关键词: ARDS COVID-19 prone pillow prone positioning

来  源:   DOI:10.47895/amp.v58i11.8593   PDF(Pubmed)

Abstract:
UNASSIGNED: The prone position has been seen to benefit patients experiencing acute respiratory distress syndrome. However, performing this position in pregnant patients has been difficult and raises safety concerns.
UNASSIGNED: The current study aimed to test the use of a supportive pillow (Prone Pillow for Pregnant Patients or 4P) to address concerns regarding pregnant patients in prone position.
UNASSIGNED: The study prospectively evaluated the use of the prone pillow for patient comfort and usability among healthcare workers with qualitative and quantitative measures.
UNASSIGNED: A total of three patients were recruited alongside 16 healthcare workers assisting pregnant patients to the prone position. Overall, awake pregnant patients found the pillow to be comfortable while healthcare workers perceived the pillow to be useful in improving quality of care among awake and intubated pregnant patients.
CONCLUSIONS: The 4P is a potentially useful and beneficial product in placing pregnant patients in the prone position during episodes of acute respiratory distress. However, due to the limited sample size, more clinical trials are needed to evaluate the impact of this innovation in improving patient and healthcare worker safety.
摘要:
俯卧位被认为对患有急性呼吸窘迫综合征的患者有益。然而,在怀孕患者中执行此姿势很困难,并且引起了安全问题。
目前的研究旨在测试使用支持性枕头(孕妇俯卧枕或4P)来解决孕妇俯卧位的担忧。
该研究通过定性和定量措施前瞻性地评估了在医护人员中使用俯卧枕头对患者舒适度和可用性的影响。
总共招募了3名患者,同时招募了16名医护人员,帮助孕妇俯卧位。总的来说,清醒的孕妇发现枕头舒适,而医护人员认为枕头有助于提高清醒和插管的孕妇的护理质量。
结论:4P是在急性呼吸窘迫发作期间将孕妇置于俯卧位的潜在有用和有益的产品。然而,由于样本量有限,需要更多的临床试验来评估这项创新在改善患者和医护人员安全方面的影响.
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