A specialist seating assessment clinic: changing pressure relief practice
A specialist seating assessment clinic: changing pressure relief practice
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DOI：
10.1038/sj.sc.3101527
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发表时间：
2003-12-01
期刊：
影响因子：
2.2
通讯作者：
Rose, LS
中科院分区：
文献类型：
--
作者：
Coggrave, MJ;Rose, LS
研究设计：临床服务描述、压力缓解实践评估。目标：描述专业座椅评估诊所及其工作带来的临床实践变化。地点：英国斯托克曼德维尔医院国家脊柱损伤中心。方法：对在专业座椅评估诊所就诊的 50 名新受伤和慢性脊髓损伤 (SCI) 患者的坐骨经皮氧测量进行回顾性审查。在坐位（负载）和压力释放（空载）期间测量组织氧合。结果：将组织氧升高到空载水平所需的平均压力释放持续时间为 1 分钟 51 秒（范围 42 秒 - 3 分钟 30 秒）。结论：这些结果证实了临床观点，即对于大多数人来说，15-30 秒的短暂压力提升对于将经皮氧分压 (TcPO2) 提高到空载水平是无效的。对于大多数客户来说，通过在必要的延长时间内从座椅上抬起来维持传统的压力释放既不实际也不可取。结果发现，替代压力释放方法更容易持续且非常有效。
Study design: Description of a clinical service, evaluation of pressure relief practices.Objectives: To describe a specialist seating assessment clinic and a change in clinical practice arising from its work.Setting: National Spinal Injuries Centre, Stoke Mandeville Hospital, UK.Methods: Retrospective review of the ischial transcutaneous oxygen measurements of 50 newly injured and chronic spinal cord-injured (SCI) individuals seen in a specialist seating assessment clinic. Tissue oxygenation was measured in the sitting position (loaded) and during pressure relief (unloaded).Results: Mean duration of pressure relief required to raise tissue oxygen to unloaded levels was 1 min 51 s (range 42 s-3 min 30 s).Conclusion: These results confirmed the clinical perception that brief pressure lifts of 15-30 s are ineffective in raising transcutaneous oxygen tension (TcPO2) to the unloaded level for most individuals. Sustaining the traditional pressure relief by lifting up from the seat for the necessary extended duration is neither practical nor desirable for the majority of clients. It was found that alternative methods of pressure relief were more easily sustainable and very efficient.