Abstract：
OBJECTIVE: This study aimed to analyze if a multi-foam core mattress with a laminated cover can reduce the incidence of pressure injuries, compared to an alternating air mattress overlay among critically ill patients in acute settings.
METHODS: Prospective observational study.
METHODS: and setting: Patients with a Braden scale score ≤16 on intensive care unit admission at five general hospitals in Korea were included in this study between February 2022 and March 2022.
METHODS: One hundred and twenty patients in acute settings were enrolled and categorized into two groups: a multi-form core mattress with a laminated cover group (n = 60) and an alternating air mattress overlay group (n = 60). Data were collected for 7 days by wound care nurses.
RESULTS: Pressure injury developed at a significantly lower rate in the multi-form core mattress with a laminated cover group (n = 4/60, 6.7 %) than in the alternating air mattress overlay group (n = 25/60, 25.0 %) (P = 0.011). Using a multi-foam core mattress with a laminated cover demonstrated a protective effect against pressure injuries (odds ratio 0.123, 95 % confidence interval 0.024-0.620, P = 0.011).
CONCLUSIONS: A multi-foam core mattress with a laminated cover was significantly more effective than an alternating air mattress overlay in preventing pressure injury in critically ill patients.
METHODS: Prospective observational study.
METHODS: and setting: Patients with a Braden scale score ≤16 on intensive care unit admission at five general hospitals in Korea were included in this study between February 2022 and March 2022.
METHODS: One hundred and twenty patients in acute settings were enrolled and categorized into two groups: a multi-form core mattress with a laminated cover group (n = 60) and an alternating air mattress overlay group (n = 60). Data were collected for 7 days by wound care nurses.
RESULTS: Pressure injury developed at a significantly lower rate in the multi-form core mattress with a laminated cover group (n = 4/60, 6.7 %) than in the alternating air mattress overlay group (n = 25/60, 25.0 %) (P = 0.011). Using a multi-foam core mattress with a laminated cover demonstrated a protective effect against pressure injuries (odds ratio 0.123, 95 % confidence interval 0.024-0.620, P = 0.011).
CONCLUSIONS: A multi-foam core mattress with a laminated cover was significantly more effective than an alternating air mattress overlay in preventing pressure injury in critically ill patients.
摘要：
目的：本研究旨在分析带有层压套的多泡沫芯床垫是否可以减少压力伤害的发生率，与在急性环境中危重病人交替使用充气床垫相比。
方法：前瞻性观察性研究。
方法：和设置：2022年2月至2022年3月期间，韩国五家综合医院重症监护病房的Braden量表评分≤16的患者被纳入本研究。
方法：纳入120名急性患者，将其分为两组：带有层压覆盖层的多形式芯床垫组（n=60）和交替充气床垫覆盖组（n=60）。由伤口护理护士收集7天的数据。
结果：与交替充气床垫覆盖组（n=25/60，25.0％）相比，具有层压覆盖组的多形式芯床垫的压力损伤发生率显着降低（P=0.011）。使用带有层压覆盖物的多泡沫芯床垫对压力伤害具有保护作用（比值比0.123，95％置信区间0.024-0.620，P=0.011）。
结论：在预防危重患者的压力损伤方面，具有层压覆盖物的多泡沫芯床垫明显比交替充气床垫覆盖物更有效。
方法：前瞻性观察性研究。
方法：和设置：2022年2月至2022年3月期间，韩国五家综合医院重症监护病房的Braden量表评分≤16的患者被纳入本研究。
方法：纳入120名急性患者，将其分为两组：带有层压覆盖层的多形式芯床垫组（n=60）和交替充气床垫覆盖组（n=60）。由伤口护理护士收集7天的数据。
结果：与交替充气床垫覆盖组（n=25/60，25.0％）相比，具有层压覆盖组的多形式芯床垫的压力损伤发生率显着降低（P=0.011）。使用带有层压覆盖物的多泡沫芯床垫对压力伤害具有保护作用（比值比0.123，95％置信区间0.024-0.620，P=0.011）。
结论：在预防危重患者的压力损伤方面，具有层压覆盖物的多泡沫芯床垫明显比交替充气床垫覆盖物更有效。
