护理学报2018，Vol.25Issue(11)：21-25,5.DOI:10.16460/j.issn1008-9969.2018.11.021
压疮危险人群翻身间隔时间最佳证据总结
Evidence Summary on Repositioning Interval among Patients with Risk of Pressure Ulcer
摘要
Abstract
Objective To assess and summarize the available evidences on the repositioning interval among patients with the risk of pressure ulcer, thus to provide guidance for nursing staff. Methods We electronically retrieved the research on the repositioning strategies of pressure ulcer management. Two reviewers independently assessed the quality and extracted the data in the included studies. Evidence was summarized from eligible studies. Results Ten studies were included, with 8 guidelines, 1 systematic review and 1 best practice information sheet. Evidences were summarized in the following: (1) Regular repositioning was in need for all patients with risk of pressure ulcer (strength of recommendation=B). (2)Pressure reduction support surface served as an aid for repositioning (strength of recommendation=A); with support surface, repositioning intervals could be extended (strength of recommendation=B). (3) Repositioning frequency should take body position (strength of recommendation=B), and individual condition (strength of recommendation=A) into account. (4)Assessment-based dynamic repositioning schedule is in need (strength of recommendation=B). (5)Repositioning schedules should be developed recording the frequency and body position of the patients (strength of recommendation=A). (6)Self pressure reduction of patients during the intervals of repositioning was recommended (Strength of recommendation=A). Conclusion Repositioning is a routine preventive measure for pressure ulcer. All patients at the risk for pressure ulcer should be repositioned regularly. No established repositioning frequency is recommended now, thus the individualized condition of the patients and the complex clinical status should be taken into consideration when making clinical decisions.关键词
压疮/翻身/时间/循证护理Key words
pressure ulcer/repositioning/time/evidence-based nursing分类
医药卫生引用本文复制引用
李飞,邓波,朱世琴,李显蓉..压疮危险人群翻身间隔时间最佳证据总结[J].护理学报,2018,25(11):21-25,5.基金项目
四川省科技厅资助项目(2016SZ0062) （2016SZ0062）
