網膜氣體固定術後病人應用創新趴床之成效

The Effectiveness of Innovative Prone Mattress to Post-Pneumatic Retinopexy Prone Positioning Patients

10.6142/VGHN.28.4.354

葉燕芬(Yann-Fen Yeh)；廖秋月(Cheu-Ye Liau)；陳世真(Shih-Jen Chen)；黃秀芬(Hsiu-Fen Huang)

創新趴床 ； 網膜氣體固定術 ； 趴臥 ； innovative prone mattress ； pneumatic retinopexy ； prone position

榮總護理

28卷4期（2011 / 12 / 01）

354 - 363

繁體中文

網膜氣體固定術是目前視網膜疾病的治療方式之一。病人術後須採長時間趴臥，以提高手術成功率。但常見病人因不適，導致無法配合趴臥，而影響手術成功率。本研究以實證精神，探討病人在網膜氣體固定術後使用創新趴床執行趴臥時，舒適滿意度與趴臥執行率的改善成效。本研究採類實驗性研究設計，以台北市某醫學中心眼科病房接受網膜氣體固定術後須趴臥，且能配合執行之住院病人為收案對象，採方便取樣分A、B 兩組，共60位病人。A組病人於術後先使用一般床墊，24小時後再使用創新趴床；B組反之。而後，再利用滿意度調查問卷及量表分析比較60位病人在網膜氣體固定術後執行趴臥的配合度及滿意度。研究結果顯示，創新趴床較一般床墊對於呼吸不順有顯著的改善；使用創新趴床，病人配合趴臥的時間較長。兩組對創新趴床滿意度高達91.7%。透過臨床實證，本研究確立了創新趴床在眼科網膜氣體固定術病人術後執行趴臥之運用成效。建議將創新趴床列為網膜氣體固定術後趴臥病人照護之標準化醫療輔助設備，並推廣使用至所有眼科病房。

To ensure a successful rate of pneumatic retinopexy, patients have to maintain a prone position after surgery. However, the discomfort induced by the positioning had adversely affected their willingness to cooperate and thus influencing the surgical outcome. This study intended to explore the satisfaction level and prone implementation rate of the patients by using Innovative Prone Mattress (IPM). A total of 60 retinal patients in a medical center in Taipei were sampled. The data for satisfaction level, the compliance rate of maintaining prone position and the comfort status of the 60 patients were surveyed through different scales and questionnaires and then analyzed. The IPM helped to relieve the discomfort of shortness of breath significantly, much better than the ordinary mattress and thus increase the duration for positioning. The satisfaction rate for the IPM was up to 91.7%. This study verified the effectiveness in the use of IPM for patients after retinal surgery. IPM could be implemented as one of the standardized care medical aids in ophthalmic wards.