Innovative Chair to Prevent Pressure Injuries in Persons Living with Alzheimer's Disease and Related Dementias
预防阿尔茨海默病和相关痴呆症患者压力损伤的创新椅子
基本信息
- 批准号:10760048
- 负责人:
- 金额:$ 37.57万
- 依托单位:
- 依托单位国家:美国
- 项目类别:
- 财政年份:2023
- 资助国家:美国
- 起止时间:2023-09-01 至 2024-08-31
- 项目状态:已结题
- 来源:
- 关键词:AdoptionAffectAggressive behaviorAgitationAirAir PressureAlzheimer&aposs disease related dementiaAreaBackBedsBehavioralBiomedical EngineeringCaregiversCaringCellsCeramicsCognitiveConfusionDementiaDeteriorationDevelopmentDevicesDiscipline of NursingElderlyElectricityEnergy consumptionEngineeringEnvironmentEquipmentEvaluationFiberFrightGelGovernment regulationsHealth OccupationsHealth PersonnelHealth care facilityHeightHumanIndividualInjuryInterventionInterviewLiftingLiquid substanceLong-Term CareManualsMattressesMechanicsMotionMotorNoisePainPathway interactionsPatientsPediatric HospitalsPennsylvaniaPersonsPhasePositioning AttributePostdoctoral FellowPrevalencePreventionPrivatizationProviderRecording of previous eventsResearchResearch PersonnelResourcesRiskRotationSafetyScheduleSensorySkinSpecific qualifier valueStructureSurfaceSystemTechnologyTestingTextilesTimeTissuesTreatment CostUnited StatesUnited States Agency for Healthcare Research and QualityUniversitiesWatercollegecostdecubitus ulcerdesigneffectiveness evaluationexperienceimprovedinjury preventioninnovationneurophysiologynovelpressurepreventprofessorprototyperesearch and developmentresidenceusabilitywoundwound injury
项目摘要
Project Summary/Abstract
The proposed project relates to developing and evaluating an innovative, inexpensive, easy-to-use chair aiming
to reduce the prevalence of pressure injuries among persons living with Alzheimer's disease or a related
dementia (ADRD). The Agency for Healthcare Research & Quality estimates that more than 2.5 million
individuals in the United States develop pressure injuries annually, resulting in treatment costs exceeding $10
billion per year. The condition is painful, often difficult to treat, and over 60,000 people die due to pressure
injuries each year in the United States alone. Persons living with ADRD, both in long term care facilities and
private residences, are at an increased risk for pressure injury formation due to the deterioration of several
neurophysiological subsystems associated with motor, sensory, autonomic, cognitive, or behavioral pathways.
Physical repositioning is the cornerstone of pressure injury prevention (and mandated by government
regulation in beds); however, several barriers exist to conducting frequent, scheduled repositioning of persons
living with ADRD in chairs. Some interventional technologies that have been developed for bed mattresses
including reactive foam, static air, water, fiber, gel surfaces, and air‐fluidized ceramic beads along with active
approaches including alternating pressure air surfaces, large‐celled ripple mattresses. Active alternating
pressure air surfaces are made of air‐cells that intermittently inflate and deflate via electrically powered air
compressors to regularly redistribute the pressure under the body. These mattress developments are slowly
being applied to chairs. Despite the advantages of alternating pressure air surfaces, this type of surface in a
chair overlay is not in ordinary widespread use due to cost, patient discomfort associated with
inflation/deflation motion, compressor noise, and energy consumption. We propose an innovative low-cost
chair design approach that achieves the functionality of an alternative pressure surface mattress without the
need for electricity or compressed air. We hypothesize that the proposed chair will be suitable for widespread
adoption both in long-term care facilities and private residences. It will be particularly useful in low-resource
care environments. A prototype chair will be developed and evaluated.
项目摘要/摘要
拟议的项目涉及开发和评估一种创新的、廉价的、易于使用的椅子
降低阿尔茨海默病或相关疾病患者中压力性损伤的发生率
痴呆症(ADRD)。医疗研究和质量机构估计,超过250万人
美国的个人每年都会患上压力性损伤,导致治疗费用超过10美元
每年10亿美元。这种情况很痛苦,通常很难治疗,超过6万人死于压力
仅在美国,每年就有人受伤。患有ADRD的人,既在长期护理机构,也在
私人住宅,由于几个损坏,压力损伤形成的风险增加
与运动、感觉、自主神经、认知或行为通路相关的神经生理子系统。
身体重新定位是预防压伤的基石(由政府强制执行
床位管理);然而,在频繁、有计划地重新安置人员方面存在几个障碍
和ADRD一起坐在椅子上。已开发的床垫介入技术
包括反应性泡沫、静态空气、水、纤维、凝胶表面和空气流态化陶瓷微珠以及活性
方法包括交变压力空气表面、大单元波纹床垫。有源交替
压力空气表面由空气单元组成,空气单元通过电力驱动的空气间歇充气和放气。
压缩机会定期重新分配身体下方的压力。这些床垫的发展是缓慢的
被应用到椅子上。尽管交变压力空气表面的优点,但这种类型的表面在一个
座椅覆盖物由于成本高、患者不适等原因并未得到广泛应用
通货膨胀/通货紧缩运动、压缩机噪音和能源消耗。我们提出了一种创新的低成本
椅子设计方法,实现了替代压力表面床垫的功能,而不需要
需要电力或压缩空气。我们假定拟议的主席将适用于广泛的
在长期护理机构和私人住宅中均可采用。在资源不足的情况下,它将特别有用
关爱环境。将开发和评估一个原型椅子。
项目成果
期刊论文数量(0)
专著数量(0)
科研奖励数量(0)
会议论文数量(0)
专利数量(0)
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Julie Lundstrom其他文献
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