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带有身体位置检测的传感器技术的临床适用性,用于对抗卧床患者的压力
Tim M N van Helden1, Johan W van Neck1, Sarah L Versnel1
1Department of Plastic, Reconstructive and Hand Surgery, Erasmus MC, University Medical Center Rotterdam, Doctor Molewaterplein 40, 3015 GD Rotterdam, the Netherlands.
Medical engineering & physics
|February 28, 2024
概括
惯性传感器最好用于检测身体位置,以防止压力 (PU),但新的传感器类型需要开发. 拟议的压力位置系统 (PUPS) 指南旨在改善PU预防策略.
科学领域:
- 生物医学工程 生物医学工程
- 医疗保健技术 技术 医疗保健 技术
- 护理信息学 护理信息学
背景情况:
- 压力 (PUs) 代表了严重的医疗负担,增加了住院时间,降低了患者的生活质量.
- 有效的患者重新定位对于预防PU至关重要,但监测遵守可能是具有挑战性的.
- 传感器技术为自动化身体位置监测提供了一个潜在的解决方案,以帮助预防PU.
研究的目的:
- 系统地审查和评估各种传感器类型用于床上体位检测的临床适用性.
- 确定最适合的传感器技术,用于监测患者的重新定位和预防压力.
主要方法:
- 对39篇文章进行了系统审查.
- 研究分析基于传感器类型,准确性和检测临床相关身体位置的能力.
- 重点是能够在床上检测身体位置的传感器,以预防压力.
主要成果:
- 惯性传感器表现出高精度,最常用,提供2至4小时的转机间隔预警系统.
- 压力传感器是第二个最常见的类型.
- 其他传感器类型 (负载,压电,无线电波,电容) 显示出变化,并且通常无法检测到像干旋转这样的临床上显著的运动.
结论:
- 虽然惯性传感器目前是PU预防准确性和临床适用性的基准,但它们与患者的直接接触需要护士干预.
- 建议进一步研究和开发没有直接患者接触的替代传感器类型.
- 拟议的压力位置系统 (PUPS) 指南旨在指导开发和实施改善的传感器系统,以预防PU.
相关概念视频
01:30Pulse rhythm
Pulse rhythm refers to the pattern of pulsations within specific intervals, offering valuable insights into the regularity or irregularity of the heart's beats as observed through the pattern of pulsation within specific intervals. A regular pulse exhibits a consistent heart rate with uniform waveforms and pulsation force, variations of which can be classified as normal, weak, or bounding.
Conversely, an irregular pulse pattern is termed dysrhythmia, stemming from disruptions in cardiac muscle...
Conversely, an irregular pulse pattern is termed dysrhythmia, stemming from disruptions in cardiac muscle...
01:30Equipments Used To Measure Blood Pressure
Direct Method
This invasive approach involves cannulating a peripheral artery. During each cardiac contraction, pressure generates mechanical motion within the catheter, transmitted through rigid, fluid-filled tubing to a transducer. This transducer converts mechanical motion into electrical signals displayed as waveforms on a monitor. An automatic flushing system prevents blood backflow. Due to the potential risk of unexpected arterial blood loss, this method is primarily used in intensive...
This invasive approach involves cannulating a peripheral artery. During each cardiac contraction, pressure generates mechanical motion within the catheter, transmitted through rigid, fluid-filled tubing to a transducer. This transducer converts mechanical motion into electrical signals displayed as waveforms on a monitor. An automatic flushing system prevents blood backflow. Due to the potential risk of unexpected arterial blood loss, this method is primarily used in intensive...
01:28Special considerations while measuring blood pressure
When assessing blood pressure (BP), healthcare professionals must consider various factors and potential unexpected outcomes to ensure accurate readings and provide proper patient care. Adhering to these guidelines is essential to achieving the most reliable results.
Monitoring Both Arms:
Monitoring BP in both arms during the initial assessment is advisable, as the systolic value may differ by five to ten mm Hg between arms. For subsequent BP assessments, use the arm with the higher reading.
Monitoring Both Arms:
Monitoring BP in both arms during the initial assessment is advisable, as the systolic value may differ by five to ten mm Hg between arms. For subsequent BP assessments, use the arm with the higher reading.