床头抬高角度测量仪的制作与应用
Today Nurse(2018)
Abstract
呼吸机相关性肺炎(VAP)是威胁危重症机械通气患者生命安全的重要并发症,是 ICU 最常见的院内感染之一.美国医疗保险和医疗补助服务中心将 VAP 列为可预防的疾病,并不再支付因 VAP 产生的医疗费用 [1].因此,危重症机械通气患者 VAP 的预防已成为监护病房护士的重要挑战.美国疾病控制中心(CDC)推荐的预防 VAP 的集束化管理中,将床头抬高 30°~45°作为首要措施,并被认为是降低误吸致 VAP 发生风险的最经济有效的方法[2].在临床实践中,医院病床的床尾一般是可以活动调节高度的,但是床头很少有测量抬高角度装置,即床头抬高角度测量仪,除了某些价格昂贵的高档病床配有结构复杂的床头角度调节的显示装置外,一般病床没有床头角度调节的显示装置,医护人员或家属只能凭个人经验来调整床头抬高角度.因此,本科室根据临床需要设计床头抬高角度测量仪,有利于精确调整床头抬高角度,在满足患者舒适度的同时,达到治疗某些疾病要求的角度,提高医护人员床头抬高依从性,现介绍如下.
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