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：确定慢性脊髓损伤（SCI）患者在家庭环境中夜间卧床时的常规翻身频率。

设计：由 22 个问题组成的在线问卷。

设置：独立的 SCI 康复设施。

参与者：年龄在 18-75 岁之间的人，患有创伤性 SCI ≥ 3 个月，并且住在家里。

干预：无。

结果测量：基于问卷的 SCI 患者转身频率评估。

结果： 86 名外伤性 SCI 受试者（70 名男性）完成了调查；66.3% 患有四肢瘫痪，41.9% 患有神经完全 SCI。几乎每个参与者 (96%) 都回忆起在康复机构出院后接受过关于晚上上床睡觉的重要性的建议，其中 48.4% 的参与者回忆起建议的频率为每 2 小时一次。目前，25.6% 的受试者报告每 2 小时翻一次身，15.1% 每 3 小时翻一次，15.1% 每 4 小时翻一次，3.5% 每 6 小时翻一次，40.7% 的受访者表示他们晚上不规律翻身。

结论：虽然经常建议慢性 SCI 患者每两小时在床上重新定位，特别是对于有压力损伤风险的人，但只有 25.6% 的人报告在此频率下翻身，40.7% 的人报告在夜间不经常翻身。有限转动的原因可能是多方面的，然而，这一发现可能会呼吁从业者最好地确定最合适的转动频率，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。