效果观察[J].护理学报,2017,24(14):62-65.DOI:10.16460/j.issn1008-9969.2017.14.062. [22] Padula WV, Makic MB, Mishra MK, et al.Comparative Effectiveness of Quality Improvement Interventions for Pressure Ulcer Prevention in Academic Medical Centers in the United States[J]. Jt Comm J Qual Patient Saf, 2015, 41(6): 246-256.DOI:10.1016/s1553-7250(15)41034-7. [23] Gillespie BM, Walker RM, Latimer SL, et al. Repositioning for Pressure Injury Prevention in Adults[J]. Cochrane Database Syst Rev,2020,6(6):Cd009958.DOI:10.1002/14651858.CD009958.pub3. [24] Hultin L, Karlsson AC, Öhrvall M, et al.Information and Communication Technology Can Increase Patient Participation in Pressure Injury Prevention: A Qualitative Study in Older Orthopedic Patients[J]. J Wound Ostomy Continence Nurs,2019,46(5):383-389.DOI:10.1097/WON.0000000000000568. [25] Shih DF, Wang JL, Chao SC, et al.Flexible Textile-based Pressure Sensing System Applied in the Operating Room for Pressure Injury Monitoring of Cardiac Operation Patients[J]. Sensors (Basel), 2020, 20(16):4619.DOI:10.3390/s20164619. [26] Petersen MJ, Gravenstein N, Schwab WK, et al.Patient Repositioning and Pressure Ulcer Risk-monitoring Interface Pressures of At-risk Patients[J]. J Rehabil Res Dev,2013, 50(4):477-488.DOI:10.1682/jrrd.2012.03.0040. |
| [1] | 吴觅之, 刘文生, 潘红英, 余红梅, 黄晨. 住院患者器械相关压力性损伤的数据挖掘及防范对策分析[J]. 护理学报, 2024, 31(5): 34-38. |
| [2] | 杨小慧, 陈金鑫, 李恋, 胡阳, 石慧, 方千惠, 李莎, 顾劲扬. 经典原位肝移植手术护理标准作业程序的构建及应用[J]. 护理学报, 2024, 31(20): 50-54. |
| [3] | 广东省护理学会手术室专业委员会 执笔:石锐, 张瑞, 李海燕, 贺吉群, 陈云超, 安晶晶, 张代英, 陈红, 于靖, 龚凤球. 术中获得性压力性损伤手术室全程管理专家共识[J]. 护理学报, 2024, 31(19): 58-64. |
| [4] | 胡杏娟, 张伦, 高钰琳, 高春凤, 陈妙燕, 李晓君, 陈烯琳, 洪笃云, 梁业基. 生成式人工智能辅助混合式教学在实习护生皮内针技术感染预防教学中的应用[J]. 护理学报, 2024, 31(18): 21-25. |
| [5] | 梁慧, 王建宁, 张艺, 胡娇娇, 龚翠颖, 李立群. 卧床患者压力性损伤管理指南的质量评价及内容分析[J]. 护理学报, 2024, 31(16): 50-55. |
| [6] | . 静脉血栓栓塞症机械预防护理实践评价量表的研制与信效度检验[J]. 护理学报, 2024, 31(12): 7-12. |
| [7] | . 老年人咀嚼功能临床研究现状[J]. 护理学报, 2024, 31(12): 21-25. |
| [8] | 陈佳茵, 郭军, 刘宁. 护士职业暴露预防与管理的最佳证据总结[J]. 护理学报, 2023, 30(7): 53-58. |
| [9] | 吕俭霞, 叶丽, 李彬, 吴波, 张含凤, 江庆华, 殷利. 头颈肿瘤放化疗患者吞咽困难预防性训练指导方案的最佳证据总结[J]. 护理学报, 2023, 30(2): 54-59. |
| [10] | 侯亚甜, 陈思诺, 刘孟慧, 张博文, 安祥, 刘允, 徐文琪, 章明阳. 机械通气患者隐性误吸识别与预防的最佳证据总结[J]. 护理学报, 2023, 30(18): 36-41. |
| [11] | 涂英, 杜丹阳, 舒严, 曾涛. 缺血性脑卒中复发预防的最佳证据总结[J]. 护理学报, 2023, 30(11): 41-46. |
| [12] | 刘天贶, 龙玉娟, 刘欢, 刘逸文. ICU患者不同部位黏膜压力性损伤的特征及护理研究进展[J]. 护理学报, 2022, 29(8): 35-39. |
| [13] | 陈莹, 胡德英, 丁芳. 基于询问-劝说-转介模式对肿瘤科护士开展预防住院患者自杀培训的研究[J]. 护理学报, 2022, 29(7): 74-78. |
| [14] | 李滢, 陈巧松, 白雅萍, 洪韵婷, 吴玉玲, 戴秋文. 对中高危跌倒患者应用护理专案管理的效果观察[J]. 护理学报, 2022, 29(5): 69-73. |
| [15] | 赵春霞, 江荷, 李丹娜, 花继红, 史丽, 徐娇, 王俊. 早期深部组织压力性损伤测量仪器的应用进展[J]. 护理学报, 2022, 29(20): 22-25. |
|
||