切削减面用于医院前运输:一个随机交叉研究
Ann N Tescher1, Kathleen S Berns, Evan Call
1At Mayo Clinic, Rochester, Minnesota, USA, Ann N. Tescher, PhD, APRN, CNS, and Kathleen S. Berns, APRN, CNS, MS, are Advanced Practice RN Clinical Nurse Specialists. Evan Call, MS, CSM (NRM), is Lab Manager, EC Service Corp, Centerville, Utah. Also at Mayo Clinic, Patrick J. Koehler, LRT, RRT-ACCS, and Kip W. Salzwedel, RRT, LRT, are Respiratory Therapists; Heather E. McCormack, DScPT, PT, CWS, is Assistant Professor in Physical Therapy (retired); Lucas A. Myers, BS, is Senior Business Analyst; Clinton E. Hagen, MS, is Principal Data Scientist, and Jay Mandrekar, PhD, is Professor of Biostatistics and Neurology, Department of Quantitative Health Sciences. Marianne Russon, BS, is Project Manager, EC Service Corp. Acknowledgments: Mayo Clinic does not endorse specific products or services included in this article. This paper was presented as a poster at the Minnesota Affiliate National Association of Clinical Nurse Specialists Fall Conference and Annual Meeting, October 28, 2016, Minneapolis, Minnesota; at the National Pressure Ulcer Advisory Panel Research Symposium, November 9, 2016, Las Vegas, Nevada; at the Mayo Clinic Quality Conference, March 15, 2017, Rochester, Minnesota; at the Wound, Ostomy, and Continence Nurses Society's 49th Annual Conference, May 19-23, 2017, Salt Lake City, Utah; at the Wound Care From Innovations to Clinical Trials 2017 Conference, June 20-21, 2017, Manchester, England; and at the National Association of Emergency Medicine Services Physicians Scientific Assembly, January 11-13, 2018, San Diego, California. Portions of this article have been published in abstract form: J Wound Ostomy Continence Nurs 2017;44:R03; Prehosp Emerg Care 2018;22(1):137. The authors thank Scott P. Zietlow, MD, past chair (emeritus), Mayo Clinic Ambulance Board of Directors for support of this study. Kathleen Louden, ELS, senior scientific/medical editor, Mayo Clinic, substantively edited the manuscript. The Scientific Publications staff, Mayo Clinic, provided proofreading, administrative, and clerical support. The authors have disclosed no financial relationships related to this article. Submitted April 7, 2023; accepted in revised form July 26, 2023; published ahead of print August 22, 2023.
与标准表面相比,防剪床覆盖 (ASMO) 显著降低了救护车运输期间的压力,剪切和患者不适. 对于救护车队来说,建议额外卸下脚跟.
科学领域:
- 生物医学工程 生物医学工程
- 患者运输安全 患者运输安全
背景情况:
- 救护车运输涉及患者的巨大压力和剪切力.
- 标准的救护车担架可能无法充分减轻这些力量,可能导致不适和受伤.
研究的目的:
- 为了评估抗毛床覆盖 (ASMO) 与标准救护车担架表面的有效性.
- 为了比较压力降低,剪切和患者报告的不适.
主要方法:
- 随机交叉试验涉及30名成年人在三个BMI类别.
- 压力/剪切传感器应用于 sacrum,脊椎结核和脚跟.
- 在模拟的救护车运输过程中,在0°,15°和30°的床头高度进行测试.
主要成果:
- 与标准表面相比,ASMO降低了0.03 N (P=.02) 的峰值剪切和0.16 mm Hg (P=.002) 的峰值压力.
- 脚跟经历了最高的压力和剪切.
- 患者报告的不适感在所有度 (P=.046) 上与ASMO显著降低 (P=.046).
结论:
- 防剪床覆盖有效地减少了救护车运输期间的压力,剪切和不适.
- 具体的干预措施,如部卸载,是必要的,以进一步提高患者的安全和舒适.


