放置水袋與壓瘡前期症狀關係之病例對照研究－以加護病房病患為例

The Relationship between Placement of Decompression Water Cushion and Prodromal Pressure Ulcers Symptoms in the ICU-A Case Control Study

戴瑞芬(Jui-Fen Tai) ； 何修嫺(Shiou-Shyan Her) ； 歐惠容(Wai-Yung Au)

《榮總護理》 26卷1期 (2009/03) Pp. 66-73

https://doi.org/10.6142/VGHN.26.1.66

摘要

本研究旨在探討放置水袋與壓瘡前期症狀之相關性。研究樣本取自南部某醫學中心，收案對象為入住加護病房，左右側髖部及尾骨處皮膚完整的病患，本研究採病例對照設計；共收案病例組33人次，對照組66 人次樣本數（比例為1:2）。所得資料以t-test, Chi-square test, Fisher's exact test及Logistic regression進行統計分析。研究結果顯示，是否放置水袋與壓瘡前期症狀無顯著相關；即是否放置水袋都不會減輕壓瘡前期症狀的發生，故建議不需每位病患都使用水袋來預防壓瘡前期症狀。本研究結果提供給臨床護理工作同仁，作為照護重症病患時預防壓瘡發生之參考。

關鍵字

壓瘡 ； 壓瘡預防 ； 減壓輔具 ； 水袋

並列摘要

The purpose of this study was to explore the relationship between placement of decompression water cushions and prodromal pressure ulcer symptoms. We also evaluated the related factors of pressure ulcers' occurrence. We used a 1:2 ratio of case-control study to collect data from the experimental group 33 times and the control group 66 times from 58 patients who didn't have pressure ulcers admitted to the ICU of a medical center hospital in Taiwan. The results indicated that there was no significant relation between using water cushions or not in the early stage of pressure ulcers. That was to say, whether using water cushions or not didn't significantly induce the occurrence of pressure ulcers. By the result of our study, it is not recommanded to use water cushions for pressure reduction regularly in each patient. This study can afford a clinical nursing practice guideline for pressure ulcers prophylaxis.

並列關鍵字

pressure ulcer ； prevention of pressure ulcers ； pressure reducing devices ； water cushion