当前位置: X-MOL 学术J. Spinal Cord Med. › 论文详情
Our official English website, www.x-mol.net, welcomes your feedback! (Note: you will need to create a separate account there.)
The experience of using a hospital bed alternative at home among individuals with spinal cord injury: A case series
The Journal of Spinal Cord Medicine ( IF 1.7 ) Pub Date : 2021-06-17 , DOI: 10.1080/10790268.2021.1937454
Rachel Levinson 1 , Lorena Salas 1 , Jeanne M Zanca 2, 3
Affiliation  

Objective

To inform clinicians’ equipment recommendations by characterizing the experiences, skin integrity, and interface pressures in a series of recently discharged individuals with spinal cord injury (SCI) who chose to use an alternative adjustable bed system at home rather than a standard of care hospital bed with mattress overlay.

Design

Mixed methods, observational case series.

Setting

Community based.

Methods

Four individuals with cervical SCIs and one partner of a participant with SCI completed interviews about their experiences using an alternative adjustable bed system and their skin health. Participants also underwent pressure mapping on their alternative adjustable bed system and on a standard of care hospital bed with mattress overlay. Interview themes were identified using a consensus qualitative approach. Pressure readings at the sacrum and ischial tuberosities in supine and at the greater trochanter in side lying were compared between surfaces.

Outcome measures

Semi-structured interview, questionnaire, and pressure mapping.

Results

All participants reported positive experiences utilizing an alternative adjustable bed system and no episodes of bed-related skin breakdown. Reasons for wanting an alternative adjustable bed included a greater sense of normalcy and larger size. Participants perceived their alternative beds to be comfortable, and to have features that aided their function and assisted their caregivers. Features used included head of bed elevation, height elevation, and bed rails. All participants had clinically acceptable pressure mapping patterns on the alternative adjustable bed system.

Conclusion

An adjustable bed system, combined with other skin protection strategies, may be appropriate for certain individuals with spinal cord injury.



中文翻译:

脊髓损伤患者在家中使用医院病床替代方案的经验:案例系列

客观的

通过描述一系列最近出院的脊髓损伤 (SCI) 患者的经历、皮肤完整性和界面压力来告知临床医生的设备建议,这些患者选择在家中使用替代的可调节床系统而不是标准的护理病床带床垫罩。

设计

混合方法,观察案例系列。

环境

基于社区。

方法

四名患有颈椎 SCI 的人和一名患有 SCI 的参与者的一名伴侣完成了关于他们使用替代可调床系统及其皮肤健康的经历的访谈。参与者还在他们的替代可调床系统和带床垫覆盖的标准护理病床上进行了压力映射。使用共识定性方法确定访谈主题。比较了仰卧时骶骨和坐骨结节的压力读数以及侧卧时大转子处的压力读数。

结果措施

半结构化访谈、问卷调查和压力映射。

结果

所有参与者都报告了使用替代可调节床系统的积极体验,并且没有发生与床相关的皮肤破裂事件。想要替代可调节床的原因包括更大的常态感和更大的尺寸。参与者认为他们的替代床很舒适,并且具有有助于他们的功能和协助他们的护理人员的功能。使用的特征包括床头标高、高度标高和床栏杆。所有参与者在替代可调床系统上都有临床上可接受的压力映射模式。

结论

可调节床系统与其他皮肤保护策略相结合,可能适用于某些脊髓损伤患者。

更新日期:2021-06-17
down
wechat
bug