Objective: To determine the routine turning frequency of persons with chronic spinal cord injury (SCI) in bed at night in their home environment.

Design: An online questionnaire consisting of 22 questions.

Setting: Free standing SCI rehabilitation facility.

Participants: Persons between ages 18–75 with a traumatic SCI for ≥3 months, and living at home.

Interventions: None.

Outcome measures: Questionnaire-based evaluation of turning frequency of persons with SCI.

Results: 86 subjects (70 men) with traumatic SCI completed the survey; 66.3% with tetraplegia and 41.9% with a neurological complete SCI. Almost every participant (96%) recalled being counseled on the importance of turning in bed at night upon discharge from their rehabilitation facility with 48.4% recalling the frequency recommended as every 2 h. At present, 25.6% of subjects reported turning every 2 h, 15.1% every 3 h, 15.1% every 4 h, 3.5% every 6 h, and 40.7% of respondents stated that they do not turn regularly at night.

Conclusion: Although frequently recommended for repositioning at night in bed every two hours for persons with chronic SCI, especially for those at risk for pressure injuries, only 25.6% of individuals report turning at this frequency and 40.7% report not turning at night time regularly. The reasons for limited turning may be multi-factorial, however, this finding may serve as a call to practitioners to best determine the most appropriate turning frequency that can meet compliance of the individual with SCI, as well as maintain skin protection in the chronic period after injury.

目的：确定患有慢性脊髓损伤（SCI）的人在家庭环境中晚上卧床的常规转身频率。

设计：包含22个问题的在线问卷。

地点：独立的SCI康复设施。

参与者：患有SCI≥3个月且居住在家里的18-75岁之间的人。

干预措施：无。

成果措施：基于问卷的SCI患者转折频率评估。

结果： 86名外伤性SCI受试者（70名男性）完成了调查；四肢瘫痪的患病率为66.3％，神经系统完整的SCI为41.9％。几乎每位参与者（96％）都曾被告知在其康复设施出院后晚上翻床的重要性，有48.4％的人回忆起建议每2小时一次的频率。目前，有25.6％的受试者报告每2小时转弯，每3小时15.1％，每4小时15.1％，每6小时3.5％，有40.7％的受访者表示他们晚上不经常转弯。

结论：尽管经常建议慢性SCI患者每两小时晚上在床上重新放置一次，特别是对于那些有压伤危险的患者，但只有25.6％的人报告以这种频率转弯，而40.7％的人报告晚上不定期转弯。局限性转弯的原因可能是多方面的，但是，这一发现可能会呼吁从业者最好地确定最合适的转弯频率，以满足个体对SCI的依从性，并在慢性期保持皮肤保护受伤后。