充氣式自動翻身氣墊床之成效探討

目的：本研究計畫目的在比較使用充氣式自動翻身氣墊床與一般床墊，對不同身體質量指數，皮膚受壓點壓力的差異，以及對翻身壓力床的使用感受。方法：本研究為比較性研究設計，招募五種不同身體質量指數共50位之男性與女性受試者，以數位感測系統偵測在平躺、左側臥、右側臥於兩種床墊下（一般床墊與充氣式翻身氣墊床）易受壓部位的皮膚壓力，再請受測者自填臥床與翻身感受量表。結果：顯示使用充氣式翻身床墊在大多數的受壓部位的平均壓力值，均顯著小於一般床墊，分別是平躺時在右肩、左肩、薦骨、右足踝、左足踝；右臥位時在右髖、右膝、右足踝；左臥位時在左肩、左髖、左足踝，共計十一處易受壓部位的平均壓力值在不同床墊是有顯著差異，受試者使用充氣式自動翻身氣墊床後的感受屬於正向，年齡是影響整體感受的主要因素，年齡愈大其感受愈差。結論：本研究結果能呈現不同身體質量指數的健康受試者，在使用充氣式翻身氣墊床與一般床墊，對皮膚易受壓點之壓力與使用感受的差異，可做為未來針對壓力性損傷高危險群相關翻身床墊之臨床試驗的重要指標，以及做為臨床預防壓力性損傷照護之重要參考依據。

關鍵字

壓力性損傷；自動翻身氣墊床；身體質量指數

並列摘要

Objective: This study compared an automatic turning air mattress to a regular mattress, identified their differences in terms of the pressure applied on pressure points on the skin of users with various levels of body mass index, and investigated these users' perceptions of the automatic turning air mattress. Method: A comparative research design was used in this study. Fifty male and female participants with five different levels of body mass index were recruited. A digital sensor system was used to detect the pressure on the skin at the points under the most pressure when lying in the supine, left lateral recumbent, and right lateral recumbent positions on the two types of mattresses (i.e., regular mattress and automatic turning air mattress). Then, the participants were asked to fill out a questionnaire regarding their experience of lying and turning on the different mattresses. Results: The average pressure at the points under the most pressure when the participants were on the automatic turning air mattress were lower than when the participants were on the regular mattress. The pressure points investigated in this study were the right shoulder, left shoulder, sacrum, right ankle, and left ankle when lying in the supine position; the right pelvis, right knee, and right ankle when lying in the right lateral recumbent position; and the left shoulder, left pelvis, and left ankle when lying in the left lateral recumbent position. The average pressure detected at said 11 pressure points were significantly different when the participants were on different mattresses. The participants tended to perceive their use of the automatic turning air mattress positively. Age was a major factor affecting the participants' overall perception, with older participants showing a less favorable perception. Conclusion: The study results revealed differences in the pressure exerted on pressure points on the skin and the usage perception of participants with different levels of body mass index when they used the automatic turning air mattress and the regular mattress. The results may provide critical insight into clinical trials on turning mattresses for patients with high risks of pressure injuries and serve as a reference for clinical care aimed at preventing pressure injuries.

並列關鍵字

pressure injury ； automatic turning air mattress ； body mass index

參考文獻

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充氣式自動翻身氣墊床之成效探討

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