체간 유지 체위변경 방법이 30도 측위 유지, 편안함 및 피부 상태에 미치는 효과 = Effects of the Trunk Maintenance Repositioning Method on Keeping a 30° Side-Lying Position, Comfort, and Skin Condition

다국어 초록 (Multilingual Abstract)

Purpose : This study was performed to evaluate the effects of a prolonged a 30°side-lying position on comfort and skin condition by applying the trunk maintenance repositioning method, which can keep the 30°side-lying position effective for preventing pressure ulcers. Method : Fifty-four healthy nurses working at a general hospital in Seoul were randomly assigned to an experimental group (n=27) or a control group (n=27) and assumed a position of lying on their right or left side for two hours. The trunk maintenance repositioning method was applied to the experimental group using the pillow made by the researcher, while the original repositioning method was applied to the control group using the regular pillow from the subject hospital.
Participants’ posture angles, comfort, and skin condition were measured at the time of the intervention, as well as at one and two hours after the intervention. Results : There was no statistically significant difference in position angle, comfort, skin condition change, or sacrum and greater trochanter pressure change between the two groups over time. Conclusion : It is necessary to review the method and frequency of change of position in each hospital. In addition, a proper position changing pillow should be developed in consideration of patients’ various body shapes.

참고문헌 (Reference)

1 박창식, "욕창의 치료와 예방" 대한의사협회 58 (58): 786-794, 2015

2 엄지연, "욕창의 예방적 중재 효과에 대한 체계적 고찰" 한국노년학회 33 (33): 21-37, 2013

3 Lee, H. O., "Wound mangement" Purnurse pubulishing company 2009

4 Yoshikawa, Y., "Verification of comfort rating of 30 degrees lateral position" 4 : 31-34, 2011

5 Powers, J., "Two methods for turning and positioning and the effect on pressure ulcer development: A comparison Cohort Study" 43 (43): 46-50, 2016

6 Kallman, U., "The effects of different lying positions on interface pressure, skin temperature and tissue blood flow in nursing home residents" 17 (17): 142-151, 2014

7 Lim, K. C., "The effect of position change including $30^{\circ}$ laterally inclined position on decubitus" 8 (8): 274-290, 1996

8 Defloor, T., "The effect of position and mattress on interface pressure" 13 (13): 2-11, 2000

9 Myeong, E. Y., "The effect of 30-degree tilt repositioning on pressure ulcer prevention for patients intensive care unit" Ajou University 2012

10 Bennett, G., "The cost of pressure ulcers in the UK" 33 (33): 230-235, 2004

11 Young, T., "The 30 degree tilt position vs the 90 degree lateral and supine positions in reducing the incidence of non-blanching erythema in a hospital inpatient population: a randomized controlled trial" 14 (14): 88-96, 2004

12 Moore, Z., "Ten top tips: repositioning a patient to prevent pressure ulcers" 5 (5): 6-9, 2014

13 Cakmak, S. K., "Risk factors for pressure ulcer" 22 (22): 412-415, 2009

14 Gorecki, C., "Patient-reported pressure ulcer pain: A mixedmethods systematic review" 42 (42): 443-445, 2011

15 CAPE co., ltd, "Palm Q"

16 Kim, H. J., "Optimal position change interval for pressure ulcer risk group in intensive care unit of using foam mattress" Pusan National University 2012

17 Oomens, C. W. J., "How does lateral tilting affect the internal strains in the sacral region of bed ridden patients? - A contribution to pressure ulcer prevention" 35 : 7-13, 2016

18 Korean Wound Management Society, "Guideline for management pressure ulcers" Purnurse pubulishing company 2008

19 Hagisawa, S., "Evidence supporting the use of two-hourly turning for pressure ulcer prevention" 17 (17): 76-81, 2008

20 Hospital Nurses Association, "Evidence based clinical nursing practice guidelines, Prevention and management of pressure ulcer"

21 Kang, M. S., "Eve, cool '3D mesh' bedding to hit the heat"

22 Peterson, M. J., "Effects of turning on skin-bed interface pressures in healthy adults" 66 (66): 1556-1564, 2010

23 Vanderwee, K., "Effectiveness of turning with unequal time intervals on the incidence of pressure ulcer lesion" 57 (57): 59-68, 2006

24 National Pressure Ulcer Advisory Panel, "Education and clinical resources, NPUAP pressure injury stages"

25 An, N. Y., "Comparison of cushion for prevention of pressure ulcer on seated pressure" 4 (4): 45-55, 2010

26 Kim, D. S., "Cancer therapy revolution: Immune enhanced cancer therapy" Sangsang pubulishing company 164-165, 2013

27 문미경, "Applying of Decision Tree Analysis to Risk Factors Associated with Pressure Ulcers in Long-Term Care Facilities" 대한의료정보학회 23 (23): 43-52, 2017

28 Moore, Z., "An economic analysis of repositioning for the prevention of pressure ulcers" 22 (22): 2354-2360, 2013

29 Moore, Z., "A randomized controlled clinical trial of repositioning, using $30^{\circ}$tilt, for the prevention of pressure ulcers" 20 (20): 2633-2644, 2011