转身和重新定位被认为是降低住院患者压力性损伤(PI)发生率的策略之一。因为它有助于重新分配和最小化目标皮肤上的直接压力,并增强受影响区域的血液灌注。在临床环境中,转向和重新定位的频率通常是一致的,大多数临床指南建议根据患者的健康状况对其位置进行实质性改变。值得注意的是,位置变化之间的最佳时间间隔尚未建立。因此,本研究旨在回顾目前有关成人患者为预防PIs而进行转位和重新定位的频率的文献.作者遵循Whittemore和Knafl的审查策略进行了系统的审查。作者使用了以下数据库:CINAHL,Scopus,PubMed,ProQuest,奥维德,MedLine,WebofScience,谷歌学者。在搜索过程中,布尔逻辑运算符,MeSH术语,和关键词被利用。研究人员遵循约翰霍普金斯护理循证实践分级量表来评估选定研究的质量。搜索产生了723篇文章,其中10人被纳入本次审查。这10篇文章揭示了几个频率间隔的比较目的:2小时,3小时,4小时,根据医疗保健环境,每6小时一次,仰卧的组合,倾斜30°,或90°倾斜。这项审查表明,防止PI的最佳转向和重新定位频率仍不清楚,需要进一步调查。考虑到临床环境的不同性质,同样的黄金标准缺乏明确性。因此,在选择适当的预防PI的频率时,应考虑患者的健康状况。
Turning and
repositioning is considered one of the strategies to reduce the incidence of pressure injuries (PIs) among hospitalized patients, as it helps to redistribute and minimize direct pressure on the targeted skin and enhance blood perfusion in the affected areas. The frequency of turning and
repositioning is generally uniform across clinical settings, with most clinical guidelines recommending a substantial change in a patient\'s position according to their health status. Notably, the optimal time interval between the position changes has not yet been established. Therefore, this study aimed to review the current literature in relation to the frequency of turning and
repositioning adult patients to prevent PIs. The author used a systematic review following Whittemore and Knafl\'s review strategy. The author used the following databases: CINAHL, Scopus, PubMed, ProQuest, Ovid, MedLine, Web of Science, and Google Scholar. During the search, Boolean logic operators, MeSH terms, and keywords were utilized. The researcher followed the Johns Hopkins Nursing Evidence-based Practice Grading Scale to evaluate the quality of selected studies. The search yielded 723 articles, of which 10 were included in this review. These 10 articles revealed several frequency intervals for comparison purposes: 2-hourly, 3-hourly, 4-hourly, and 6-hourly depending on the healthcare setting, with a combination of supine, 30° tilt, or 90° tilt. This review shows that the optimal frequency of turning and
repositioning to prevent PIs remains unclear and further investigation is necessary. Considering the varying nature of clinical settings, there is a lack of clarity regarding a golden standard for the same. Therefore, patients\' health conditions should be considered when choosing the proper frequency to prevent PIs.