The effect of continuous pressure monitoring on strategic shifting of medical inpatients at risk for PUs
The effect of continuous pressure monitoring on strategic shifting of medical inpatients at risk for PUs
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DOI：
10.12968/jowc.2012.21.11.517
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发表时间：
2012-11-01
影响因子：
1.9
通讯作者：
Ghali, W. A.
中科院分区：
文献类型：
--
作者：
Motamedi, S. M.;de Grood, J.;Ghali, W. A.
目的：评价持续压力成像技术对医护人员策略性转诊的影响。方法：对一种新开发的持续压力成像技术(XSENSOR Preresite Patient Turn System)进行初步研究，分两个阶段对内科住院患者进行录像观察，每个患者作为他/她自己的对照：控制阶段和干预阶段。主要结果是确定获得该技术是否影响护理人员的病人轮换/轮班比率。次要结果包括对其他护理提供者轮班、患者自我轮班和家庭辅助轮班的比率进行比较。研究还获得了护士和患者/家庭视角的定性数据。结果：9名患者获得了完整的对照/干预数据。两人辅助旋转的平均速率在对照阶段为每小时0.274+/-0.087圈，而在干预阶段为每小时0.413+/-0.091圈(p=0.08)。对于两人辅助转身或患者从床上转到轮椅/椅子上的综合终点，平均每小时转数的差异有统计学意义：干预组平均每小时0.491+/-0.271转，对照组每小时0.327+/-0.235转(p=0.04)。提供者访谈证实，护士使用该技术的信息来告知他们的患者转移策略和行为。结论：这项初步研究提供了一些初步数据，支持这样一种假设，即持续压力成像技术可以积极影响护理人员转向患者的频率，并提供动力来检查特定的皮肤位置，从而为压疮的发展提供潜在的有针对性的风险缓解策略。利益声明：该研究的资金来自PreCarn Inc.和艾伯塔省企业和高级教育(正式名称为艾伯塔省高级教育和技术)，PreCarn Inc.是一家独立的非营利性公司，支持新技术的商业前开发。行业合作伙伴XSEN SOR参与了该技术的设置和维护，但没有参与评估性研究方案。具体地说，XSEN SOR人员没有参与结果数据的收集、编码或分析，也没有参与本论文的编辑和撰写。列出的作者没有任何与测试的技术有关的利益冲突，无论是财务上的还是其他方面的。
Objective: To assess the impact of continuous pressure imaging technology on strategic turning of patients by health professionals.Method: This pilot study of a newly-developed continuous pressure imaging technology (XSENSOR ForeSite Patient Turn System) involved two phases of videotaped observation of medical inpatients, with each patient serving as his/her own control: a control phase in which continuous pressure imaging was not available to health-care providers and an intervention phase where it was. The primary outcome was to determine whether access to the technology influenced the rate of patient turns/shifts by nursing staff. Secondary outcomes included a comparison of the rates of other care provider shifts, patient self-shifts, and family assisted shifts. Qualitative data regarding nurse and patient/family perspectives were also obtained.Results: Complete control/intervention data were available for nine patients. The mean rate of two-person assisted turns was 0.274 +/- 0.087 turns per hour in the control phase versus 0.413 +/- 0.091 turns per hour in the intervention phase (p=0.08). For the combined endpoint of two-person assisted turns or patient transfers off the bed into a wheelchair/chair, there was a statistically significant difference in the mean number of turns per hour: mean of 0.491 +/- 0.271 turns per hour for the intervention group versus 0.327 +/- 0.235 turns per hour for the control group (p=0.04). Provider interviews confirmed that nurses used information from the technology to inform their patient shifting strategies and behaviours.Conclusion: This pilot study provides some initial data supporting the hypothesis that continuous pressure imaging technology could positively impact the frequency of patient turns by care providers, as well as provide impetus to inspect specific skin locations, thereby providing a potential targeted risk mitigation strategy for the development of pressure ulcers.Declaration of interest: Funding for the study was obtained from PreCarn Inc., an independent, non-profit company supporting the pre-commercial development of new technologies, and from the Alberta Enterprise and Advanced Education (formally Alberta Advanced Education and Technology). The industry partner, XSEN SOR, was involved in setup and maintenance of the technology, but was not involved in the evaluative research protocol. Specifically, XSEN SOR personnel were not involved in the collection, coding, or analysis of outcome data, nor in the compilation and writing of this paper. None of the listed authors have any conflicts of interest, financial or otherwise, relating to the technology tested.