脊椎手術壓瘡預防與減壓擺位裝置之探討

本文針對脊椎手術擺位與擺位裝置之壓瘡預防措施進行相關文獻探討，發現減壓介面須能增加接觸面積，有效分散壓力點，在材質特性上，具有透氣性，此外基於手術室感染管制與成本考量下須具有易清潔，可重複使用及購置成本費用較經濟等特性。在本國相關研究中發現同尺寸脂肪墊價格高達泡棉墊的250倍，但脂肪墊與泡棉墊對壓瘡預防效果並無統計上顯著差異，因此兼具減壓效果及經濟效益的減壓材質，尚待日後進一步探討。

關鍵字

脊椎手術；壓瘡；減壓介面；減壓材質；擺位裝置

並列摘要

The purpose of this article was focused on reviewing relevant literatures about pressure-relieving devices and pressure ulcers prevention for posterior spinal surgery .We found that pressure relieving materials should be able to increase the interface contact area and distribute the pressure points. The material characteristics, with the permeability based on infection control and cost considerations of the operating room, should be easy to clean, reusable and more economical to purchase and so on. In Taiwan, original research found that the prevalence rate of pressure ulcers was not significantly different between high-density foam and viscoelastic polymer pads. However, the present prices of the same size of viscoelastic polymer is 250 times higher than the foam pad. It requires further research to prove which pressure-relieving material will be more cost-effective.

並列關鍵字

spine surgery ； pressure ulcer ； pressure-relieving interface ； pressure-relieving material ； positioning devices

被引用紀錄

徐琬茵、李佳頵、謝坤諺、陳幼梅（2018）。降低加護病房壓瘡發生率之改善專案。高雄護理雜誌，35(1)，29-41。https://doi.org/10.6692/KJN.201804_35(1).0003

林文綾、曾健華、鍾宜真、莊心筑、林筠嵐、張碧華（2014）。運用皮膚照護群組模式降低肺癌住院病人壓瘡發生密度之成效。護理雜誌，61(2)，85-94。https://doi.org/10.6224/JN.61.2S.85

黃微真、張秀如、唐琦敏（2014）。降底兒童外科加護病房壓瘡發生密度。護理雜誌，61(2)，60-67。https://doi.org/10.6224/JN.61.2S.60

李文怡、藺寶珍、翁嘉杏、林怡伶、蔡紋苓（2012）。降低長時間俯臥手術病人臉部壓瘡發生率之專案。護理雜誌，59(3)，70-78。https://doi.org/10.6224/JN.59.3.70

呂欣怡、王宜婷、吳明穎、魏玉芳、闞秋萍（2019）。運用根本原因分析降低手術病人壓傷發生率。領導護理，20(4)，123-141。https://doi.org/10.29494/LN.201912_20(4).0010

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脊椎手術壓瘡預防與減壓擺位裝置之探討

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