Volume 20 Issue 9
Sep.  2022
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Article Navigation >  Chinese Journal of General Practice  > 2022  >  20(9): 1624-1627
XU Huan, HUO Rui, XU Wan-hong, LI Hui. Analysis of the application of dynamic alternating air cushion bed combined with nutritional support to prevent pressure injury in critically ill patients[J]. Chinese Journal of General Practice, 2022, 20(9): 1624-1627. doi: 10.16766/j.cnki.issn.1674-4152.002664
Citation: XU Huan, HUO Rui, XU Wan-hong, LI Hui. Analysis of the application of dynamic alternating air cushion bed combined with nutritional support to prevent pressure injury in critically ill patients[J]. Chinese Journal of General Practice, 2022, 20(9): 1624-1627. doi: 10.16766/j.cnki.issn.1674-4152.002664
shu

Analysis of the application of dynamic alternating air cushion bed combined with nutritional support to prevent pressure injury in critically ill patients

doi: 10.16766/j.cnki.issn.1674-4152.002664
  • 1.

    Department of Emergency Surgery, Bozhou People's Hospital, Bozhou, Anhui 236800, China

Funds:

 SK2020A0365

  • Received Date: 2022-04-11
    Available Online: 2022-11-29
    Abstract
  •   Objective  To investigate the preventive effect of dynamic alternating air cushion bed combined with nutritional support on pressure injury in critically ill trauma patients.  Methods  A total of 130 critically ill trauma patients who were treated in our department from January 2019 to December 2021 were selected and randomly divided into observation and control groups according to the number-table method, with 65 cases in each group. Patients in the observation group received nutrition support combined with dynamic alternating air cushion bed care, whereas those in the control group received nutrition support combined with jet cushion care. The incidence of pre- pressure injury manifestations, pressure injury incidence, coma and health status, length of stay and hospitalisation expenses were observed and compared between the two groups.  Results  After 7 d of treatment, no patients in the observation group had developed pressure injury, and 3 patients in the control group had developed pressure injury stage 1. No significant difference existed in the incidence of pressure injury between the two groups (P=0.244). From 7 d of treatment, patients in the observation group had a lower incidence of the stress-injury prophase than those in the control group (P=0.020). Significant differences existed in the Braden score between the two groups in time, group, and interaction between time and group. Patients in the observation group had higher Braden scores than those in the control group at 5 and 7 days of treatment [(13.87±1.18) points vs. (13.11±1.38) points, (14.79±1.80) points vs. (13.73±1.86) points, all P < 0.05]. After 7 days of treatment, the GCS scores [(8.11±1.74) points vs. (6.83±1.43) points] and APACHE Ⅱ scores [(16.68±3.01) points vs. (19.16±3.26) points] in the observation group were significantly better than those in the control group (all P < 0.05). This finding suggested that nutritional support combined with dynamic alternating air cushion bed had a good rehabilitation effect on critically ill traumatic patients.  Conclusion  Nutritional support combined with a dynamic alternating air cushion bed are more effective for stress-injury prevention in critically ill trauma patients and warrants clinical promotion.

     

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